Abstract:
Ultrasound shear wave elastography (SWE) is a non-invasive, low risk technology allowing the assessment of tissue stiffness. Used clinically for nearly two decades to diagnose and stage liver fibrosis and cirrhosis, it has recently been appreciated for its ability to differentiate between more subtle forms of liver dysfunction. In this review, we will discuss the principle of ultrasound shear wave elastography, its traditional utilization in grading liver cirrhosis, as well as its evolving role in identifying more subtle degrees of liver injury. Finally, we will show how this capacity to distinguish nuanced changes may provide an opportunity for its use in perioperative risk stratification.
摘要:
超声剪切波弹性成像(SWE)是一种非侵入性、允许评估组织硬度的低风险技术。临床使用近二十年来诊断和分期肝纤维化和肝硬化,它最近已被赞赏,因为它能够区分更微妙的形式的肝功能障碍。在这次审查中,我们将讨论超声剪切波弹性成像的原理,它在肝硬化分级中的传统应用,以及它在识别更微妙程度的肝损伤方面的作用。最后,我们将展示这种区分细微差别变化的能力如何为其在围手术期风险分层中的应用提供机会.