Williams-Weekes Terri A, Paltiel Harriet J, Lee Edward Y
Department of Radiology, Tufts Medical Center and Tufts Medical School, 744 Washington Street, Boston, MA 02111, USA.
Department of Radiology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Radiol Clin North Am. 2025 Sep;63(5):769-780. doi: 10.1016/j.rcl.2025.03.003. Epub 2025 Jun 6.
Liver health is an important driver of pediatric abdominal ultrasound imaging. Metabolic dysfunction-associated steatotic liver disease (previously known as non-alcoholic fatty liver disease) is the most common pediatric chronic liver disease (CLD) in the United States. However, it is important that the radiologist be cognizant of additional causes of pediatric CLD as well. Non-invasive, cost-effective imaging without sedation or radiation is especially important in the pediatric population. Recent advances in quantitative ultrasound imaging provide valuable information for longitudinal tracking of chronic hepatic disease. In this article, up-to-date clinical applications of ultrasound elastography of the liver and fat quantification are reviewed.
肝脏健康是儿科腹部超声成像的一个重要驱动因素。代谢功能障碍相关脂肪性肝病(以前称为非酒精性脂肪性肝病)是美国最常见的儿科慢性肝病(CLD)。然而,放射科医生认识到儿科CLD的其他病因也很重要。对于儿科人群而言,无需镇静或辐射的非侵入性、经济高效的成像尤为重要。定量超声成像的最新进展为慢性肝病的纵向跟踪提供了有价值的信息。本文对肝脏超声弹性成像和脂肪定量的最新临床应用进行了综述。