Ultrasound in chronic liver disease
Conclusion
A summary of methods including B-mode, Doppler, contrast-enhanced ultrasound and various elastography techniques, and their current performance in assessing the liver, is provided.
Teaching Points
• Diffuse liver disease is becoming more prevalent and there is a strong clinical need for noninvasive detection.
• Portal hypertension can be best diagnosed by demonstrating portosystemic collateral venous flow.
• B-mode US is the principal US technique supplemented by portal system Doppler.
• B-mode US is relied upon in HCC surveillance, and CEUS is useful in the evaluation of possible HCC.
• Fibrosis can be detected and staged with reasonable accuracy using TE and ARFI.
• US detection of steatosis is currently reasonably accurate but grading of severity is of limited accuracy.
Source: Insights into Imaging - Category: Radiology Source Type: research
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