Department of Internal Medicine 2, Caritas Krankenhaus, Bad Mergentheim, Germany.
Sino-German Research Center of Ultrasound in Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Ultraschall Med. 2017 Aug;38(4):377-394. doi: 10.1055/s-0043-103955. Epub 2017 Apr 13.
We present here the first update of the 2013 EFSUMB (European Federation of Societies for Ultrasound in Medicine and Biology) Guidelines and Recommendations on the clinical use of elastography with a focus on the assessment of diffuse liver disease. The short version provides clinical information about the practical use of elastography equipment and interpretation of results in the assessment of diffuse liver disease and analyzes the main findings based on published studies, stressing the evidence from meta-analyses. The role of elastography in different etiologies of liver disease and in several clinical scenarios is also discussed. All of the recommendations are judged with regard to their evidence-based strength according to the Oxford Centre for Evidence-Based Medicine Levels of Evidence. This updated document is intended to act as a reference and to provide a practical guide for both beginners and advanced clinical users.
我们在此呈现 2013 年欧洲超声医学与生物学联合会(EFSUMB)指南和建议的首次更新,重点关注弹性成像在弥漫性肝脏疾病评估中的临床应用。简短版提供了有关弹性成像设备实际应用和在弥漫性肝脏疾病评估中结果解读的临床信息,并根据已发表的研究分析主要发现,重点强调荟萃分析的证据。还讨论了弹性成像在不同病因肝脏疾病和多种临床情况下的作用。所有建议均根据牛津循证医学中心证据等级,按照其基于证据的强度进行判断。这份更新后的文件旨在作为参考,并为初学者和高级临床使用者提供实用指南。