Radiologic evaluation of nonalcoholic fatty liver disease

作     者：Seung Soo Lee Seong Ho Park 

作者机构：Department of Radiology and Research Institute of RadiologyUniversity of Ulsan College of MedicineAsan Medical CenterSeoul 138-736South Korea 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2014年第20卷第23期

页      面：7392-7402页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by The Basic Science Research Program through the National Research Foundation of South Korea funded by the Ministry of Education,Science and Technology,No.2012R1A1A1005326 

主　　题：Nonalcoholic fatty liver disease Nonalcoholic steatohepatitis Liver steatosis Magnetic resonance spectroscopy Magnetic resonance imaging Ultrasonography Computed tomography Elastography 

摘      要：Nonalcoholic fatty liver disease(NAFLD)is a frequent cause of chronic liver diseases,ranging from simple steatosis to nonalcoholic steatohepatitis(NASH)-related liver *** liver biopsy is still the gold standard for the diagnosis of NAFLD,especially for the diagnosis of NASH,imaging methods have been increasingly accepted as noninvasive alternatives to liver *** is a well-established and costeffective imaging technique for the diagnosis of hepatic steatosis,especially for screening a large population at risk of *** has a reasonable accuracy in detecting moderate-to-severe hepatic steatosis although it is less accurate for detecting mild hepatic steatosis,operator-dependent,and rather *** tomography is not appropriate for general population assessment of hepatic steatosis given its inaccuracy in detecting mild hepatic steatosis and potential radiation ***,computed tomography may be effective in specific clinical situations,such as evaluation of donor candidates for hepatic *** resonance spectroscopy and magnetic resonance imaging are now regarded as the most accurate practical methods of measuring liver fat in clinical practice,especially for longitudinal followup of patients with *** elastography and magnetic resonance elastography are increasingly used to evaluate the degree of liver fibrosis in patients with NAFLD and to differentiate NASH from simple *** article will review current imaging methods used to evaluate hepatic steatosis,including the diagnostic accuracy,limitations,and practical applicability of each *** will also briefly describe the potential role of elastography techniques in the evaluation of patients with NAFLD.