Since it has been recognized that sarcoidosis (SA) is not an exclusive disorder of the lungs but can also affect other organs such as the liver and spleen, efforts have been made to define specific imaging criteria for the diagnosis of the single organ involvement, and the concept has been reinforced that the exclusion of alternative causes is important to achieve the correct diagnosis. Ultrasound (US) is a useful tool to evaluate patients with suspected abdominal SA, such as of the liver, spleen, kidney, pancreas and other organs, showing findings such as organomegaly, focal lesions and lymphadenopathy. While the diagnosis of abdominal SA is more predictable in the case of involvement of other organs (e.g., lungs), the problem is more complex in the case of isolated abdominal SA. The recent use of contrast-enhanced ultrasound and endoscopic ultrasound elastography has provided additional information about the enhancement patterns and tissue rigidity in abdominal SA. Here we critically review the role of US in abdominal SA, reporting typical findings and limitations of current evidence and by discussing future perspectives of study.

Ultrasound imaging of abdominal sarcoidosis: State of the art / Tana, Claudio; Schiavone, Cosima; Ticinesi, Andrea; Ricci, Fabrizio; Giamberardino, Maria Adele; Cipollone, Francesco; Silingardi, Mauro; Meschi, Tiziana; Dietrich, Christoph F. - In: WORLD JOURNAL OF CLINICAL CASES. - ISSN 2307-8960. - 7:7(2019), pp. 809-818. [10.12998/wjcc.v7.i7.809]

Ultrasound imaging of abdominal sarcoidosis: State of the art

Ticinesi, Andrea;Meschi, Tiziana;
2019-01-01

Abstract

Since it has been recognized that sarcoidosis (SA) is not an exclusive disorder of the lungs but can also affect other organs such as the liver and spleen, efforts have been made to define specific imaging criteria for the diagnosis of the single organ involvement, and the concept has been reinforced that the exclusion of alternative causes is important to achieve the correct diagnosis. Ultrasound (US) is a useful tool to evaluate patients with suspected abdominal SA, such as of the liver, spleen, kidney, pancreas and other organs, showing findings such as organomegaly, focal lesions and lymphadenopathy. While the diagnosis of abdominal SA is more predictable in the case of involvement of other organs (e.g., lungs), the problem is more complex in the case of isolated abdominal SA. The recent use of contrast-enhanced ultrasound and endoscopic ultrasound elastography has provided additional information about the enhancement patterns and tissue rigidity in abdominal SA. Here we critically review the role of US in abdominal SA, reporting typical findings and limitations of current evidence and by discussing future perspectives of study.
2019
Ultrasound imaging of abdominal sarcoidosis: State of the art / Tana, Claudio; Schiavone, Cosima; Ticinesi, Andrea; Ricci, Fabrizio; Giamberardino, Maria Adele; Cipollone, Francesco; Silingardi, Mauro; Meschi, Tiziana; Dietrich, Christoph F. - In: WORLD JOURNAL OF CLINICAL CASES. - ISSN 2307-8960. - 7:7(2019), pp. 809-818. [10.12998/wjcc.v7.i7.809]
File in questo prodotto:
File Dimensione Formato  
Tana World J Clin Cases.pdf

accesso aperto

Descrizione: Full Text
Tipologia: Versione (PDF) editoriale
Licenza: Creative commons
Dimensione 7.39 MB
Formato Adobe PDF
7.39 MB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2858059
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 22
  • ???jsp.display-item.citation.isi??? 19
social impact