与酒精相关的肝脏疾病的成像
Sharad Maheshwari1, Chris N Gu2, Melanie P Caserta3
1Department of Radiology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.
AJR. American journal of roentgenology
|September 20, 2023
概括
与酒精相关的肝病 (ALD) 是一个主要的健康问题. 使用超声波,CT和MRI等成像技术的早期诊断对于有效的患者管理和改善结果至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
背景情况:
- 酒精相关性肝病 (ALD) 是一个重要的全球健康问题,导致大量死亡.
- 艾尔迪往往在未被发现的情况下进展到晚期,包括肝硬化,门高血压和肝细胞癌 (HCC).
- 肝移植的首要症状是ALD,而酒精相关性肝炎 (AH) 的发病率在COVID-19大流行期间上升.
研究的目的:
- 审查目前用于评估ALD的成像方法.
- 突出这些诊断技术的优点,局限性和临床应用.
- 强调早期 ALD 检测对患者管理和预后的重要性.
主要方法:
- 审查现有的关于ALD成像技术的文献.
- 在ALD诊断和监测中讨论超声波,CT,MRI和弹性图像.
- 对图像检测结果的分析表明严重的AH和HCC.
主要成果:
- 像超声波,CT和MRI这样的成像模式对于识别ALD和排除其他肝脏疾病是有价值的.
- 特定的CT和MRI发现,如异质肥胖症和短暂的输液变化,可诊断出酒精使用障碍患者的严重AH.
- 弹性扫描有助于纤维化评估和治疗反应监测,而各种成像方法支持HCC监测.
结论:
- 通过成像对ALD的早期诊断对于干预和阻止疾病进展至关重要.
- 成像在评估疾病严重程度,监测治疗和检测像HCC这样的并发症方面发挥着至关重要的作用.
- 戒酒,加上通过成像及时诊断,可以显著改善患者在ALD的结果.
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