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              <text>&lt;a href="http://doi.org/10.1007/s00261-021-03225-2" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/10.1007/s00261-021-03225-2&lt;/a&gt;</text>
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                <text>Assessment of chronic liver disease by multiparametric ultrasound: results from a private practice outpatient facility.</text>
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                <text>Abdominal Radiology</text>
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                <text>ELASTOGRAPHY; NAFLD; Shear wave elastography; Liver stiffness; NASH; MANAGEMENT; Attenuation coefficient; Shear wave dispersion; FIBROSIS; GUIDELINES; HEPATIC STEATOSIS; RADIATION FORCE IMPULSE; RADIOLOGISTS; SOCIETY; STIFFNESS</text>
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                <text>PURPOSE: To assess chronic liver disease (CLD) using multiparametric US in a private practice setting in a cohort of patients with increased skin-to-liver distance.  METHODS: 110 consecutive patients with increased skin-to-liver distance scheduled  for US assessment of CLD were reviewed for study completion time, liver stiffness  values (LS), attenuation imaging, and shear wave dispersion slope. The ROI was  placed 2 cm below the liver capsule. The study included patients with NAFLD/NASH  (68), hepatitis C (30), prior Fontan surgery (1), elevated liver function tests (5),  alcohol abuse (3), hepatitis B (2), and primary biliary cirrhosis (1). IQR/M values  were obtained. Comparison of less experienced sonographers (LES) and more  experienced sonographers (MES) were evaluated through Student's t test for  independent data. Pearson coefficient r of correlation among quantitative variables  was calculated. RESULTS: The mean time to perform the exam was 129.7 ± 62.1 s. There  was a statistically significant difference between LES and MES. The mean IQR/M for  LS was 12.3 ± 5.5% m/s. Overall, in a cohort of difficult patients, 4.5% of LS  values were not reliable. Fat quantification using attenuation imaging had a mean  value of 0.60 ± 0.15 dB/cm/MHz (range 0.35-0.98 cm/dB/MHz) with an IQR/M of  14.7 ± 9.2%. Less reliable measurements of steatosis were obtained in 4.5% of  patients. The mean shear wave dispersion slope was 12.74 ± 4.05 (m/s)/kHz (range  7.7-27.5 (m/s)/kHz) with an IQR/M of 38.7 ± 20.2% (range 3-131%). 20.9% of patients  had values suggestive of compensated advanced chronic liver disease (cACLD).  CONCLUSION: Multiparametric US can provide assessment of CLD in less than 3 min in  most patients and identify patients at risk for cACLD.</text>
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                <text>&lt;a href="http://doi.org/10.1007/s00261-021-03225-2" target="_blank" rel="noreferrer noopener"&gt;10.1007/s00261-021-03225-2&lt;/a&gt;</text>
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              <text>&lt;a href="http://doi.org/10.1016/j.ultrasmedbio.2021.06.002" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/10.1016/j.ultrasmedbio.2021.06.002&lt;/a&gt;</text>
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              <text>&lt;a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.ultrasmedbio.2021.06.002" target="_blank" rel="noreferrer noopener"&gt;NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.ultrasmedbio.2021.06.002&lt;/a&gt;</text>
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                <text>Quantification of Liver Fat Content with Ultrasound: A WFUMB Position Paper.</text>
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                <text>Attenuation coefficient; Backscatter; Controlled attenuation parameter; Dispersion; Non-alcoholic fatty liver disease; Non-alcoholic steatohepatitis; Quantitative ultrasound; Speed of sound</text>
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                <text>Ferraioli G; Berzigotti A; Barr RG; Choi BI; Cui XW; Dong Y; Gilja OH; Lee JY; Lee DH; Moriyasu F; Piscaglia F; Sugimoto K; Wong GL; Wong VW; Dietrich CF</text>
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                <text>New ultrasound methods that can be used to quantitatively assess liver fat content have recently been developed. These quantitative ultrasound (QUS) methods are based on the analysis of radiofrequency echoes detected by the transducer, allowing calculation of parameters for quantifying the fat in the liver. In this position paper, after a section dedicated to the importance of quantifying liver steatosis in patients with non-alcoholic fatty liver disease and another section dedicated to the assessment of liver fat with magnetic resonance, the current clinical studies performed using QUS are summarized. These new methods include spectral-based techniques and techniques based on envelope statistics. The spectral-based techniques that have been used in clinical studies are those estimating the attenuation coefficient and those estimating the backscatter coefficient. Clinical studies that have used tools based on the envelope statistics of the backscattered ultrasound are those performed by using the acoustic structure quantification or other parameters derived from it, such as the normalized local variance, and that performed by estimating the speed of sound. Experts' opinions are reported. (Copyright © 2021 World Federation for Ultrasound in Medicine &amp; Biology. Published by Elsevier Inc. All rights reserved.)</text>
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                <text>&lt;a href="http://doi.org/10.1016/j.ultrasmedbio.2021.06.002" target="_blank" rel="noreferrer noopener"&gt;10.1016/j.ultrasmedbio.2021.06.002&lt;/a&gt;</text>
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              <elementText elementTextId="157694">
                <text>Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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                <text>Conventional ultrasound for diagnosis of hepatic steatosis is better than believed</text>
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                <text>Zeitschrift Fur Gastroenterologie</text>
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                <text>fibrosis; conventional ultrasound; cirrhosis; hepatic steatosis; nonalcoholic fatty liver disease; METABOLIC SYNDROME; ABDOMINAL ULTRASOUND; ARTERY RESISTIVE INDEX; CONTROLLED ATTENUATION PARAMETER; DOPPLER WAVE-FORM; HEPATORENAL INDEX; NAFLD FIBROSIS SCORE; NONALCOHOLIC FATTY LIVER; NONINVASIVE ASSESSMENT; VEIN DOPPLER</text>
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        <name>NAFLD FIBROSIS SCORE</name>
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        <name>NEOMED College of Medicine</name>
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        <name>NONALCOHOLIC FATTY LIVER</name>
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        <name>Sparchez Z</name>
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        <name>Zeitschrift Fur Gastroenterologie</name>
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              <text>&lt;a href="http://doi.org/10.2214/AJR.21.26180" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/10.2214/AJR.21.26180&lt;/a&gt;</text>
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              <text>1546-3141 0361-803X</text>
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          <description>Locate full-text within NEOMED Library's e-journal collections</description>
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            <elementText elementTextId="157033">
              <text>&lt;a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.2214/AJR.21.26180" target="_blank" rel="noreferrer noopener"&gt;NEOMED Full-text Holding (if available) - Proxy DOI: 10.2214/AJR.21.26180&lt;/a&gt;</text>
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              <text>&lt;p&gt;Users with a NEOMED Library login can search for full-text journal articles at the following url: &lt;a href="https://libraryguides.neomed.edu/home"&gt;https://libraryguides.neomed.edu/home&lt;/a&gt;&lt;/p&gt;</text>
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              <text>July 2021 List</text>
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              <text>Department of Radiology</text>
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          <element elementId="50">
            <name>Title</name>
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                <text>Outcomes of Return to Routine Screening for BI-RADS 3 Lesions Detected at Supplemental Automated Whole-Breast Ultrasound in Women with Dense Breasts: A  Prospective Study.</text>
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                <text>American Journal Of Roentgenology</text>
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                <text>Barr RG; DeSivestri A; Golatta M</text>
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                <text>Background: Supplemental screening breast ultrasound (US) detects additional cancers in women with dense breasts but identifies many BI-RADS 3 lesions that result in  short-term follow-ups and biopsies. Objective: To evaluate outcomes in patients  recommended for return to routine screening for lesions assessed as BI-RADS 3 on  supplemental automated whole-breast US (ABUS). Methods: This prospective study  invited patients with BI-RADS 1 or 2 on screening mammography and breast density C  or D to undergo supplemental ABUS. ABUS was interpreted as BI-RADS 1, 2, 3, or 0.  Return to routine screening was recommended for ABUS BI-RADS 1, 2, or 3. ABUS  BI-RADS 0 lesions underwent targeted hand-held US. Remaining patients were followed  for 2 years. Malignancy rates were compared using Fisher's exact tests. Results: A  total of 2257 women (mean age, 58.0±11.2 years) were included. Supplemental ABUS was  scored as BI-RADS 1 in 1186 (52.5%), BI-RADS 2 in 591 (26.2%), BI-RADS 3 in 395  (17.5%), and BI-RADS 0 in 85 (3.8%). A total of 394 patients with ABUS BI-RADS 3 had  2-year follow-up, during which no cancer (0%, 95% CI 0.0%-0.9%) was diagnosed in the  quadrant of the lesion. Among patients with 2-year follow-up, breast cancer was  diagnosed in 4/1117 (0.4%) with ABUS BI-RADS 1, 2/556 (0.4%) with ABUS BI-RADS 2,  and 2/394 (0.5%) with ABUS BI-RADS 3 (cancer in other quadrant than the lesion).  Malignancy rates were not different between ABUS BI-RADS 1, 2, and 3 (p=.28). ABUS  recall rate was 3.8% (85/2257; 95% CI 3.6%-4.0%). If short-term follow-up had been  recommended for ABUS BI-RADS 3, ABUS recall rate would have been 21.3% (480/2257,  95% CI 19.6%-23.0%). Biopsy rate was 0.4% (12/2257; 95% CI 0.3%-0.9%); positive  biopsy rate was 58.3% (7/12). One of 7 patients diagnosed with cancer by initial  supplemental ABUS, and none of 8 patients diagnosed with cancer during subsequent  follow-up, had node-positive cancer. Conclusions: Return to routine screening for  ABUS BI-RADS 3 lesions results in a substantial decrease in recall rate, while being  unlikely to result in adverse outcome. Clinical Impact: This prospective study  supports a recommendation for routine annual follow-up for BI-RADS 3 lesions at  supplemental ABUS.</text>
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                <text>&lt;a href="http://doi.org/10.2214/AJR.21.26180" target="_blank" rel="noreferrer noopener"&gt;10.2214/AJR.21.26180&lt;/a&gt;</text>
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            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="157031">
                <text>Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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              <text>1522-2586 1053-1807</text>
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          <description>Locate full-text within NEOMED Library's e-journal collections</description>
          <elementTextContainer>
            <elementText elementTextId="156496">
              <text>&lt;a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1002/jmri.27731" target="_blank" rel="noreferrer noopener"&gt;NEOMED Full-text Holding (if available) - Proxy DOI: 10.1002/jmri.27731&lt;/a&gt;</text>
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              <text>&lt;p&gt;Users with a NEOMED Library login can search for full-text journal articles at the following url: &lt;a href="https://libraryguides.neomed.edu/home"&gt;https://libraryguides.neomed.edu/home&lt;/a&gt;&lt;/p&gt;</text>
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                <text>Dose-Lowering in Contrast-Enhanced MRI of the Central Nervous System: A Retrospective, Parallel-Group Comparison Using Gadobenate Dimeglumine.</text>
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                <text>Journal Of Magnetic Resonance Imaging : JMRI</text>
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                <text>2021-05-20</text>
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                <text>comparative studies; contrast efficacy; gadobenate dimeglumine; GBCA safety</text>
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                <text>DeLano MC; Spampinato MV; Chang EY; Barr RG; Lichtenstein RJ; Colosimo C; Vymazal J; Wen Z; Lin DDM; Kirchin MA; Pirovano G</text>
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                <text>BACKGROUND: Concerns over gadolinium (Gd) retention encourage the use of lower Gd doses. However, lower Gd doses may compromise imaging performance. Higher relaxivity  gadobenate may be suited to reduced dose protocols. PURPOSE: To compare 0.05 mmol/kg  and 0.1 mmol/kg gadobenate in patients undergoing enhanced MRI of the central  nervous system (CNS). STUDY TYPE: Retrospective, multicenter. POPULATION: Three  hundred and fifty-two patients receiving 0.05 (n = 181) or 0.1 (n = 171) mmol/kg  gadobenate. FIELD STRENGTH/SEQUENCES: 1.5 T and 3.0 T/precontrast and postcontrast  T1-weighted spin echo/fast spin echo (SE/FSE) and/or gradient echo/fast field echo  (GRE/FFE); precontrast T2-weighted FSE and T2-FLAIR. ASSESSMENT: Images of patients  with extra-axial lesions at 1.5 T or any CNS lesion at 3.0 T were reviewed by three  blinded, independent neuroradiologists for qualitative (lesion border delineation,  internal morphology visualization, contrast enhancement; scores from 1 = poor to  4 = excellent) and quantitative (lesion-to-brain ratio [LBR], contrast-to-noise  ratio [CNR]; SI measurements at regions-of-interest on lesion and normal parenchyma)  enhancement measures. Noninferiority of 0.05 mmol/kg gadobenate was determined for  each qualitative endpoint if the lower limit of the 95% confidence interval (CI) for  the difference in precontrast + postcontrast means was above a noninferiority margin  of -0.4. STATISTICAL TESTS: Student's t-test for comparison of mean qualitative  endpoint scores, Wilcoxon signed rank test for comparison of LBR and CNR values;  Wilcoxon rank sum test for comparison of SI changes. Tests were significant for  P &lt; 0.05. RESULTS: The mean change from precontrast to precontrast + postcontrast  was significant for all endpoints. Readers 1, 2, and 3 evaluated 304, 225, and 249  lesions for 0.05 mmol/kg gadobenate, and 382, 309, and 298 lesions for 0.1 mmol/kg  gadobenate. The lower limit of the 95% CI was above -0.4 for all comparisons.  Significantly, higher LBR and CNR was observed with the higher dose. DATA  CONCLUSION: 0.05 mmol/kg gadobenate was noninferior to 0.1 mmol/kg gadobenate for  lesion visualization. EVIDENCE LEVEL: 2 TECHNICAL EFFICACY: Stage 3.</text>
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                <text>&lt;a href="http://doi.org/10.1002/jmri.27731" target="_blank" rel="noreferrer noopener"&gt;10.1002/jmri.27731&lt;/a&gt;</text>
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            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="156494">
                <text>Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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                <text>A New Practical Decision Rule to Better Differentiate BI-RADS© 3 or 4 Breast Masses on Breast Ultrasound.</text>
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                <text>Pfob A; Barr RG; Duda V; Büsch C; Bruckner T; Spratte J; Nees J; Togawa R; Ho C; Fastner S; Riedel F; Schaefgen B; Hennigs A; Sohn C; Heil J; Golatta M</text>
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                <text>Objectives: The BI-RADS© classification provides a standardized way to describe ultrasound findings in breast cancer diagnostics. However, there is little information regarding which BI-RADS© descriptors are most strongly associated with malignancy, to better distinguish BI-RADS© 3 (follow-up imaging) and 4 (diagnostic biopsy) breast masses.; Methods: Patients were recruited as part of an international, multicenter trial (NCT02638935). The trial enrolled 1294 women (6 excluded) categorized as BI-RADS© 3 or 4 upon routine B-mode ultrasound examination. Ultrasound images were evaluated by three expert physicians according to BI-RADS©. All patients underwent histopathological confirmation (reference standard). We performed univariate and multivariate analyses (chi-square test, logistic regression, and Krippendorff's alpha).; Results: Histopathologic evaluation showed malignancy in 368 of 1288 masses (28.6%). Upon performing multivariate analysis, the following descriptors were significantly associated with malignancy (P &lt; .05): age ≥50 years (OR 8.99), non-circumscribed indistinct (OR 4.05) and microlobulated margin (OR 2.95), nonparallel orientation (OR 2.69), and calcification (OR 2.64). A clinical decision rule informed by these results demonstrated a 97% sensitivity and missed fewer cancers compared to three physician experts (range of sensitivity 79-95%) and a previous decision rule (sensitivity 59%). Specificity was 44% versus 22-83%, respectively. The inter-reader reliability of the BI-RADS© descriptors and of the final BI-RADS© score was fair-moderate.; Conclusions: A patient should undergo a diagnostic biopsy (BI-RADS© 4) instead of follow-up imaging (BI-RADS© 3) if the patient is 50 years or older or exhibits at least one of the following features: calcification, nonparallel orientation of mass, non-circumscribed margin, or posterior shadowing. (© 2021 The Authors. Journal of Ultrasound in Medicine published by Wiley Periodicals LLC on behalf of American Institute of Ultrasound in Medicine.)</text>
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                <text>How to perform shear wave elastography. Part I.</text>
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                <text>Ferraioli G; Barr RG; Farrokh A; Radzina M; Cui XW; Dong Y; Rocher L; Cantisani V; Polito E; D'Onofrio M; Roccarina D; Yamashita Y; Dighe MK; Dietrich CF</text>
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                <text>We recently introduced a series of papers describing how to do certain techniques. This article is the first part of a review of shear wave elastography (SWE). It reports the principles and interpretation of the technique and describes how to optimize it. Normal values, pitfalls and artefacts for the examination of liver, breast. thyroid and salivary gland with shear wave elastography are presented. The manuscript provides specific tips for applying SWE as part of a diagnostic US examination.</text>
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                <text>BACKGROUND: ultrasound-based shear wave elastography (SWE) can non-invasively assess prostate tissue stiffness. This systematic review aims to evaluate SWE for the  detection of prostate cancer (PCa) and compare diagnostic estimates between studies  reporting the detection of all PCa and clinically significant PCa (csPCa). METHODS:  a literature search was performed using the MEDLINE, EMBASE, Cochrane Library,  ClinicalTrials.gov, and CINAHL databases. Studies evaluating SWE for the detection  of PCa using histopathology as reference standard were included. RESULTS: 16 studies  including 2277 patients were included for review. Nine studies evaluated SWE for the  detection of PCa using systematic biopsy as a reference standard at the per-sample  level, with a pooled sensitivity and specificity of 0.85 (95% CI = 0.74-0.92) and  0.85 (95% CI = 0.75-0.91), respectively. Five studies evaluated SWE for the  detection of PCa using histopathology of radical prostatectomy (RP) specimens as the  reference standard, with a pooled sensitivity and specificity of 0.71 (95% CI =  0.55-0.83) and 0.74 (95% CI = 0.42-0.92), respectively. Sub-group analysis revealed  a higher pooled sensitivity (0.77 vs. 0.62) and specificity (0.84 vs. 0.53) for  detection of csPCa compared to all PCa among studies using RP specimens as the  reference standard. CONCLUSION: SWE is an attractive imaging modality for the  detection of PCa.</text>
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              <text>6</text>
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            <elementText elementTextId="150255">
              <text>49</text>
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                <text>Contrast enhanced ultrasound (CEUS) has gained clinical importance over the last years for the characterization of hepatic masses. Its role in extrahepatic indications has been investigated repeatedly but has been less comprehensively studied. Currently more than 50% of renal masses are incidentally diagnosed, mostly by B-mode ultrasound. The method of choice for characterization of renal lesions is contrast enhanced computed tomography (CECT). In the case of cystic lesions CECT refers to the Bosniak classification for cystic lesions to assess the risk of malignant behavior. The majority of masses are renal cell carcinoma, but the exact proportion is controversial. Disadvantages of CECT are a significant risk for patients with impaired renal function, allergic reactions and hyperthyroidism due to iodinated contrast agents. Several studies concerning CEUS for the characterization of both solid and cystic renal lesions have been published, but prospective multicenter studies are missing, the presented data being mainly descriptive. The aim of the this manuscript is to review the current literature for CEUS in renal masses, to summarize the available data and focus on possible concepts for studies in the future.</text>
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                <text>On October 24, 2017, in Chicago, the Society of Radiologists in Ultrasound convened a panel of specialists in contrast-enhanced ultrasound (CEUS) to arrive at a white paper regarding the use of CEUS in noncardiac applications in North America. Recommendations are based on analysis of the current literature and common practice strategies. They represent a reasonable approach to introduce the advantages of this safe and noninvasive technique for the benefit of our patients. Characterization of liver nodules with CEUS, as the approval indication worldwide, is the major focus of this endeavor. In addition, many off label uses are reviewed and literature supporting these indications provided.Key Points(1) Contrast-enhanced ultrasound (CEUS) allows cross-sectional imaging of the liver, kidneys and multiple other solid and hollow viscera, providing excellent characterization of identified focal mass lesions.(2) Performed with the injection of a microbubble contrast agent, CEUS provides a safe and readily available imaging technique which requires no ionizing radiation, making it appropriate for use in all ages, in those with renal insufficiency and when a portable examination is needed.(3) The CEUS can be considered in abdominal imaging whenever blood flow information is of value to diagnosis.(4) Dynamic real-time acquisition and the use of a purely intravascular contrast agent are the 2 most essential technical aspects of CEUS imaging which distinguish it from both computed tomography and magnetic resonance scan.</text>
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                <text>Objectives: Contrast enhanced ultrasound (CEUS) is now broadly used clinically for liver lesion detection and characterization. Obstacles to the efforts to quantify perfusion with CEUS have been the lack of a standardized approach and undocumented reproducibility. The use of multiple scanners and different analysis software packages compounds the degree of variability. Our objectives were to standardize a CEUS-based approach for quantification of perfusion-related parameters of liver lesions and to evaluate the variability of bolus transit parameters (rise time [RT], mean transit time [MTT], peak intensity, and area under the curve) obtained from various clinical ultrasound scanners and analysis software.; Materials and Methods: Bolus transit as a way of evaluating perfusion has been investigated both in vivo and in vitro in the past but without establishing its reproducibility. We developed a tissue flow phantom that produces time-intensity curves very similar to those extracted from clinical cine loops of liver lesions. We evaluated the variability of the bolus transit parameters with 4 commercial scanners (Philips iU22, Philips EPIQ, GE LOGIQ E9, and Siemens Acuson Sequoia) and 3 different analysis software packages in multiple trials (15 per scanner).; Results: The variability (coefficient of variation) from repeated trials and while using a single scanner and software was less than 8% for RT, less than 12% for MTT, less than 49% for peak intensity, and less than 50% for area under the curve. Currently, it is not possible to directly compare amplitude values from different scanners and analysis software packages owing to the arbitrary linearization algorithm used among manufacturers; however, it is possible for time parameters (RT and MTT). The variability when using a different scanner with the same analysis software package was less than 9% for RT and less than 21% for MTT. The variability when using a different analysis software with the same scanner was less than 9% for RT and less than 15% for MTT. In all the evaluations we have performed, RT is the least variable parameter, while MTT is only slightly more variable.; Conclusions: The present study will lay the groundwork for multicenter patient evaluations with CEUS quantification of perfusion-related parameters with the bolus transit technique. When using the protocol and method developed here, it is possible to perform perfusion quantification on different scanners and analysis software and be able to compare the results. The current work is the first study that presents a comparison of bolus transit parameters derived from multiple systems and software packages.</text>
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                <text>Dietrich CF; Nolsøe CP; Barr RG; Berzigotti A; Burns PN; Cantisani V; Chammas MC; Chaubal N; Choi BI; Clevert D; Cui X; Dong Y; D'Onofrio M; Fowlkes JB; Gilja OH; Huang P; Ignee Andre; Jenssen C; Kono Y; Kudo M; Lassau N; Lee WJ; Lee JY; Liang P; Lim A; Lyshchik A; Meloni MF; Correas JM; Yasunori M; Moriyasu F; Nicolau C; Piscaglia F; Saftoiu A; Sidhu PS; Sporea I; Torzilli G; Xie X; Zheng R</text>
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                <text>Update to the society of radiologists in ultrasound liver elastography consensus statement.</text>
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                <text>This multidisciplinary update of the Society of Radiologists in Ultrasound consensus statement on liver elastography incorporates the large volume of new information available in the literature since the initial publication. The recommended procedure for acquiring stiffness measurements is reviewed. There has been substantial improvement in the acoustic radiation force impulse (ARFI) technology-most notably the addition of a quality assessment of the shear wave propagation. Due to the efforts of the Quantitative Imaging Biomarkers Alliance, or QIBA, the variability of liver stiffness measurements between systems had decreased. There are now effective treatments for hepatitis B and hepatitis C, and follow-up after effective treatment should be based on the use of the delta change of the value obtained at viral eradication or suppression. Because the detection of compensated advanced chronic liver disease (cACLD) is very important, the new guidelines are made based on the probability of cACLD for given stiffness values. The panel recommends a vendor-neutral rule of four for interpretation for ARFI techniques. This new method simplifies interpretation of liver stiffness results and is more clinically relevant.</text>
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                <text>&lt;a href="http://doi.org/10.1148/radiol.2020192437" target="_blank" rel="noreferrer noopener"&gt;10.1148/radiol.2020192437&lt;/a&gt;</text>
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