Before scanning the patient It is important to remember that liver stiffness is measured, not liver fibrosis. Liver stiffness is influenced by fibrosis, inflammation, and congestion. Therefore obtaining clinical information before starting the examination is helpful. Important patient factors that…
General protocol For all of the ultrasound (US) shear wave elastography (SWE) techniques (vibration controlled transient elastography [VCTE], point shear wave elastography [pSWE] and two-dimensional shear wave elastography [2D-SWE]), adherence to a strict protocol when assessing liver stiffness is required.…
Introduction to stiffness Liver diseases, such as nonalcoholic fatty liver disease (NAFLD)/nonalcoholic steatohepatitis (NASH), alcoholic liver disease, viral hepatitis as well others, may be characterized by the accumulation of extracellular matrix material (collagen, fibronectin, proteoglycans, and glycosaminoglycans), fats and triglycerides,…
Introduction Chronic liver disease (CLD) is a substantial worldwide problem. Any disease that incites liver inflammation can lead to liver fibrosis, which can then progress to cirrhosis. The stage of liver fibrosis is important to determine prognosis, surveillance, progression, or…
The burden of chronic liver disease Chronic liver disease (CLD) is a significant cause of morbidity and mortality and an important contributor to the burden of disease and health care utilization worldwide. It is estimated that CLD accounts for approximately…
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Cause, clinical and ultrasound findings Fibrous tissue around the interdigital nerve may result from friction from wearing high heels, abnormal loading, etc. The patient has stabbing or aching pain and a tender area at the interdigital space on pressure (Tinel…
Abdominal wall disorders are frequently encountered in clinical practice, and may be associated with significant morbidity. Most abdominal wall or groin hernias can be easily diagnosed by inspection and palpation. In these cases, radiologic examinations are useful for preoperative demonstration…
Primary Neoplasms Primary tumors arising from the peritoneum are rare and are usually of mesenchymal origin. DESMOID TUMORS These tumors are related to benign but locally aggressive fibroblast proliferation or fibromatosis. The morbidity associated with these tumors is related to…
Introduction Ascites is the pathologic accumulation of fluid in the peritoneal cavity. It is a common finding that can be associated with a large number of diseases. Imaging plays an important role in detecting and characterizing ascites. Although ascites may…