对肝脏静脉封闭性疾病的成像检测结果的审查
Samuel Simpson1, Elliot Breshears2, Deepashri Basavalingu2
1University of Washington School of Medicine, Seattle, WA, USA.
European journal of radiology
|June 8, 2024
概括
肝脏静脉封闭性疾病 (VOD) 或阴侧阻塞综合征 (SOS) 是干细胞移植后的一种严重并发症. 使用先进成像的早期诊断对于及时治疗和改善患者存活率至关重要.
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.
- 血液学 血液学 血液学
背景情况:
- 肝脏静脉封闭性疾病 (VOD),也称为鼻状阻塞综合征 (SOS),是血液造血干细胞移植 (HSCT) 后的严重并发症.
- VOD/SOS呈现特征性症状,包括腹痛,黄和高白血症,需要及时诊断.
- 及时干预除纤维化物治疗可以改善受影响患者的生存率和疾病解决.
研究的目的:
- 审查医学成像在诊断和管理VOD/SOS后HSCT中不断变化的作用.
- 概述VOD/SOS在各种模式中的关键成像发现.
- 为在VOD/SOS患者护理中综合使用成像提供建议.
主要方法:
- 关于VOD/SOS诊断和成像的当前文献的审查.
- 分析超声波 (包括多普勒和弹性图),CT,MRI和肝脏活检的成像发现.
- 综合诊断标准和管理建议.
主要成果:
- 对VOD/SOS的诊断标准已经从临床症状演变为结合先进的成像技术.
- 不同的成像模式揭示了VOD/SOS的具体发现,有助于早期检测.
- 对成像检测结果的解释对于指导除纤维化物治疗和患者管理至关重要.
结论:
- 医学成像在HSCT后的VOD/SOS的现代诊断和管理中发挥着不可或缺的作用.
- 对于医疗保健专业人员来说,全面了解各种模式的成像发现是必不可少的.
- 将成像技术纳入临床实践有助于早期诊断,并改善VOD/SOS患者的治疗结果.
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