FibroScan's evolution: a critical 20-year review.

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of Ultrasound Pub Date : 2024-11-19 DOI:10.1007/s40477-024-00971-z
Nisar Ahmed, Ayushi Kumari, R Srinivasa Murty
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Abstract

FibroScan, initially designed for assessing cheese maturity, has evolved into a crucial medical tool for liver fibrosis diagnosis. This systematic review explores its development history, functionality, and pros and cons compared to traditional liver biopsy. Precision in various clinical settings is scrutinised, emphasising FibroScan's accuracy in conditions like NAFLD and viral-induced liver disease. The article also delves into its potential in paediatrics, its relevance in monitoring COVID-19-related liver complications, and its role in predicting hepatocellular carcinoma risk, Technical aspects, including transducers, imaging integration, and portability, are examined. Various methods for evaluating liver fibrosis are discussed, highlighting FibroScan's suitability for advanced stages, contrasting with the gold standard of liver biopsy for early stages. The impact of FibroScan on long-term liver conditions is emphasised, focusing on early detection, progression monitoring, reduced invasive biopsies, and hepatocellular carcinoma risk prediction. This systematic review underscores FibroScan's transformative potential in liver disease treatment and predicts ongoing research to enhance early detection, disease monitoring, and explore new clinical applications. Anticipated advances include FibroScan-guided liver biopsy, artificial intelligence data analysis, and point-of-care device development, promising a further revolution in liver disease management. The article concludes with optimistic prospects for FibroScan's future.

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纤维扫描的演变:20 年的重要回顾。
纤维扫描最初设计用于评估奶酪成熟度,现已发展成为诊断肝纤维化的重要医疗工具。这篇系统性综述探讨了它的发展历史、功能以及与传统肝活检相比的优缺点。文章仔细研究了在各种临床环境中的精确性,强调了 FibroScan 在非酒精性脂肪肝和病毒性肝病等疾病中的准确性。文章还深入探讨了其在儿科方面的潜力、在监测 COVID-19 相关肝脏并发症方面的相关性以及在预测肝细胞癌风险方面的作用。讨论了评估肝纤维化的各种方法,强调了纤维扫描对晚期肝纤维化的适用性,与肝活检这一早期肝纤维化的金标准形成鲜明对比。纤维扫描对长期肝脏状况的影响得到了强调,重点是早期检测、进展监测、减少侵入性活检和肝细胞癌风险预测。这篇系统性综述强调了纤维扫描在肝病治疗方面的变革潜力,并预测了为加强早期检测、疾病监测和探索新的临床应用而正在进行的研究。预期的进展包括纤维扫描引导下的肝脏活检、人工智能数据分析和护理点设备开发,有望为肝病管理带来进一步的革命。文章最后对 FibroScan 的未来前景表示乐观。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Ultrasound
Journal of Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
4.10
自引率
15.00%
发文量
133
期刊介绍: The Journal of Ultrasound is the official journal of the Italian Society for Ultrasound in Medicine and Biology (SIUMB). The journal publishes original contributions (research and review articles, case reports, technical reports and letters to the editor) on significant advances in clinical diagnostic, interventional and therapeutic applications, clinical techniques, the physics, engineering and technology of ultrasound in medicine and biology, and in cross-sectional diagnostic imaging. The official language of Journal of Ultrasound is English.
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