ICUS Bubble Blog
The ICUS Bubble Blog showcases real-life CEUS experiences from around the world, with a special focus on how CEUS impacts individual patients and their care.
CEUS stages liver cancer when CT and MRI unhelpful
By Dr. Yuko Kono
University of California San Diego
Mr. C is an 89-year-old Chinese gentleman with a history of colon cancer and stage IV chronic kidney disease, who was found to have two liver masses on an abdominal CT performed without contrast. A follow-up biopsy of the larger mass confirmed that it was primary liver cancer (or hepatocellular carcinoma). But due to the lack of contrast on CT, Mr. Chen’s physicians could not rule out metastases.
Unfortunately, Mr. C was not a candidate for contrast CT because of his severe chronic kidney disease, and the high risk of further kidney failure associated with iodinated CT contrast agents. Further, since he could not hold his breath, two attempted MRI scans had severe motion artifacts and were non-diagnostic. A chest CT and bone scan did not show any extrahepatic metastasis.
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