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It is virtually impossible to imagine the practice of modern medicine as we know it in high-income countries without the use of imaging, and yet, an estimated two thirds of the global population may receive no such care.
Ultrasound imaging with CEUS has the potential to correct this inequity.
The main criterion for malignancy on CEUS is contrast hypo-enhancement in the late phase, whereas benign lesions typically remain isoenhancing to hyperenhancing in comparison with the surrounding normal liver tissue.
Benign entities can reliably be differentiated from each other by carefully scrutinizing the arterial contrast uptake phase; for instance, a globular filling-in pattern is typical for hemangioma and, along with continued late-phase enhancement, is pathognomonic for this diagnosis.
According to the World Health Organization (WHO), two thirds of the world’s population has no access to any kind of medical imaging .