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Hepatic Elastography Using Ultrasound Waves

Hepatic Elastography Using Ultrasound Waves

Hepatic Elastography Using Ultrasound Waves

Ioan Sporea and Roxana Șirli
Ioan Sporea and Roxana Șirli
on behalf of European Federation of Societies for Ultrasound in Medicine and Biology

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Launch date: 26 Mar 2014

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Last updated: 27 Sep 2014

Reference: 108960

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Description

Liver chronic diseases become more and more frequent in daily medical practice, despite of medical progress in the treatment of chronic viral hepatitis. The incidence of diseases such as non-alcoholic steato-hepatitis (NASH) or alcoholic steato-hepatitis (ASH) increases in many regions of the world (especially in Europe and the USA), but the evaluation of chronic hepatitis HCV or HBV still represents a major challenge for the hepatologist, internal medicine or general practitioner. The evaluation of cholestatic diseases, of autoimmune hepatitis or of post-transplant patients is another field in which hepatologists try to find solutions.

Traditionally, liver biopsy is used for chronic liver diseases staging and grading, but this method is not very well accepted by patients and usually it is rarely repeated during the follow-up. In the last years, non-invasive modalities for the evaluation of chronic hepatopathies became more and more popular, especially in Europe. Blood tests and elastographic methods for liver stiffness assessment become part of routine evaluation of patients with chronic liver diseases. Ultrasound based elastographic methods for the evaluation of liver stiffness started with Transient Elastography, but in the last 2-3 years, other methods that use ultrasound waves opened the door of hepatology. Acoustic Radiation Force Impulse Elastography, Real Time Elastography or Shear Wave Elastography are now available, trying to prove their value for liver stiffness assessment as a marker for fibrosis or for the evaluation of liver masses in the liver.

Thus, so much new information concerning the non-invasive evaluation of liver fibrosis or of liver masses, in such a short time, can make the practician to have some problems concerning these methods, such as the types of waves used, or the results of the examinatiotn, that can be expressed in kiloPascals or in meters/second, with a large values spectrum.

In this eBook we try to clarify some notions re

Objectives

Objectives
Liver chronic diseases become more and more frequent in daily medical practice, despite of medical progress in the treatment of chronic viral hepatitis. The incidence of diseases such as non-alcoholic steato-hepatitis (NASH) or alcoholic steato-hepatitis (ASH) increases in many regions of the world (especially in Europe and the USA), but the evaluation of chronic hepatitis HCV or HBV still represents a major challenge for the hepatologist, internal medicine or general practitioner. The evaluation of cholestatic diseases, of autoimmune hepatitis or of post-transplant patients is another field in which hepatologists try to find solutions.

Traditionally, liver biopsy is used for chronic liver diseases staging and grading, but this method is not very well accepted by patients and usually it is rarely repeated during the follow-up. In the last years, non-invasive modalities for the evaluation of chronic hepatopathies became more and more popular, especially in Europe. Blood tests and elastographic methods for liver stiffness assessment become part of routine evaluation of patients with chronic liver diseases. Ultrasound based elastographic methods for the evaluation of liver stiffness started with Transient Elastography, but in the last 2-3 years, other methods that use ultrasound waves opened the door of hepatology. Acoustic Radiation Force Impulse Elastography, Real Time Elastography or Shear Wave Elastography are now available, trying to prove their value for liver stiffness assessment as a marker for fibrosis or for the evaluation of liver masses in the liver.

Thus, so much new information concerning the non-invasive evaluation of liver fibrosis or of liver masses, in such a short time, can make the practician to have some problems concerning these methods, such as the types of waves used, or the results of the examinatiotn, that can be expressed in kiloPascals or in meters/second, with a large values spectrum.

In this eBook we try to clarify some notions re
Ioan Sporea and Roxana Șirli

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Ioan Sporea and Roxana Șirli
on behalf of European Federation of Societies for Ultrasound in Medicine and Biology

Editors:
Ioan Sporea and Roxana Șirli
Department of Gastroenterology and Hepatology
"Victor Babeș”
University of Medicine and Pharmacy Timișoara
Romania

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