Dietrich CF, Sharma M, Gibson RN, Schreiber-Dietrich D, Jenssen C. Fortuitously discovered liver lesions. World J Gastroenterol 2013; 19(21): 3173-3188 [PMID: 23745019 DOI: 10.3748/wjg.v19.i21.3173]
Corresponding Author of This Article
Christoph F Dietrich, Professor of Medicine, Department of Internal Medicine, Caritas-Krankenhaus Bad Mergentheim, Uhlandstr. 7, 97980 Bad Mergentheim, Germany. christoph.dietrich@ckbm.de
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jun 7, 2013; 19(21): 3173-3188 Published online Jun 7, 2013. doi: 10.3748/wjg.v19.i21.3173
Fortuitously discovered liver lesions
Christoph F Dietrich, Malay Sharma, Robert N Gibson, Dagmar Schreiber-Dietrich, Christian Jenssen
Christoph F Dietrich, Department of Internal Medicine, Caritas-Krankenhaus Bad Mergentheim, 97980 Bad Mergentheim, Germany
Malay Sharma, Department of Gastroenterology, Jaswantrai Speciality Hospital, Opposite Sports Stadium, Meerut UP 250001, India
Robert N Gibson, Department of Radiology, University of Melbourne, Royal Melbourne Hospital, Victoria 3050, Australia
Dagmar Schreiber-Dietrich, Department of Pediatrics, Asklepiosklinik St. Augustin, Abt. Neonatologie und Pädiatrische Intensivmedizin, 52757 Augustin, Germany
Christian Jenssen, Klinik für Innere Medizin, Krankenhaus Märkisch Oderland, 15334 Strausberg, Germany
Author contributions: Dietrich CF and Jenssen C established the design and conception of the paper; Dietrich CF, Sharma M, Gibson RN, Schreiber-Dietrich D and Jenssen C analyzed the literature data; Dietrich CF provided the first draft of the manuscript, which was discussed and revised critically for intellectual content by Sharma M, Gibson RN, Schreiber-Dietrich D and Jenssen C; Dietrich CF, Gibson RN and Jenssen C provided figures; Dietrich CF, Sharma M, Gibson RN, Schreiber-Dietrich D and Jenssen C discussed the statement and conclusions, the comments of the reviewer, and approved the final version to be published.
Correspondence to: Christoph F Dietrich, Professor of Medicine, Department of Internal Medicine, Caritas-Krankenhaus Bad Mergentheim, Uhlandstr. 7, 97980 Bad Mergentheim, Germany. christoph.dietrich@ckbm.de
Telephone: +49-7931-582201 Fax: +49-7931-582290
Received: December 25, 2012 Revised: March 22, 2013 Accepted: April 27, 2013 Published online: June 7, 2013 Processing time: 165 Days and 17.1 Hours
Core Tip
Core tip: The presented paper is intended to discuss, comment and illustrate the recently published international guidelines on hepatic applications of contrast-enhanced ultrasound. Recommendations are based on a prospective multicenter study with more than 1000 histologically confirmed tumors and on national and international guidelines. The focus is on the important clinical work-up of the fortuitously discovered liver lesion. In contrast to most other published papers dealing with imaging methods, these recommendations also give advice for the clinician from a clinical point of view, including laboratory data. The described work-up includes different scenarios, e.g., the asymptomatic (healthy) patient vs the oncological patient. Limitations of techniques and sources of error are also explained.
