Noninvasive Assessment of Diffuse Liver Diseases Using Vibration-Controlled Transient Elastography (VCTE)

M. Lupsor-Platon
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引用次数: 4

Abstract

Because of the limitations and invasive nature of liver biopsy, other noninvasive means are being tested for the evaluation of diffuse liver diseases. One of these methods is vibration-controlled transient elastography (VCTE). This chapter reviews the principle of VCTE, the examination technique, the normal range for liver stiffness values, the pathological changes that may influence liver stiffness, as well as the diagnostic performance in several diffuse liver diseases, especially chronic hepatitis C, chronic hepatitis B, nonalcoholic steatohepatitis, and alcoholic liver disease. Apart from the assessment of fibrosis stages, we will also discuss the diagnosis of cirrhosis and its complications as well as other applications of VCTE, reviewing its advantages and limitations.
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振动控制瞬时弹性成像(VCTE)无创评估弥漫性肝病
由于肝活检的局限性和侵入性,其他非侵入性方法正在被用于评估弥漫性肝病。其中一种方法是振动控制瞬态弹性成像(VCTE)。本章综述了VCTE的原理、检查技术、肝硬度值的正常范围、可能影响肝硬度的病理变化,以及在几种弥漫性肝病,特别是慢性丙型肝炎、慢性乙型肝炎、非酒精性脂肪性肝炎和酒精性肝病中的诊断价值。除了纤维化分期的评估,我们还将讨论肝硬化及其并发症的诊断以及VCTE的其他应用,回顾其优点和局限性。
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