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Multiparametric Ultrasound for the Assessment of Diffuse Liver Disease
A Practical Approach
- 1st Edition - October 21, 2022
- Editors: Richard G. Barr, Giovanna Ferraioli
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 8 7 4 7 9 - 3
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 7 4 8 3 - 0
For those who treat and diagnose liver disease, whether radiologists, emergency medical physicians, hepatologists, or sonographers, a clear understanding of the strict protocol… Read more
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Request a sales quoteFor those who treat and diagnose liver disease, whether radiologists, emergency medical physicians, hepatologists, or sonographers, a clear understanding of the strict protocol needed to obtain accurate measurements is essential. Multiparametric Ultrasound for the Assessment of Diffuse Liver Disease offers a practical approach to liver shear wave elastography acquisition from globally recognized leaders in the field. It answers critical questions such as how to use each of the current techniques to best characterize your patients’ liver disease, how to deal with the limitations of each of these techniques, and what to ask—and not to ask—of your devices and software.
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Presents an overview of conventional ultrasound findings in chronic liver disease and portal hypertension, and presents the basic concepts and protocols needed to measure liver stiffness and interpret liver stiffness values.
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Details clinical applications, artifacts, and guidelines of liver ultrasound elastography, including tips and tricks.
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Reviews the latest ultrasound techniques to assess liver steatosis and focal liver lesions, as well as the uses of new technologies of fat quantification and dispersion.
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An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
Radiologists, residents, Trainees, clinicians, emergency medicine physicians
- Cover image
- Title page
- Table of Contents
- Copyright
- Foreword
- Preface
- Contributors
- List of Tables
- List of Illustrations
- 1. Introduction
- The burden of chronic liver disease
- Staging of liver fibrosis
- Stages of cirrhosis
- Clinically significant portal hypertension
- References
- 2. Conventional ultrasound findings in chronic liver disease
- Introduction
- B-mode imaging
- Doppler features
- Acute hepatitis and Budd-Chiari syndrome
- References
- 3. Liver stiffness measurement techniques: Basics
- Introduction to stiffness
- Techniques
- References
- 4. Protocols for liver stiffness acquisition
- General protocol
- Quality assessment
- Reproducibility, failures, and unreliable results
- Intersystem variability
- References
- 5. Tips and tricks for liver stiffness evaluation
- Before scanning the patient
- During the acquisition
- After data acquisition, before the patient is discharged
- Reporting results
- References
- 6. Artifacts in liver stiffness evaluation
- Overview of artifacts in liver shear wave elastography
- References
- 7. Staging liver fibrosis with shear wave elastography
- Introduction
- Chronic viral hepatitis and nonalcoholic fatty liver disease
- Alcohol-related liver disease
- Cholestatic and autoimmune liver disease
- Screening for liver fibrosis in the general population
- Pediatrics
- References
- 8. The role of ultrasound in portal hypertension
- Introduction
- Which equipment do we need and how do we perform ultrasound to assess the presence of portal hypertension?
- Ultrasound features of portal hypertension in advanced chronic liver disease: Intrahepatic portal hypertension
- Prehepatic portal hypertension: Portal vein thrombosis
- Posthepatic portal hypertension
- Other causes of noncirrhotic portal hypertension
- The role of elastography in portal hypertension
- References
- 9. Liver stiffness beyond the staging of liver fibrosis
- Introduction
- Heart diseases
- Liver diseases beyond the staging of fibrosis
- References
- 10. Liver shear wave elastography: Guidelines
- Introduction
- European federation of societies for ultrasound in medicine and biology guidelines
- World federation for ultrasound in medicine and biology guidelines
- Society of radiologists in ultrasound consensus
- Asian-pacific association for the study of the liver guidelines
- American gastroenterological association guidelines
- European association for the study of the liver guidelines
- References
- 11. Noninvasive assessment of liver steatosis with ultrasound techniques
- Introduction
- Reference standard for liver fat quantification
- Noninvasive assessment: Ultrasound
- Does steatosis affect liver stiffness values?
- References
- 12. Shear wave dispersion
- Introduction
- Physics
- Review of systems with dispersion imaging
- Reproducibility studies
- Association between dispersion measurement and liver inflammation
- Clinical significance of dispersion quantification in the liver
- References
- 13. Focal liver lesions in the setting of chronic liver disease
- Introduction
- Bubble specific imaging
- Contrast-enhanced ultrasound arterial phase and portal venous phase
- Contrast-enhanced ultrasound algorithm
- The importance of liver imaging reporting and data system in at-risk livers
- Integration to liver imaging
- Elastography of liver masses
- Conclusions
- References
- 14. Conclusions (multiparametric ultrasound for the work-up of chronic liver disease)
- Overview
- Ultrasound multiparametric approach
- Future advancements
- Conclusions
- References
- Index
- No. of pages: 256
- Language: English
- Edition: 1
- Published: October 21, 2022
- Imprint: Elsevier
- Paperback ISBN: 9780323874793
- eBook ISBN: 9780323874830
RB
Richard G. Barr
Dr. Barr is a Professor of Radiology at Northeast Ohio Medical University. He practices at Southwoods Imaging in Youngstown, Ohio. He received his BS in Chemistry at Ohio State University, a PhD in Inorganic Chemistry at Michigan State University, and his MD from Case Western Reserve University. He completed a year internship in internal medicine at University Hospitals of Cleveland and a Diagnostic Radiology residency at the Cleveland Clinic Foundation where he was chief resident. Dr. Barr completed a cross sectional imaging fellowship at University of California at San Francisco.
Dr. Barr has published over 150 peer reviewed papers, several book chapters, and a book “Breast Elastography” and a book “Elastography, a Practical Approach”. His book has been translated into Italian, Chinese, and Russian. He has presented over 500 scientific and educational presentations and invited lectures world-wide. He has been involved in elastography and ultrasound contrast for over 15 years presenting multiple presentations worldwide on these subjects. He was the Principal Investigator on several ultrasound contrast agents phase 2, 3 and 4 studies. He has relationships with multiple ultrasound vendors for the improvement of elastography and CEUS on their systems. He is the Editor-in-Chief of Journal of Ultrasound in Medicine. Aunt Minnie named him a semi-finalist for the most influential radiology researcher in the world in 2018. Dr. Barr is a chairman of the Quantitative Image Biomarker Association for ultrasound contrast committee. He has been the lead author on several national and international guidelines on elastography and ultrasound contrast.
Affiliations and expertise
Professor of Radiology, Northeastern Ohio Medical University, Rootstown, Ohio; Editor-in Chief Journal of Ultrasound in MedicineGF
Giovanna Ferraioli
Dr. Ferraioli is the coordinator of the Ultrasound School at Fondazione IRCCS San Matteo Hospital Foundation, Medical School University of Pavia, Italy, and co-director of the EFSUMB Ultrasound Learning Centre at the same Institution.
Her research interests include elastography in diffuse liver diseases, non-invasive assessment of liver steatosis, ultrasound contrast agents, and Doppler in portal hypertension. Dr. Ferraioli has published over 90 peer reviewed papers and several book chapters. She has presented over 300 scientific and educational presentations and invited lectures worldwide. She has been involved in liver elastography for over 11 years presenting multiple presentations worldwide on this subject. She has relationships with multiple ultrasound vendors for the improvement of elastography on their systems. She is member of the scientific editorial board of European Radiology, World Journal of Gastroenterology, Journal of Ultrasound, and she’s the subspecialty Editor on Elastography for the Journal of Ultrasound in Medicine. She has been the lead author of WFUMB guidelines on liver elastography and has been involved on several international guidelines on elastography.
Affiliations and expertise
Researcher, Medical School University of Pavia, Italy