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2017 ; 25
(3
): 127-129
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Ultrasound Evaluation of Liver Fibrosis
#MMPMID30065476
Lin YS
J Med Ultrasound
2017[Jul]; 25
(3
): 127-129
PMID30065476
show ga
Early diagnosis of liver fibrosis is an important factor affecting the efficacy
of chronic hepatitis treatment. In the past, the diagnosis of liver fibrosis was
dependent on a liver biopsy which has several shortcomings as sampling error,
intra- or inter-observation variations and possible procedure-related
complications. Ultrasound-based elastography, tissue elastography (TE) and
acoustic radiation force impulse (ARFI) have been developed to assess liver
fibrosis. Current clinical evidence indicates that TE and ARFI had high
sensitivities and specificities to diagnosis from significant fibrosis to liver
cirrhosis. TE and ARFI can not only assess liver fibrosis but can also be used to
predict prognosis. In practical, ARFI can also be used on a regular basis to
evaluate the degree of liver fibrosis for chronic hepatitis B and C, nonalcoholic
fatty liver disease, and alcoholic liver disease.