PMID- 32341645 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220414 IS - 1176-6336 (Print) IS - 1178-203X (Electronic) IS - 1176-6336 (Linking) VI - 16 DP - 2020 TI - Safety Profile of Musculoskeletal Contrast-Enhanced Ultrasound with Sulfur Hexafluoride Contrast Agent. PG - 269-280 LID - 10.2147/TCRM.S235235 [doi] AB - PURPOSE: Muscle, bone and tendon regeneration depend on the microperfusion of the corresponding tissue which can be quantified with contrast-enhanced ultrasound (CEUS) using sulfur hexafluoride contrast agent (SonoVue((R))). This study investigated the incidence of adverse events (AEs) in musculoskeletal patients and gives an overview of musculoskeletal CEUS applications. PATIENTS AND METHODS: Based on 13 studies in a standardized monocentric setting, a total of 2268 CEUS examinations in 764 patients were performed and AEs due to the administration of sulfur hexafluoride contrast agent were classified as either mild, moderate or severe. RESULTS: No fatal events occurred. AEs were reported in three cases, of which only one was classified as severe and two as mild. The total rate of all AEs was 0.13% and 0.04% for severe AEs. CONCLUSION: The present analysis confirms the safety of musculoskeletal CEUS using sulfur hexafluoride contrast agent with a lower rate of AEs than that reported for other contrast agents even in elderly patients with concomitant diseases. CI - (c) 2020 Fischer et al. FAU - Fischer, Christian AU - Fischer C AUID- ORCID: 0000-0002-3865-0610 AD - Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Ultrasound Center, HTRG - Heidelberg Trauma Research Group, Heidelberg University Hospital, Heidelberg 69118, Germany. FAU - Kunz, Pierre AU - Kunz P AD - Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Ultrasound Center, HTRG - Heidelberg Trauma Research Group, Heidelberg University Hospital, Heidelberg 69118, Germany. FAU - Strauch, Marten AU - Strauch M AD - Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Ultrasound Center, HTRG - Heidelberg Trauma Research Group, Heidelberg University Hospital, Heidelberg 69118, Germany. FAU - Weber, Marc-Andre AU - Weber MA AUID- ORCID: 0000-0003-3918-8066 AD - Institute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, University Medical Center Rostock, Rostock 18057, Germany. FAU - Doll, Julian AU - Doll J AD - Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Ultrasound Center, HTRG - Heidelberg Trauma Research Group, Heidelberg University Hospital, Heidelberg 69118, Germany. LA - eng PT - Journal Article DEP - 20200414 PL - New Zealand TA - Ther Clin Risk Manag JT - Therapeutics and clinical risk management JID - 101253281 PMC - PMC7166060 OTO - NOTNLM OT - CEUS OT - adverse events OT - contrast agents OT - contrast-enhanced ultrasound OT - musculoskeletal OT - sulfur hexafluoride COIS- The authors report no conflicts of interest in this work. EDAT- 2020/04/29 06:00 MHDA- 2020/04/29 06:01 PMCR- 2020/04/14 CRDT- 2020/04/29 06:00 PHST- 2019/10/18 00:00 [received] PHST- 2020/03/09 00:00 [accepted] PHST- 2020/04/29 06:00 [entrez] PHST- 2020/04/29 06:00 [pubmed] PHST- 2020/04/29 06:01 [medline] PHST- 2020/04/14 00:00 [pmc-release] AID - 235235 [pii] AID - 10.2147/TCRM.S235235 [doi] PST - epublish SO - Ther Clin Risk Manag. 2020 Apr 14;16:269-280. doi: 10.2147/TCRM.S235235. eCollection 2020.