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Case series


Superb Microvascular Imaging: Added Value and Novel Applications.

Suheil ArtulWilliam NseirZaher ArmalyMichalle Soudack
Departments of Radiology and Medical Internal, Faculty of Medicine in the Galilee, EMMS Hospital Nazareth, Bar-Ilan UniversityNephrology Unit, Faculty of Medicine in the Galilee, EMMS Hospital Nazareth, Bar-Ilan University, Ramat GanShepa Medical Center, Sackler Faculty of Medicine, University of Tel Aviv, Tel Aviv, Israel
Date of Submission: 22-Oct-2017, Date of Acceptance: 28-Nov-2017, Date of Web Publication: 28-Dec-2017.
Corresponding Author:
Corresponding Author

Suheil Artul

["Department of Radiology, Faculty of Medicine in the Galilee, EMMS Hospital Nazareth, Bar-Ilan University, Ramat Gan, Israel."]
E-mail: suheil_artul@hotmail.com

Corresponding Author:
Corresponding Author

Suheil Artul

["Department of Radiology, Faculty of Medicine in the Galilee, EMMS Hospital Nazareth, Bar-Ilan University, Ramat Gan, Israel."]
E-mail: suheil_artul@hotmail.com

DOI: 10.4103/jcis.JCIS_79_17 Facebook Twitter Google Linkedin

ABSTRACT


Determining the presence and characteristics of vascular flow is an essential part of sonography interrogation. However, small vessels and low velocities are not always possible to depict with conventional color and power Doppler ultrasound. This can be frustrating, especially when the diagnosis depends mainly on the existence of vascular flow, the sonographic examination will be inconclusive, further imaging examinations will be required and diagnosis delayed. Superb microvascular imaging (SMI) is a novel vascular imaging mode, which provides visualization of low velocity and microvascular flow. SMI uses a clutter suppression algorithm to extract flow signals and depicts this information as a color overlay image or as a monochrome or color map of flow. By using SMI, high frame rates and high-resolution images remain maintained. With SMI, it is possible to visualize small vessels including their branches that, until now, it is possible to demonstrate only using contrast-enhanced ultrasound. Availability of this additional technology on all ultrasound machines may make some of the computed tomography scans unnecessary. In our paper, we describe six patients, aged 16-73 years, in which final diagnosis was achieved only with SMI and where conventional color and power Doppler failed. All these examinations were performed using Aplio 500 Platinum ultrasound unit (Toshiba Medical Systems, Tokyo, Japan).
Keywords: Doppler, Superb Microvascular Imaging, Ultrasound

Cited in 4 Documents

  1. Vincenzo Cuccurullo, Giuseppe Danilo Di Stasio, Giuseppe Mazzarella and Giuseppe Lucio Cascini (2018) Microvascular Invasion in HCC: The Molecular Imaging Perspective. Contrast Media & Molecular Imaging 2018:1. doi: 10.1155/2018/9487938
  2. Yuichiro Kondo, Hitoshi Fukuda, Naoki Fukui, Yusuke Ueba, Yu Kawanishi, Shinya Higuchi, Yu Hoashi and Tetsuya Ueba (2019) Recurrence and regression of the common carotid artery mobile plaque after stenting: case report. Jpn. J. Stroke :. doi: 10.3995/jstroke.10640
  3. K. Stock (2018) Nephrologische Ultraschalldiagnostik. Nephrologe 13(4):236. doi: 10.1007/s11560-018-0258-y
  4. Guen Young Lee, Sujin Kim, Sang Tae Choi and Jung Soo Song (2019) The superb microvascular imaging is more sensitive than conventional power Doppler imaging in detection of active synovitis in patients with rheumatoid arthritis. Clin Rheumatol :. doi: 10.1007/s10067-019-04550-0

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