Liver fibrosis, cirrhosis, and cirrhosis-related nodules: Imaging diagnosis and surveillance

TitreLiver fibrosis, cirrhosis, and cirrhosis-related nodules: Imaging diagnosis and surveillance
Type de publicationArticle de revue
AuteurAubé, Christophe , Bazeries, Paul , Lebigot, Jérôme , Cartier, Victoire , Boursier, Jérôme
TypeArticle scientifique dans une revue à comité de lecture
DateJuin 2017
Titre de la revueDiagnostic and Interventional Imaging
Mots-cléscirrhosis, Elastography, Hepatocellular carcinoma, portal hypertension, Ultrasound
Résumé en anglais

Although biological scores and elastography continue to yield the best results, imaging retains a crucial role in the diagnosis of liver fibrosis and cirrhosis. First, digestive symptoms or biological liver test abnormalities often lead the referring physician to request an abdominal ultrasound, and with an experienced operator, accuracy of ultrasound can reach 85% for the diagnosis of severe fibrosis or cirrhosis. Second, imaging could lead to discovery of nonsymptomatic fibrosis or cirrhosis, with an estimated prevalence of 0.5–2.8% in the population. After diagnosis, imaging is central in the follow-up of cirrhosis. It is used to detect worsening of portal hypertension and hepatocellular carcinoma (HCC). Because many nodules are present in a cirrhotic liver, familiarity with the features of HCC can facilitate noninvasive diagnosis and early and accurate treatment.

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Titre abrégéDiagnostic and Interventional Imaging