Della Valle Serena, Branchi Federica, Rigamonti Cristina, Fraquelli Mirella
Recenti Prog Med. 2009 Apr;100(4):195-201.
Transient elastography (TE, Fibroscan) is a recent, rapid and highly reproducible technique for measuring liver tissue stiffness. Several studies in patients with chronic liver disease evidenced that it accurately predicts the degree of hepatic fibrosis and that it is particularly accurate in identifying severe fibrosis and cirrhosis. However, in the clinical practice TE provides an answer to a single question (liver elasticity) that could be influenced by several factors, mainly by hepatic fibrosis, but also by necrosis-inflammatory activity and extrahepatic cholestasis.
瞬时弹性成像(TE,Fibroscan)是一种用于测量肝组织硬度的最新、快速且高度可重复的技术。针对慢性肝病患者的多项研究表明,它能准确预测肝纤维化程度,在识别严重纤维化和肝硬化方面尤为准确。然而,在临床实践中,TE只能回答一个可能受多种因素影响的单一问题(肝脏弹性),这些因素主要是肝纤维化,但也包括坏死性炎症活动和肝外胆汁淤积。