超声肝弹性成像共识声明对放射科医生学会的更新

StephenW

Update to the Society of Radiologists in Ultrasound Liver Elastography Consensus Statement
Richard G Barr  1 , Stephanie R Wilson  1 , Deborah Rubens  1 , Guadalupe Garcia-Tsao  1 , Giovanna Ferraioli  1
Affiliations
Affiliation

    1
    From the Department of Radiology, Northeastern Ohio Medical University, Rootstown, Ohio (R.G.B.); Department of Radiology, University of Calgary, Calgary, Canada (S.R.W.); Departments of Imaging Science, Oncology, and Biomedical Engineering, University of Rochester Medical Center, Rochester, NY (D.R.); Section of Digestive Diseases, Department of Medicine, Yale University, New Haven, Conn (G.G.T.); and Ultrasound Unit, Department of Clinical Sciences and Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy (G.F.).

    PMID: 32515681 DOI: 10.1148/radiol.2020192437

Abstract

This multidisciplinary update of the Society of Radiologists in Ultrasound consensus statement on liver elastography incorporates the large volume of new information available in the literature since the initial publication. The recommended procedure for acquiring stiffness measurements is reviewed. There has been substantial improvement in the acoustic radiation force impulse (ARFI) technology-most notably the addition of a quality assessment of the shear wave propagation. Due to the efforts of the Quantitative Imaging Biomarkers Alliance, or QIBA, the variability of liver stiffness measurements between systems had decreased. There are now effective treatments for hepatitis B and hepatitis C, and follow-up after effective treatment should be based on the use of the delta change of the value obtained at viral eradication or suppression. Because the detection of compensated advanced chronic liver disease (cACLD) is very important, the new guidelines are made based on the probability of cACLD for given stiffness values. The panel recommends a vendor-neutral rule of four for interpretation for ARFI techniques. This new method simplifies interpretation of liver stiffness results and is more clinically relevant.

© RSNA, 2020.

StephenW

超声肝弹性成像共识声明对放射科医生学会的更新
理查德·巴尔（Richard G Barr）1，斯蒂芬妮·威尔逊（Stephanie R Wilson）1，黛博拉·鲁本斯（Deborah Rubens）1，瓜达卢佩·加西亚·曹（Guadalupe Garcia-Tsao）1，乔瓦娜·费雷奥利（Giovanna Ferraioli）1
隶属关系
联系

    1个
    来自俄亥俄州Rootstown的东北俄亥俄医科大学放射学系（RGB）；加拿大卡尔加里卡尔加里大学放射学系（SRW）；纽约州罗彻斯特罗切斯特大学医学中心影像科学，肿瘤学和生物医学工程系；耶鲁大学医学系消化系统疾病科，康涅狄格州纽黑文（GGT）；意大利帕维亚大学帕维亚大学（University of Pavia）Fondazione IRCCS Policlinico San Matteo临床和传染病学系和超声科。

    PMID：32515681 DOI：10.1148 / radiol.2020192437

抽象

放射医师学会关于肝脏弹性成像的共识共识的这一多学科更新结合了自首次发表以来在文献中可获得的大量新信息。审查了获得刚度测量值的推荐程序。声辐射力脉冲（ARFI）技术已经有了实质性的改进，尤其是增加了对剪切波传播的质量评估。由于定量成像生物标记物联盟（QIBA）的努力，系统之间的肝硬度测量值的变异性有所降低。现在有针对乙型肝炎和丙型肝炎的有效治疗方法，有效治疗后的随访应基于消除或抑制病毒后获得的值的变化量。由于对代偿性晚期慢性肝病（cACLD）的检测非常重要，因此基于给定刚度值的cACLD概率制定了新指南。小组建议对ARFI技术采用与供应商无关的四分法则。这种新方法简化了对肝脏僵硬结果的解释，并且在临床上更具相关性。

©RSNA，2020年。

StephenW

https://pubs.rsna.org/doi/pdf/10.1148/radiol.2020192437