Liver fibrosis imaging: A clinical review of ultrasound and magnetic resonance elastography

Autor: Kang Wang, Arinc Ozturk, Kathryn J. Fowler, Yingzhen N. Zhang, Ashley L. Louie, Claude B. Sirlin, Chetan K. Potu, Michael P. Andre, Walter C. Henderson, Anthony E. Samir, Vivian Montes
Rok vydání: 2020
Předmět:
Liver Cirrhosis
Liver Cancer
medicine.medical_specialty
Cirrhosis
Chronic Liver Disease and Cirrhosis
Bioengineering
Medical and Health Sciences
Article
Oral and gastrointestinal
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Rare Diseases
Engineering
Clinical Research
medicine
Humans
Radiology
Nuclear Medicine and imaging

Stage (cooking)
Cancer
screening and diagnosis
medicine.diagnostic_test
business.industry
Liver Disease
Ultrasound
Evidence-based medicine
medicine.disease
Magnetic Resonance Imaging
Magnetic resonance elastography
4.1 Discovery and preclinical testing of markers and technologies
Detection
Nuclear Medicine & Medical Imaging
Good Health and Well Being
Liver
Hepatocellular carcinoma
Liver biopsy
Physical Sciences
Elasticity Imaging Techniques
Biomedical Imaging
Radiology
Elastography
business
Digestive Diseases
4.2 Evaluation of markers and technologies
Zdroj: Journal of magnetic resonance imaging : JMRI, vol 51, iss 1
J Magn Reson Imaging
Zhang, Yingzhen N; Fowler, Kathryn J; Ozturk, Arinc; Potu, Chetan K; Louie, Ashley L; Montes, Vivian; et al.(2019). Liver fibrosis imaging: A clinical review of ultrasound and magnetic resonance elastography.. Journal of magnetic resonance imaging : JMRI. doi: 10.1002/jmri.26716. UC San Diego: Retrieved from: http://www.escholarship.org/uc/item/8fj680s0
DOI: 10.1002/jmri.26716.
Popis: Liver fibrosis is a histological hallmark of most chronic liver diseases, which can progress to cirrhosis and liver failure, and predisposes to hepatocellular carcinoma. Accurate diagnosis of liver fibrosis is necessary for prognosis, risk stratification, and treatment decision-making. Liver biopsy, the reference standard for assessing liver fibrosis, is invasive, costly, and impractical for surveillance and treatment response monitoring. Elastography offers a noninvasive, objective, and quantitative alternative to liver biopsy. This article discusses the need for noninvasive assessment of liver fibrosis and reviews the comparative advantages and limitations of ultrasound and magnetic resonance elastography techniques with respect to their basic concepts, acquisition, processing, and diagnostic performance. Variations in clinical contexts of use and common pitfalls associated with each technique are considered. In addition, current challenges and future directions to improve the diagnostic accuracy and clinical utility of elastography techniques are discussed. Level of Evidence: 5 Technical Efficacy Stage: 2 J. Magn. Reson. Imaging 2020;51:25-42.
Databáze: OpenAIRE