第2部分:CAR代谢功能障碍相关脂肪变性肝病工作组对MASLD患者风险分层的建议

IF 3.7 3区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Mitchell P Wilson, Gavin Low, Abdel-Aziz Shaheen, Andreu F Costa, An Tang, Emily Pang, Silvia Chang, Alexandra Medellin, Jérémy Dana, Noam Millo, Ania Kielar, Li Xin Zhang, Toni Whitaker, Mark Swain, Victoria Leung, Daisy Fung, Casey Hurrell, Christopher Fung
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引用次数: 0

摘要

加拿大放射科医师协会(CAR)代谢功能障碍相关脂肪变性肝病(MASLD)工作组(WG)是一个由放射科医师、肝病学家和家庭医生组成的多学科工作组。在这个由三部分组成的系列文章中,我们为已知或疑似MASLD(以前称为非酒精性脂肪性肝病或NAFLD)患者的临床和影像学表现提供基于德尔菲共识的指导。第一部分主要介绍肝脂肪变性的影像学检测和分级;第2部分:MASLD患者的风险分层,包括使用血清学和影像学调查的患者路径;第3部分是关于使用横波弹性成像(SWE)和磁共振弹性成像(MRE)程序实施质量保证的实践建议。在指南的第2部分中,WG提供了14项建议,通过血清学和影像学调查,将MASLD患者分为晚期肝纤维化(F≥3)的低风险和高风险。建议使用临床和血清学调查(FIB-4)对MASLD患者进行人群筛查和风险分层,然后进行影像学检查。本文讨论了点横波弹性成像(pSWE)、二维SWE (2D-SWE)和MRE的临床、技术和分级建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Part 2: CAR Metabolic Dysfunction-Associated Steatotic Liver Disease Working Group Recommendations for Risk Stratifying Patients With MASLD.

The Canadian Association of Radiologists (CAR) metabolic dysfunction-associated steatotic liver disease (MASLD) Working Group (WG) is a multidisciplinary working group composed of radiologists, hepatologists, and family physicians. In this 3-part series, we provide Delphi consensus-based guidance on clinical and imaging findings for patients with known or suspected MASLD (formerly termed nonalcoholic fatty liver disease or NAFLD). Part 1 focuses on the detection and grading of hepatic steatosis on imaging; Part 2 on risk-stratification of patients with MASLD, including a patient pathway using serological and imaging investigations; and Part 3 on the implementation of practice recommendations for quality assurance using shear wave elastography (SWE) and magnetic resonance elastography (MRE) programs. In Part 2 of these guidelines, the WG provides 14 recommendations for risk stratifying MASLD patients into low and high risk for advanced hepatic fibrosis (F ≥ 3) using a combination of serological and imaging investigations. Population screening and risk stratification of MASLD patients using a clinical and serological investigation (FIB-4) followed by imaging pathway is recommended. Clinical, technical, and grading recommendations for point shear wave elastography (pSWE), 2-dimensional SWE (2D-SWE), and MRE are discussed.

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来源期刊
CiteScore
6.20
自引率
12.90%
发文量
98
审稿时长
6-12 weeks
期刊介绍: The Canadian Association of Radiologists Journal is a peer-reviewed, Medline-indexed publication that presents a broad scientific review of radiology in Canada. The Journal covers such topics as abdominal imaging, cardiovascular radiology, computed tomography, continuing professional development, education and training, gastrointestinal radiology, health policy and practice, magnetic resonance imaging, musculoskeletal radiology, neuroradiology, nuclear medicine, pediatric radiology, radiology history, radiology practice guidelines and advisories, thoracic and cardiac imaging, trauma and emergency room imaging, ultrasonography, and vascular and interventional radiology. Article types considered for publication include original research articles, critically appraised topics, review articles, guest editorials, pictorial essays, technical notes, and letter to the Editor.
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