与临床可操作的高性肝损伤相关的特征,以确定后续检查的必要性
Kailyn Li1, Hongyu Chen1, Alexander Gavlin1
1Department of Radiology, Weill Cornell Medical College, 1305 York Ave, New York City, NY, 10021, USA.
Abdominal radiology (New York)
|July 10, 2024
概括
大多数过高肝病变在临床上是无法采取行动的. 年龄,肝硬化和病变大小是决定肝病变是否需要随访的关键因素.
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.
- 医疗成像医学成像
背景情况:
- 超声波性肝病变是超声波的常见发现.
- 确定临床意义和随访的必要性对于患者管理至关重要.
研究的目的:
- 为了评估临床可操作的高血压性肝病变的发生率.
- 确定与需要随访的可采取行动的病变相关的成像和临床因素.
主要方法:
- 在228名患者中对228个肝病变进行了回顾性分析.
- 参考标准包括MRI,CT,长期超声波随访或组织病理学.
- 后勤回归分析确定了可采取行动的病变的预测特征.
主要成果:
- 只有6.1%的超声波病变在临床上可采取行动.
- 可采取行动的病变与年龄较大,男性性别,肝硬化,体积较大,异质的回声性和粗的肝脏质地有关.
- 年龄,肝硬化和病变大小最能预测可采取行动的病变.
结论:
- 在没有危险因素的患者中,肝脏病变的高高度≤3厘米通常不具有临床意义.
- 这些发现支持在低风险个体中对小的超声波病变进行有利的诊断.
相关概念视频
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
95
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):
95
01:17Ultrasonography
4.4K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
4.4K
01:20Imaging Studies for Cardiovascular System II:Types of Echocardiography
247
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
247