Putting it all together: established and emerging MRI techniques for detecting and measuring liver fibrosis.

Chronic injury to the liver leads to inflammation and hepatocyte necrosis, which when untreated can lead to myofibroblast activation and fibrogenesis with deposition of fibrous tissue. Over time, liver fibrosis can accumulate and lead to cirrhosis and end-stage liver disease with associated portal h...

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Publicado en:Pediatric Radiology Vol. 48; no. 9; pp. 1256 - 1273
Autores principales: Serai, Suraj D., Trout, Andrew T., Miethke, Alexander, Diaz, Eric, Xanthakos, Stavra A., Dillman, Jonathan R.
Formato: diagnostic images review tables/charts Journal Article
Publicado: Springer Nature Aug2018
Acceso en línea:Ver este registro en EBSCOhost
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          Serai, Suraj D.
          Trout, Andrew T.
          Miethke, Alexander
          Diaz, Eric
          Xanthakos, Stavra A.
          Dillman, Jonathan R.
        affil: Department of Radiology, MLC 5031, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave., 45229, Cincinnati, OH, USA
      sug:
        subj:
          Ultrasonography Methods
          Liver Cirrhosis
          Magnetic Resonance Imaging Methods
          Diagnosis, Differential
          Child
          Child: 6-12 years
      ab: Chronic injury to the liver leads to inflammation and hepatocyte necrosis, which when untreated can lead to myofibroblast activation and fibrogenesis with deposition of fibrous tissue. Over time, liver fibrosis can accumulate and lead to cirrhosis and end-stage liver disease with associated portal hypertension and liver failure. Detection and accurate measurement of the severity of liver fibrosis are important for assessing disease severity and progression, directing patient management, and establishing prognosis. Liver biopsy, generally considered the clinical standard of reference for detecting and measuring liver fibrosis, is invasive and has limitations, including sampling error, relatively high cost, and possible complications. For these reasons, liver biopsy is suboptimal for fibrosis screening, longitudinal monitoring, and assessing therapeutic efficacy. A variety of established and emerging qualitative and quantitative noninvasive MRI methods for detecting and staging liver fibrosis might ultimately serve these purposes. In this article, we review multiple MRI methods for detecting and measuring liver fibrosis and discuss the diagnostic performance and specific strengths and limitations of the various techniques.
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    language: English
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