基本的ESR:肝细胞癌的诊断-ESGAR的实践建议
Roberto Cannella1, Marc Zins2, Giuseppe Brancatelli3
1Section of Radiology - Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, Palermo, Italy. rob.cannella89@gmail.com.
European radiology
|February 21, 2024
概括
肝细胞癌 (HCC) 诊断依赖于高风险患者的成像. 对比度增强CT或MRI的关键特征,如增强和洗,对于确定的诊断至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 放射学 放射学是指放射学
- 在瘤学瘤学.
背景情况:
- 肝细胞癌 (HCC) 是一种普遍存在的肝癌,也是全球癌症死亡的主要原因.
- 目前对HCC的非侵入性诊断指南是由主要的国际肝脏协会制定的.
研究的目的:
- 为HCC的非侵入性诊断提供简洁的实践建议.
- 为放射科医生总结基本的成像标准和高风险人群的识别.
主要方法:
- 审查当前的国际指导方针 (EASL,AASLD/LI-RADS,KLCA-NCC,APASL) 对于HC的诊断.
- 专注于对比度增强的CT,MRI和超声波成像功能.
主要成果:
- 非侵入性HCC诊断仅限于高风险个体.
- 典型的成像特征包括大小,动脉相超增强,洗,增强囊和生长.
- 结合这些主要的成像特征对于确定HCC诊断至关重要.
结论:
- 与对比度增强的CT和MRI是HCC诊断的主要成像方法.
- 准确识别高风险患者和应用已建立的成像标准至关重要.
- 放射科医生应该整合多个成像功能,以可靠的HCC诊断.
相关概念视频
Ultrasound II: Endoscopic Ultrasound and FibroScan
106
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
106
Esophageal Varices-II: Clinical Features and Management
67
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
67
Endoscopic Procedures V: ERCP
228
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
228
Esophageal Varices-I: Introduction
137
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
137
Barrett Esophagus-II: Clinical Manifestations and Management
154
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
154
Barrett Esophagus-I: Introduction
98
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
98


