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Liver Elastography
Liver Elastography by Ultrasound. A New Tool for the Diagnosis of Liver Fibrosis. Spleen Elastography.
We can help you in our Center. A noninvasive tool for the assessment of Liver fibrosis: Shear Wave Elastography of the Liver and Spleen.
A rising cause of chronic liver disease worldwide is a nonalcoholic fatty liver disease (NAFLD). NAFLD is currently the most common liver disease in the United States, with a worldwide prevalence of 25% with imaging estimation. NAFLD ranges from simple steatosis to nonalcoholic steatohepatitis, which may progress to liver fibrosis. Although there is no specific therapy for nonalcoholic steatohepatitis, lifestyle modifications have been associated with a decrease in fibrosis. The increasing deposition of fibrous tissue within the liver leads to the development of cirrhosis, a silent disease.
Spleen elasticity changes in patients infected with hepatitis B virus or hepatitis C virus and in patients suffering from liver fibrosis, portal hypertension, esophageal varices, or myelofibrosis. Studies have provided evidence that spleen stiffness correlates with the progression of liver fibrosis. The more advanced the liver fibrosis, the stiffer the spleen.
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Protocol for Liver Elastography Assessment
Technique:
2D Shear Wave Elastography utilizing the Sound Touch Elastography technique.
Probe Specifications:
Convex transducer, frequency range: 1–6 MHz.
Measurement and Analysis:
Elastography measurements are acquired in segment V of the liver via an intercostal approach.
A total of 10 valid measurements are obtained to ensure accuracy and reliability.
Quality Control Indices:
Motion Stability Index (M-STB) is assessed to confirm optimal probe stability during acquisition.
Reliability Map Index (RLB Map) is applied to verify measurement consistency and validity.
Scoring System:
Results are reported following the METAVIR scoring system guidelines.