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肝硬化和慢性肝炎的影像学诊断

Imaging diagnosis of cirrhosis and chronic hepatitis.

作者信息

Ito Katsuyoshi, Mitchell Donald G

机构信息

Department of Radiology, Yamaguchi University School of Medicine, Ube, Japan.

出版信息

Intervirology. 2004;47(3-5):134-43. doi: 10.1159/000078465.

Abstract

Cirrhosis is an end stage of chronic diffuse liver disease, characterized by irreversible hepatic fibrosis. Cirrhosis slowly progresses from chronic hepatitis to early cirrhosis and finally to advanced cirrhosis with the increasing risk of complications, and causes regional morphologic changes of the liver during the course of the disease, according to disease severity. MR imaging is better able to provide comprehensive information about cirrhosis or chronic hepatitis and their complications than any other imaging modality currently available. In this article, we reviewed the spectrum of imaging findings of cirrhosis and chronic hepatitis, including regional changes of hepatic morphology, several signs of early and advanced cirrhosis, nodular liver surface, hepatic iron deposition, regenerative nodules, and varices and portosystemic collaterals.

摘要

肝硬化是慢性弥漫性肝病的终末期,其特征为不可逆的肝纤维化。随着并发症风险的增加,肝硬化从慢性肝炎缓慢进展至早期肝硬化,最终发展为晚期肝硬化,并在疾病过程中根据疾病严重程度导致肝脏的区域性形态改变。与目前可用的任何其他成像方式相比,磁共振成像(MR成像)更能够提供关于肝硬化或慢性肝炎及其并发症的全面信息。在本文中,我们回顾了肝硬化和慢性肝炎的影像学表现谱,包括肝脏形态的区域性改变、早期和晚期肝硬化的若干征象、肝脏表面结节、肝铁沉积、再生结节以及静脉曲张和门体分流。

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