{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:26:41Z","timestamp":1787009201565,"version":"build-2736575974"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ultraschall Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Intra-abdominal organ infarctions require prompt imaging for diagnosis. Contrast-enhanced computed tomography (CECT) is considered the gold standard but involves radiation, iodinated contrast, and logistical challenges in critically ill patients. Contrast-enhanced ultrasound (CEUS) enables real-time assessment of microvascular perfusion without ionizing radiation. The aim of this study was to evaluate the diagnostic performance of CEUS compared to CECT for detecting intra-abdominal organ infarctions.<\/jats:p>\n                  <jats:p>This retrospective observational study included patients treated at a tertiary care center (2010\u20132024) who underwent both CEUS and CECT for suspected intra-abdominal organ infarction. With CECT as reference standard, diagnostic performance parameters and agreement (Cohen\u2019s kappa) were calculated.<\/jats:p>\n                  <jats:p>24 patients (median age 60 years; 12 female) were included. CECT confirmed organ infarction in 16\/24 patients (66.7%). CEUS correctly identified 15 of these cases (Sensitivity 93.8%; 95% confidence interval [CI]: 71.7\u201398.9%). Specificity was 75.0% (95% CI: 40.9\u201392.9%), with two false-positive CEUS findings. Positive and negative predictive values were 88.2% (95% CI: 65.7\u201396.7%) and 85.7% (95% CI: 48.7\u201397.4%), respectively. Agreement of CECT and CEUS was substantial (Cohen\u2019s \u03ba = 0.71). Wedge-shaped perfusion defects were identified in 93.8% of CT-confirmed infarctions on both modalities.<\/jats:p>\n                  <jats:p>CEUS demonstrates high sensitivity and good agreement with CECT for the detection of intra-abdominal organ infarctions. CEUS represents a valuable imaging modality, particularly when CECT is contraindicated or not available. Prospective studies are warranted to further define its role in clinical practice.<\/jats:p>","DOI":"10.1055\/a-2908-8526","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T22:46:22Z","timestamp":1783637182000},"source":"Crossref","is-referenced-by-count":0,"title":["Contrast-Enhanced Ultrasound Versus Contrast-Enhanced Computed Tomography in the Detection of Renal and Splenic Infarctions"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0122-5810","authenticated-orcid":false,"given":"John Michael","family":"Hoppe","sequence":"additional","affiliation":[{"name":"LMU Klinikum, BY, Germany","place":["Munich"],"department":["Emergency Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9887-2864","authenticated-orcid":false,"given":"Sinan","family":"Deniz","sequence":"additional","affiliation":[{"name":"LMU Klinikum, BY, Germany","place":["Munich"],"department":["Department of Radiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4199-6345","authenticated-orcid":false,"given":"Michael","family":"Czihal","sequence":"additional","affiliation":[{"name":"LMU Klinikum Medizinische Klinik und Poliklinik IV, BY, Germany","place":["Munich"],"department":["Division of Vascular Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1770-4392","authenticated-orcid":false,"given":"Christian","family":"Lottspeich","sequence":"additional","affiliation":[{"name":"LMU Klinikum Medizinische Klinik und Poliklinik IV, BY, Germany","place":["Munich"],"department":["Interdisciplinary Ultrasound Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/741018","article-title":"Side effects of radiographic contrast media: pathogenesis, risk factors, and prevention","volume":"2014","author":"M Andreucci","year":"2014","journal-title":"Biomed Res Int"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"256","DOI":"10.4103\/2229-5151.170840","article-title":"Complications during intrahospital transport of critically ill patients: Focus on risk identification and prevention","volume":"5","author":"PH Knight","year":"2015","journal-title":"Int J Crit Illn Inj Sci"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e2","DOI":"10.1055\/a-0586-1107","article-title":"The EFSUMB Guidelines and Recommendations for the Clinical Practice of Contrast-Enhanced Ultrasound (CEUS) in Non-Hepatic Applications: Update 2017 (Long Version)","volume":"39","author":"PS Sidhu","year":"2018","journal-title":"Ultraschall in Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1007\/s00117-021-00891-7","article-title":"Contrast-enhanced ultrasound perfusion imaging of organs","volume":"61","author":"EM Jung","year":"2021","journal-title":"Radiologe"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1007\/s00261-008-9452-0","article-title":"CEUS in abdominal trauma: multi-center study","volume":"34","author":"O Catalano","year":"2009","journal-title":"Abdom Imaging"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1007\/s13244-012-0209-5","article-title":"Contrast-enhanced ultrasound performed under urgent conditions. Indications, review of the technique, clinical examples and limitations","volume":"4","author":"DD Cokkinos","year":"2013","journal-title":"Insights Imaging"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"989","DOI":"10.1007\/s11547-015-0535-z","article-title":"Accuracy of contrast-enhanced ultrasound (CEUS) in the identification and characterization of traumatic solid organ lesions in children: a retrospective comparison with baseline US and CE-MDCT","volume":"120","author":"G Menichini","year":"2015","journal-title":"Radiol Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"E76","DOI":"10.1055\/a-1347-5875","article-title":"Contrast-Enhanced Ultrasound (CEUS) in Non-Traumatic Abdominal Emergencies","volume":"6","author":"D Cozzi","year":"2020","journal-title":"Ultrasound Int Open"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1150","DOI":"10.2214\/ajr.184.4.01841150","article-title":"Contrast-enhanced sonography of the spleen","volume":"184","author":"O Catalano","year":"2005","journal-title":"AJR Am J Roentgenol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e525","DOI":"10.1016\/j.ejrad.2013.05.043","article-title":"Contrast-enhanced ultrasound in the differentiation between phlegmon and abscess in Crohn\u02bcs disease and other abdominal conditions","volume":"82","author":"T Ripoll\u00e9s","year":"2013","journal-title":"Eur J Radiol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1007\/s00330-007-0747-2","article-title":"Value of contrast-enhanced ultrasonography for detecting renal infarcts proven by contrast enhanced CT. A feasibility study","volume":"18","author":"M Bertolotto","year":"2008","journal-title":"Eur Radiol"}],"container-title":["Ultraschall in der Medizin - European Journal of Ultrasound"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2908-8526.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:54:53Z","timestamp":1787007293000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2908-8526"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,9]]},"references-count":11,"URL":"https:\/\/doi.org\/10.1055\/a-2908-8526","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0172-4614","1438-8782"],"issn-type":[{"value":"0172-4614","type":"print"},{"value":"1438-8782","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7,9]]},"published":{"date-parts":[[2026,7,9]]}}}