Contrast-Enhanced Ultrasound Task Force

Task Force Objectives

  • Help promote contrast ultrasound (CEUS) as a useful, low cost, radiation free imaging modality in pediatric imaging.
  • Develop relationships with manufacturers, regulators, media, other imaging organizations, and appropriate advocacy groups.
  • Explore ways of developing CEUS as a useful, practical imaging tool, including clinical trials and off label use.
  • Encourage scientific research involving CEUS
  • Help educate SPR members, pediatricans, and parents about the benefits of CEUS in pediatric imaging.
  • Help coordinate/support multicenter clinical trials involving CEUS

Task Force Members

Kassa Darge (Chair)
Dept of Radiology
Children's Hospital of Philadelphia

Harriet Paltiel
Children's Hospital Boston

Frank Volberg
Georgetown University

Beth McCarville
St Jude Children's Research Hospital

Susan J Back
Children's Hospital of Philadelphia

Summer L Kaplan
Children's Hospital of Philadelphia


Dorothy Bulas
Childrens National Medical Center, Washington DC           

Lynn Fordham
UNC School of Medicine

Jonathan Dillman
University of Michigan Medical Center

Carol Barnewolt, MD
Children's Hospital, Boston

Jamie L Coleman
St. Jude Children's Research Hospital

International Pediatric Contrast-Enhanced Ultrasound Course

International Pediatric Contrast-Enhanced Ultrasound Course 2014:  Faculty members (left to right)
Liam Woods, Annamaria Deganello, Kasse Darge, Maria Sellars, Paul Sidhu, David Cosgrove, Sanjay Bansal, Tim Yusuf.

International Pediatric Contrast-Enhanced Ultrasound Course 2015

King’s College Hospital
London, United Kingdom, June 25-26 
3rd International Paediatric Contrast-enhanced Ultrasound (CEUS) Course (With Live Cases)

This is a unique opportunity to hear practical lectures on pediatric CEUS, as well as to see actual live cases performed in your presence.

Learning Materials




June 16, 2014

Editorial: Sellars ME, Deganello A, Sidhu PS. Paediatric Contrast-Enhanced Ultrasound (CEUS): A Technique that Requires Co-operation for Rapid Implementation into Clinical Practice. Ultraschall in Med 2014; 35: 203-206

October 2, 2012

Dr Kassa Darge has been invited to serve on the board of the International Contrast Ultrasound Society (ICUS) as the representative of the SPR. The two organizations are linking web pages, and there will be collaboration between ICUS and the SPR contrast ultrasound task force.
August 24, 2012

After a review of GE Healthcare's March 2012 Supplemental New Drug Application for proposed label changes, the U.S. Food and Drug Administration, or FDA, made revisions to the Prescribing Information for Optison, including removal of the statement, "In patients with pulmonary hypertension or unstable cardiopulmonary conditions, monitor vital sign measurements, electrocardiography and cutaneous oxygen saturation during and for at least 30 minutes after Optison administration", from within the previous BOXED WARNING. Similar language was also removed from the WARNING section of the label.
July 3, 2012

There will be a pediatric contrast ultrasound sunrise session at the SPR meeting in San Antonio on Friday morning, May 17, 2013. Many of our national leaders in this exciting emerging modality will be speaking.
March 28, 2012

New Images/Cases added above - IRR-VUR in meggaureter - Kassa Darge, MD, PhD & Liver Laceration & Kidney Perfursion defect Not Seen On Grey-Scale Ultrasound - Doris Franke, MD
March 23, 2012

The Contrast Ultrasound Task Force will be meeting in San Francisco at the SPR Annual Meeting. During the meteting, there will be discussions on relationships with manufacturers, off-label use, and investigator sponsored trials. The Task Force is hoping to have a session on Contrast Ultrasound at the 2013 SPR Annual Meeting in San Antonio, Texas.
September 22-23, 2011

International Contrast Ultrasound Society Bubble Conference Update. The ICUS meeting took place September 22-23 in Chicago. It was an interesting mix of bench scientists, cardiologists, and radiologists. The first part was a summary of current efforts to promote contrast ultrasound approval by ultrasound societies around the world.

Recent Publications on Pediatric Contrast Ultrasound

ceVUS Articles by Dr. Kassa Darge

Articles from Pediatric Radiology

  • ESPR Uroradiology Task Force and ESUR Paediatric Working Group—Imaging recommendations in paediatric uroradiology, Part V: childhood cystic kidney disease, childhood renal transplantation and contrast-enhanced ultrasonography in children
    Authors: Michael Riccabona, Fred Efraim Avni, Maria Beatrice Damasio, Lil-Sofie Ording Müller, Johan G. Blickman, Kassa Darge, Maria Luisa Lobo, Frederica Papadopoulou, Pierre-Hugues Vivier, Ullrich Willi
  • Contrast-enhanced ultrasound in non-operative management of pancreatic injury in childhood
    Authors: Massimo Valentino, Stefania Sartoni Galloni, Maria Rita Rimondi, Andrea Gentili, Mario Lima, Libero Barozzi
  • Imaging of paediatric splenic injury with contrast-enhanced ultrasonography
    Authors: Anja Oldenburg, Joachim Hohmann, Jan Skrok, Thomas Albrecht
  • Contrast-enhanced sonography in pediatrics
    Author: M. Beth McCarville
  • Contrast-enhanced triggered harmonic sonography for assessment of periarticular hemodynamic changes in experimental arthritis 
    Authors: Andrea S. Doria, Raffi Karshafian, Rahim Moineddin, Arun Mohanta, Anguo Zhong, Maria Mendes, Kenneth Pritzker, Roland Jong, Peter Burns
  • Potential pediatric applications for US contrast agents: lessons from the laboratory
    Author: George A.Taylor
  • Molecular ultrasound imaging and its potential for paediatric radiology
    Authors: Isabel Kiessling & Jessica Bzyl & Fabian Kiessling

Contrast-Enhanced Ultrasound Bibliography


ESPR Uroradiology Task Force and ESUR Paediatric Working Group


Contrast-enhanced ultrasound (CEUS) in children: Ready for prime time in the United States!


Vendor Information



Hitachi Aloka


  1. Company: Shenzhen Mindray Bio-Medical Electronics Co.,LTD
    Mindray Building, Keji 12th Road South, High-tech Industrial Park, Nanshan, Shenzhen 518057, P.R. China
    Tel: +86755 86119580
  2. Name of US contrast package: UWN Contrast Imaging™ (Ultra-Wideband Nonlinear Contrast Imaging)
  3. Parameters:
    a. Low-MI : available, MI visible on images
    b. High MI : available
    c. Dual screen: available
    d. Color overlay : available
    e. "Subtraction option" : not available
  4. Components of the US contrast modality:
    UWN Contrast Imaging™ provides exceptional contrast agent detecting capability, not only extracts second harmonica, but also non-linear fundamental signals.
  5. US scanners: (Does this mean transducer available for Contrast imaging?)
    a. DC-8:C5-2E,C7-3E, L12-3E,P4-2NE
    b. M9:C5-1s,SP5-1s
  6. Availability: only available on DC-8, M9.
  7. Sample images: as linked below
    1. Liver cancer contrast image
    2. Cholecystic Polypus contrast image
  8. Format: as linked here.  




Dr Paul Sidhu, Dr Maria Sellars, and Dr Annamaria Deganello at Kings College Hospital, London

Child with Focal Nodular Hyperplasia, with early enhancement, demonstration of central scar, and prolonged enhancement, effectively excluding malignancy.

@Carmina Duran. MD. UDIAT-SDI, Corporació Sanitària i Universitària Parc Taulí, Sabadell, Spain.

Urethra Normal

Posterior urethral valve

ceVUS video clip shoing vesicoureteral reflux, with a normal urethra on transperineal voiding images






@Frederica Papadopoulou, MD; Thessoloniki, Greece

@Beth McCarville, MD

Contrast Enhanced CT shows Liver Metastasis from Transitional Cell Carcinoma in a 16 year old boy.

Non-Contrast Enhanced Sagittal Ultrasound Image using Contrast Specific Software. Background tissue appears blue.


Early Arterial Phae after IV administration of a perflutren contrast agent. The contrast agent appears orange. The liver metastasis shows enhancement during this phase.

Portal-venous phase shows washout of contrast from the metastasis, a feature typical of malignant liver lesions.



@Kassa Darge, MD, PhD



CEUS with the bladder full of microbubbles and refluxing into the right ureter. Clear depiction of a right vesicoureteric reflux. No reflux on the left. Contrast specific technique with color overlay and subtraction makes the reflux detection much easier


CEUS with microbubbles in the right renal pelvis which is not markedly dilated. Contrast specific technique with color overlay and subtraction makes the reflux detection much easier

@Kassa Darge, MD, PhD




Contrast-enhanced image with color overlay showing reflux into the intrarenal collecting system.


Contrast-enhanced image with color overlay showing reflux, with grey scale subtracted.

@Kassa Darge, MD, PhD

@Doris Franke, MD - Medizinische Hochschule Hannover

 No definite abnormality seen

Small hematoma in hepato-renal space



Y-Shaped liver laceration and major perfusion defect lower pole, right kidney