Paediatric chronic liver diseases: how to investigate and follow up? Role of imaging in the diagnosis of fibrosis.
Chronic liver diseases are rare in children, but encompass a wide spectrum of disorders that may all be complicated by liver fibrosis and therefore by portal hypertension. They may be classified according to the level of portal flow obstruction: prehepatic, intrahepatic or suprahepatic. Most of them...
| Publicado en: | Pediatric Radiology Vol. 40; no. 6; pp. 906 - 920 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Jun2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105188237&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105188237 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03010449 O03 jtl: Pediatric Radiology issn: 03010449 maglogo: N pubinfo: dt: Jun2010 vid: 40 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105188237 NLM20432008 2010641117 10.1007/s00247-010-1600-3 NLM20432008 105188237 ppf: 906 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Paediatric chronic liver diseases: how to investigate and follow up? Role of imaging in the diagnosis of fibrosis. aug: au: Pariente D Franchi-Abella S Pariente, Danièle Franchi-Abella, Stéphanie affil: Pediatric Radiology Department, Bicêtre Hospital, Assistance Publique Hôpitaux de Paris, University Paris XI, 78 rue du Général Leclerc, 94275 Le Kremlin Bicêtre, France sug: subj: Diagnostic Imaging Methods Image Enhancement Methods Liver Cirrhosis Diagnosis Child Chronic Disease Prospective Studies Human Child: 6-12 years ab: Chronic liver diseases are rare in children, but encompass a wide spectrum of disorders that may all be complicated by liver fibrosis and therefore by portal hypertension. They may be classified according to the level of portal flow obstruction: prehepatic, intrahepatic or suprahepatic. Most of them, except presinusoidal diseases, may progress to cirrhosis that carries additional risks of impaired liver function and development of hepatocellular carcinoma. Imaging plays an important role in guiding the diagnosis and biopsy and for follow-up during treatment. US, with high-frequency transducers and Doppler, is the first modality of choice, directs the rest of the investigations and guides interventional radiology. MDCT has made great progress and has replaced angiography for diagnostic purposes. MRI is indicated for parenchyma and nodule characterization and for biliary tract evaluation. To avoid liver biopsy, several elasticity imaging techniques have been developed and have to be evaluated for accuracy and convenience in children. The role of each modality with main imaging findings is described in extrahepatic portal vein obstruction, hepatoportal sclerosis, congenital hepatic fibrosis, cirrhosis and Budd-Chiari syndrome. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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