Feasibility of Contrast‐Enhanced Intraoperative Ultrasound for Detection and Characterization of Renal Mass Undergoing Open Partial Nephrectomy

• DOI: 10.7863/ultra.16.07053
• Publication Date: 2017-04-08T09:16:26Z
• Authors: Ott Le; Christopher Wood; Raghunandan Vikram; Madhavi Patnana; Priya Bhosale; Roland Bassett; Deepak Bedi
• Keywords: Contrast-enhanced ultrasound; Vascularity; Renal mass; Kidney cancer

Objectives To determine the feasibility of obtaining intraoperative contrast‐enhanced ultrasound (CEUS) imaging in patients undergoing open partial nephrectomy for renal cancer. We hypothesize that study was feasible and addition CEUS would improve lesion identification characterization. Methods The population consisted 10 with known mass scheduled ultrasound–guided nephrectomy. After dissection exposure kidney by surgeon, an pre‐ post‐CEUS performed radiologist. Feasibility defined as successful 8 CEUS. Image quality, conspicuity/contrast, vascularity, morphology, size were assessed graded post‐contrast images. Results Intraoperative successfully acquired 11 detection One canceled intraoperatively a result clinical complications related to difficult surgery. Tumor ranged from 1.3 4.2 cm. All lesions solid. No additional found on compared baseline imaging. quality acceptable excellent. There no adverse events recorded all patients. Conclusions In our consisting patients, characterization safe. Because during can affect extent surgery, be used help detect characterize surgical planning/resection intraoperatively.