Evaluation of hepatic fibrosis: a review from the society of abdominal radiology disease focus panel

Hepatic fibrosis is potentially reversible; however early diagnosis is necessary for treatment in order to halt progression to cirrhosis and development of complications including portal hypertension and hepatocellular carcinoma. Morphologic signs of cirrhosis on ultrasound (US), computed tomography...

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Veröffentlicht in:Abdominal imaging 2017-08, Vol.42 (8), p.2037-2053
Hauptverfasser: Horowitz, Jeanne M., Venkatesh, Sudhakar K., Ehman, Richard L., Jhaveri, Kartik, Kamath, Patrick, Ohliger, Michael A., Samir, Anthony E., Silva, Alvin C., Taouli, Bachir, Torbenson, Michael S., Wells, Michael L., Yeh, Benjamin, Miller, Frank H.
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container_end_page 2053
container_issue 8
container_start_page 2037
container_title Abdominal imaging
container_volume 42
creator Horowitz, Jeanne M.
Venkatesh, Sudhakar K.
Ehman, Richard L.
Jhaveri, Kartik
Kamath, Patrick
Ohliger, Michael A.
Samir, Anthony E.
Silva, Alvin C.
Taouli, Bachir
Torbenson, Michael S.
Wells, Michael L.
Yeh, Benjamin
Miller, Frank H.
description Hepatic fibrosis is potentially reversible; however early diagnosis is necessary for treatment in order to halt progression to cirrhosis and development of complications including portal hypertension and hepatocellular carcinoma. Morphologic signs of cirrhosis on ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI) alone are unreliable and are seen with more advanced disease. Newer imaging techniques to diagnose liver fibrosis are reliable and accurate, and include magnetic resonance elastography and US elastography (one-dimensional transient elastography and point shear wave elastography or acoustic radiation force impulse imaging). Research is ongoing with multiple other techniques for the noninvasive diagnosis of hepatic fibrosis, including MRI with diffusion-weighted imaging, hepatobiliary contrast enhancement, and perfusion; CT using perfusion, fractional extracellular space techniques, and dual-energy, contrast-enhanced US, texture analysis in multiple modalities, quantitative mapping, and direct molecular imaging probes. Efforts to advance the noninvasive imaging assessment of hepatic fibrosis will facilitate earlier diagnosis and improve patient monitoring with the goal of preventing the progression to cirrhosis and its complications.
doi_str_mv 10.1007/s00261-017-1211-7
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Cirrhosis
Complications
Computed tomography
Contrast Media
Diagnosis
Early Diagnosis
Energy consumption
Fibrosis
Gastroenterology
Hepatocellular carcinoma
Hepatology
Humans
Hypertension
Image Interpretation, Computer-Assisted
Imaging
Imaging techniques
Liver
Liver cancer
Liver cirrhosis
Liver Cirrhosis - diagnostic imaging
Liver diseases
Magnetic resonance imaging
Mapping
Medical imaging
Medicine
Medicine & Public Health
NMR
Nuclear magnetic resonance
Perfusion
Pictorial Essay
Probes
Radiation
Radiology
Resonance
Ultrasound
title Evaluation of hepatic fibrosis: a review from the society of abdominal radiology disease focus panel
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