ACR 适宜性标准® 异常肝功能测试 异常肝功能测试
, Hina Arif-Tiwari1, Kristin K Porter2
1University of Arizona, Banner University Medical Center, Tucson, Arizona.
Journal of the American College of Radiology : JACR
|December 1, 2023
概括
异常的肝功能测试表明肝脏或胆道问题. 图像检测有助于确定肝细胞或胆固醇模式的原因并指导治疗.
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.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 肝功能测试 (LFTs) 对于评估症状和无症状患者至关重要.
- 异常的LFTs可能源于肝细胞或胆道功能障碍,呈现出不同的模式.
- 图像检查对于诊断原因和管理异常LFTs至关重要.
研究的目的:
- 概述异常肝功能测试的成像方法.
- 为了将LFT模式与潜在的肝脏和胆道病理联系起来.
- 为肝功能障碍的成像提供基于证据的指导方针.
主要方法:
- 对异常LFTs的初始和补充成像方式的审查.
- 美国放射学学院适用性标准的应用.
- 使用基于证据的方法,如GRADE和专家共识.
主要成果:
- 晚期肝炎可以显示肝细胞占主导地位 (例如肝病,肝炎) 或胆固醇模式 (例如阻塞性胆固醇病变).
- 图像学指导诊断肝脏前,肝脏内或肝脏后导致的高白血和胆固醇症.
- 指南有助于确定特定临床情景的适当成像.
结论:
- 图像检测在诊断和管理患有肝功能异常检测的患者中起着至关重要的作用.
- 使用既定标准的系统方法确保了适当的测试选择.
- 基于证据的指导方针和专家意见为肝脏疾病的成像决定提供了信息.
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