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磁共振弹性成像及其他磁共振成像技术在慢性肝病中的应用:现状与未来方向

Magnetic Resonance Elastography and Other Magnetic Resonance Imaging Techniques in Chronic Liver Disease: Current Status and Future Directions.

作者信息

Tan Cher Heng, Venkatesh Sudhakar Kundapur

机构信息

Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.

Department of Radiology, Mayo Clinic, Rochester, MN, USA.

出版信息

Gut Liver. 2016 Sep 15;10(5):672-86. doi: 10.5009/gnl15492.

Abstract

Recent advances in the noninvasive imaging of chronic liver disease have led to improvements in diagnosis, particularly with magnetic resonance imaging (MRI). A comprehensive evaluation of the liver may be performed with the quantification of the degree of hepatic steatosis, liver iron concentration, and liver fibrosis. In addition, MRI of the liver may be used to identify complications of cirrhosis, including portal hypertension, ascites, and the development of hepatocellular carcinoma. In this review article, we discuss the state of the art techniques in liver MRI, namely, magnetic resonance elastography, hepatobiliary phase MRI, and liver fat and iron quantification MRI. The use of these advanced techniques in the management of chronic liver diseases, including nonalcoholic fatty liver disease, will be elaborated.

摘要

慢性肝病无创成像技术的最新进展已使诊断得到改善,尤其是磁共振成像(MRI)。通过对肝脂肪变性程度、肝脏铁浓度和肝纤维化进行量化,可对肝脏进行全面评估。此外,肝脏MRI可用于识别肝硬化的并发症,包括门静脉高压、腹水和肝细胞癌的发生。在这篇综述文章中,我们讨论了肝脏MRI的先进技术,即磁共振弹性成像、肝胆期MRI以及肝脏脂肪和铁定量MRI。将详细阐述这些先进技术在包括非酒精性脂肪性肝病在内的慢性肝病管理中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/511b/5003189/fb3084ac1d58/gnl-10-672f1.jpg

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