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放射影像学在非酒精性脂肪性肝病和非酒精性脂肪性肝炎中的应用。

Radiologic Imaging in Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis.

机构信息

Department of Radiology, Northwell Health System, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA.

Department of Radiology, Northwell Health System, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA.

出版信息

Clin Liver Dis. 2018 Feb;22(1):93-108. doi: 10.1016/j.cld.2017.08.005. Epub 2017 Oct 10.

Abstract

The article reviews the multimodality (ultrasound, computed tomography, and magnetic resonance [MR]) imaging appearance of nonalcoholic fatty liver disease (NAFLD) and discusses the radiologic diagnostic criteria as well as the sensitivity and specificity of these imaging methods. The authors review the role of both ultrasound and MR elastography for the diagnosis of fibrosis and for the longitudinal evaluation of patients following therapeutic intervention. Lastly, the authors briefly discuss the screening and diagnosis of hepatocellular carcinoma in patients with NAFLD, as there are special considerations in this population.

摘要

本文回顾了非酒精性脂肪性肝病(NAFLD)的多模态(超声、计算机断层扫描和磁共振 [MR])成像表现,并讨论了这些影像学方法的放射学诊断标准以及它们的敏感性和特异性。作者回顾了超声和 MR 弹性成像在纤维化诊断以及治疗干预后患者的纵向评估中的作用。最后,作者简要讨论了 NAFLD 患者肝细胞癌的筛查和诊断,因为在这一人群中存在特殊的考虑因素。

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