Update to the society of radiologists in ultrasound liver elastography consensus statement.

Update to the society of radiologists in ultrasound liver elastography consensus statement.

Barr RG; Wilson SR; Rubens D; Garcia-Tsao G; Ferraioli G

Radiology

2020

2020-06

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.

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journalArticle

192437

NEOMED College of Medicine

Department of Family & Community Medicine

July 2020 List

Mercy Health St Elizabeth Boardman Hospital