To develop a pragmatic CEUS enhancement-pattern classification for CSP and evaluate its association with procedure selection and perioperative outcomes.
Key Findings:
CEUS patterns strongly associated with conventional ultrasound severity markers.
CEUS-based recommendations showed 90.1% concordance with definitive management.
Perioperative outcomes varied by procedure, with lesion resection plus scar repair linked to greater procedural burden.
CEUS high-risk pattern (CCSPB) improved prediction of cases requiring scar repair compared to TVS-based models.
Interpretation:
CEUS enhancement-pattern classification aligns with established ultrasound severity indicators and supports real-world procedure selection in CSP.
Limitations:
Findings should be interpreted cautiously.
Prospective multicenter validation is warranted.
Conclusion:
The CCSPB pattern may provide incremental value for identifying patients needing scar repair, enhancing decision-making in CSP management.
These 10 states make it more practical for physicians to participate in hospital ownership by aligning statutory structure, corporate practice of medicine rules, and population trends.
