Elastography - Applications in Clinical Medicine [Working Title]最新文献

Shear Wave Elastography for Chronic Musculoskeletal Problem 慢性肌肉骨骼问题的横波弹性成像

Elastography - Applications in Clinical Medicine [Working Title] Pub Date : 2022-01-31 DOI: 10.5772/intechopen.102024

Tomonori Kawai

引用次数: 0

Noninvasive Assessment of HCV Patients Using Ultrasound Elastography 超声弹性成像对HCV患者的无创评估

Elastography - Applications in Clinical Medicine [Working Title] Pub Date : 2022-01-31 DOI: 10.5772/intechopen.102294

M. Lupsor-Platon, T. Serban, Alexandra Iulia Silion

{"title":"Noninvasive Assessment of HCV Patients Using Ultrasound Elastography","authors":"M. Lupsor-Platon, T. Serban, Alexandra Iulia Silion","doi":"10.5772/intechopen.102294","DOIUrl":"https://doi.org/10.5772/intechopen.102294","url":null,"abstract":"Among patients with chronic hepatitis C (CHC) infection, extensive research showed that fibrosis progression is a proper surrogate marker for advanced liver disease, eventually leading to dramatic endpoints such as cirrhosis and hepatocellular carcinoma. Therefore, there is growing interest in the use of noninvasive methods for fibrosis assessment in order to replace liver biopsy (LB) in clinical practice and provide optimal risk stratification. Elastographic techniques, such as Vibration Controlled Transient Elastography (VCTE), point-shear wave elastography (p-SWE), and 2D-SWE have shown promising results in this regard, with excellent performance in diagnosing hepatic cirrhosis, and great accuracy for steatosis detection through the Controlled Attenuation Parameter embedded on the VCTE device. In addition, the recent introduction of highly efficient direct-acting antivirals (DAAs) led to viral eradication and a significant decrease in liver damage, lowering the risk of hepatic decompensation, and HCC. Therefore, CHC patients need proper noninvasive and repeatable methods for adequate surveillance, even after treatment, as there still remains a risk of portal hypertension and HCC. However, the usefulness for monitoring fibrosis after the sustained virological response (SVR) needs further research.","PeriodicalId":408325,"journal":{"name":"Elastography - Applications in Clinical Medicine [Working Title]","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129781153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Renal Elastography for the Assessment of Chronic Kidney Disease 肾脏弹性成像评估慢性肾脏疾病

Elastography - Applications in Clinical Medicine [Working Title] Pub Date : 2022-01-24 DOI: 10.5772/intechopen.102076

F. Bob

{"title":"Renal Elastography for the Assessment of Chronic Kidney Disease","authors":"F. Bob","doi":"10.5772/intechopen.102076","DOIUrl":"https://doi.org/10.5772/intechopen.102076","url":null,"abstract":"For the assessment of chronic kidney disease, point shear wave elastography (pSWE) and shear wave speed imaging (2D-SWE) are suitable, but the use of elastography in the assessment of the kidneys is more difficult compared to the use in other organs, because of the complex architecture of the kidneys, characterized by a high anisotropy and also by the limited size of the renal parenchyma, where the measurements are performed. Despite the difficulties of renal elastography, the reproducibility of the method is good. Kidney shear wave speed values are influenced mainly by age and gender, while in chronic kidney disease, renal stiffness is sometimes decreased in more advanced disease and is not influenced mainly by the progression of fibrosis. There are studies proving that a decreased renal blood flow is associated with a decrease in kidney shear wave speed, the fact that could explain why patients with CKD tend to have lower kidney stiffness. Elastography is a real-time imaging method that could be useful in the assessment of the kidneys, but more extensive studies and even some improvements of the processing algorithms of raw data of elastography machines seem to be needed to implement the use in clinical practice.","PeriodicalId":408325,"journal":{"name":"Elastography - Applications in Clinical Medicine [Working Title]","volume":"445 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124275955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Shear Wave Elastography in Pediatric Musculoskeletal Disorders 横波弹性成像在小儿肌肉骨骼疾病中的应用

Elastography - Applications in Clinical Medicine [Working Title] Pub Date : 2022-01-16 DOI: 10.5772/intechopen.102063

Celik Halil Ibrahim, Karaduman Aynur Ayşe

引用次数: 0