Liver fibrosis quantification.

Liver fibrosis (LF) is the wound healing response to chronic liver injury. LF is the endpoint of chronic liver disease (CLD) regardless of etiology and the single most important determinant of long-term liver-related clinical outcomes. Quantification of LF is important for staging, to evaluate respo...

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Publicado en:Abdominal Radiology Vol. 47; no. 3; pp. 1032 - 1053
Autores principales: Venkatesh, Sudhakar K., Torbenson, Michael S.
Formato: diagnostic images pictorial review tables/charts Journal Article
Publicado: Springer Nature Mar2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2022
      vid: 47
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      pub: Springer Nature
      place: New York, New York
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        atl: Liver fibrosis quantification.
      aug:
        au:
          Venkatesh, Sudhakar K.
          Torbenson, Michael S.
        affil: Abdominal Imaging Division, Department of Radiology, Mayo Clinic, 200, First Street SW, 55905, Rochester, MN, USA
      sug:
        subj:
          Liver Injuries
          Liver Diseases Complications
          Liver Cirrhosis Ultrasonography
          Liver Cirrhosis Radiography
          Severity of Illness Evaluation
          Biopsy
          Fibrinolysis
          Biological Markers
          Noninvasive Procedures
          Disease Progression
          Tomography, X-Ray Computed
      ab: Liver fibrosis (LF) is the wound healing response to chronic liver injury. LF is the endpoint of chronic liver disease (CLD) regardless of etiology and the single most important determinant of long-term liver-related clinical outcomes. Quantification of LF is important for staging, to evaluate response to treatment and to predict outcomes. LF is traditionally staged by liver biopsy. However, liver biopsy is invasive and suffers from sampling errors when biopsy size is inadequate; therefore, non-invasive tests (NITs) have found important roles in clinical care. NITs include simple laboratory-based serum tests, panels of serum tests, and imaging biomarkers. NITs are validated against the liver biopsy and will be used in the future for evaluation of nearly all CLDs with invasive liver biopsy reserved for some cases. Both serum tests and some imaging biomarkers such as elastography are currently used clinically as surrogate markers for LF. Several other imaging biomarkers are still considered research and awaiting clinical application in the future. As the evaluation of imaging biomarkers will likely become the norm in the future, understanding pathogenesis of LF is important. Knowledge of properties measured by imaging biomarkers and its correlation with LF is important to understand the application of NITs by abdominal radiologists. In this review, we present a brief overview of pathogenesis of LF, spatiotemporal evolution of LF in different CLD, and severity assessment with liver biopsy. This will be followed by a brief discussion on properties measured by imaging biomarkers and their relationship to the LF.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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