Thielsen Peter, Wilkens Rune, Rafaelsen Søren Rafael, Christensen Peer Brehm
Gastroenheden, Herlev Hospital, Ringvejen 75, 2730 Herlev.
Ugeskr Laeger. 2014 Apr 7;176(15).
Diagnosis and assessment of liver fibrosis is of great importance for initiating treatment and starting hepatocellular carcinoma surveillance in patients with established cirrhosis. Liver biopsy is still considered the gold standard for liver fibrosis staging, however; it is far from perfect. Non-invasive assessment of liver fibrosis is becoming more available and is well tolerated. This review describes the feasibility and reliability of two elastography methods: transient elastography and Acoustic Radiation Force Impulse-elastography.
肝纤维化的诊断和评估对于启动已确诊肝硬化患者的治疗及开始肝细胞癌监测至关重要。然而，肝活检仍被视为肝纤维化分期的金标准，但其远非完美。肝纤维化的非侵入性评估正变得越来越可行且耐受性良好。本综述描述了两种弹性成像方法的可行性和可靠性：瞬时弹性成像和声辐射力脉冲弹性成像。
