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评估慢性肝病中脂肪、铁和纤维化的先进成像技术。

Advanced Imaging Techniques for Assessing Fat, Iron, and Fibrosis in Chronic Liver Disease.

作者信息

Narayanasamy Sabarish, Franca Manuela, Idilman Ilkay S, Yin Meng, Venkatesh Sudhakar K

机构信息

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

Department of Radiology, Santo António University Hospital Centre, School of Medicine and Biomedical Sciences (ICBAS), University of Porto, Porto, Portugal.

出版信息

Gut Liver. 2025 Jan 15;19(1):31-42. doi: 10.5009/gnl240302. Epub 2025 Jan 8.

Abstract

Imaging plays a critical role in the management of chronic liver disease (CLD) because it is a safe and painless method to assess liver health. The widely used imaging techniques include ultrasound, computed tomography and magnetic resonance imaging. These techniques allow the measurement of fat deposition, iron content, and fibrosis, replacing invasive liver biopsies in many cases. Early detection and treatment of fibrosis are crucial, as the disease can be reversed in its early stages. Imaging also aids in guiding treatment decisions and monitoring disease progression. In this review, we describe the most common imaging manifestations of liver disease and the current state-of-the-art imaging techniques for the evaluation of liver fat, iron, and fibrosis.

摘要

影像学在慢性肝病(CLD)的管理中起着关键作用,因为它是一种评估肝脏健康的安全且无痛的方法。广泛使用的影像学技术包括超声、计算机断层扫描和磁共振成像。这些技术能够测量脂肪沉积、铁含量和纤维化程度,在许多情况下可替代侵入性肝脏活检。纤维化的早期检测和治疗至关重要,因为该疾病在早期阶段是可以逆转的。影像学还有助于指导治疗决策和监测疾病进展。在本综述中,我们描述了肝病最常见的影像学表现以及用于评估肝脏脂肪、铁和纤维化的当前最先进的影像学技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a641/11736311/5dd3a6c992bb/gnl-19-1-31-f1.jpg

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