ACR Appropriateness Criteria(®) Chronic Liver Disease

Journal of the American College of Radiology : JACR
Expert Panel on Gastrointestinal Imaging:Tasneem Lalani

Abstract

Because liver fibrosis can be treated, it is important to diagnose liver fibrosis noninvasively and monitor response to treatment. Although ultrasound (grayscale and Doppler) can diagnose cirrhosis, it does so unreliably using morphologic and sonographic features and cannot diagnose the earlier, treatable stages of hepatic fibrosis. Transient elastography, ultrasound elastography with acoustic radiation force impulse, and MR elastography are modalities that can assess for hepatic fibrosis. Although all international organizations recommend ultrasound for screening for hepatocellular carcinoma, ultrasound is particularly limited for identifying hepatocellular carcinoma in patients with obesity, nonalcoholic fatty liver disease, and nodular cirrhotic livers. In these patient groups as well as patients who are on the liver transplant wait list, ultrasound is so limited that consideration can be made for screening for hepatocellular carcinoma with either MRI or multiphase CT. Additionally, patients who have been previously diagnosed with and treated for hepatocellular carcinoma require continued surveillance for recurrent hepatocellular carcinoma. The American College of Radiology Appropriateness Criteria are evidence-based guideli...Continue Reading

Citations

Nov 15, 2019·PloS One·Adam C PowellBaskaran Sundaram
Apr 17, 2020·Current Oncology Reports·Arya Haj-MirzaianAtif Zaheer
Feb 2, 2020·Pediatric Cardiology·Anastasia SchleigerStanislav Ovroutski
Aug 25, 2019·Clinical Cancer Research : an Official Journal of the American Association for Cancer Research·Isabelle DurotAhmed El Kaffas
Nov 21, 2020·Current Hepatology Reports·Jan PetrasekNicole E Rich
Mar 23, 2021·The Journal of International Medical Research·Juan WangXiaoke Hao
May 8, 2021·Journal of the American College of Radiology : JACR·UNKNOWN Expert Panels on Interventional Radiology and Vascular ImagingEric J Hohenwalter

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Hepatocellular

Hepatocellular Carcinoma is a malignant cancer in liver epithelial cells. Discover the latest research on Hepatocellular Carcinoma here.

Adrenocortical Carcinoma

Hepatocellular carcinoma is the most common type of primary liver cancer and frequently occurs in individuals with chronic liver diseases like cirrhosis. Here is the latest research.

Related Papers

Journal of the American College of Radiology : JACR
Expert Panel on Gastrointestinal Imaging:Tasneem Lalani
Journal of the American College of Radiology : JACR
Expert Panel on Thoracic Imaging:Tan-Lucien H Mohammed
Journal of the American College of Radiology : JACR
Expert Panel on Cardiac Imaging:Suhny Abbara
American Journal of Clinical Oncology
William E JonesExpert Panel on Radiation OncologyGastrointestinal
© 2022 Meta ULC. All rights reserved