View source for Alcoholic liver disease other imaging findings

__NOTOC__
{{Alcoholic liver disease}}
{{CMG}}; {{AE}} {{MKA}}

==Overview==
There have been recent advances towards newer imaging modalities to help detect and quantify [[hepatic]] [[fibrosis]] and [[cirrhosis]]. These investigations are comparable to the gold standard that is [[liver biopsy]] to confirm the diagnosis of [[Cirrhosis|liver cirrhosis]].

==Other Imaging Findings==
* More recent imaging techniques include:<ref name="pmid23891139">{{cite journal |vauthors=Piscaglia F, Marinelli S, Bota S, Serra C, Venerandi L, Leoni S, Salvatore V |title=The role of ultrasound elastographic techniques in chronic liver disease: current status and future perspectives |journal=Eur J Radiol |volume=83 |issue=3 |pages=450–5 |year=2014 |pmid=23891139 |doi=10.1016/j.ejrad.2013.06.009 |url=}}</ref><ref name="pmid22521355">{{cite journal |vauthors=Crespo G, Fernández-Varo G, Mariño Z, Casals G, Miquel R, Martínez SM, Gilabert R, Forns X, Jiménez W, Navasa M |title=ARFI, FibroScan, ELF, and their combinations in the assessment of liver fibrosis: a prospective study |journal=J. Hepatol. |volume=57 |issue=2 |pages=281–7 |year=2012 |pmid=22521355 |doi=10.1016/j.jhep.2012.03.016 |url=}}</ref>
**Transient elastography (FibroScan)
**Acoustic [[radiation]] force impulse
**[[Magnetic resonance elastography]]
*The listed newer imaging techniques have the following characteristics:
**Measure [[liver]] stiffness by using a tranducer
**Transmits and measures [[vibration]] (elastic shear wave) as it propagates through the [[liver]]
**[[Velocity]] of the [[wave]] passing through the [[liver]] correlates directly with [[Tissue (biology)|tissue]] stiffness
*'''Note:''' [[Alcoholic]] [[steatohepatitis]] often coexists with [[fibrosis]], since these tests are based on measurement of [[liver]] stiffness, it is better to wait until [[AST]] is less than 100U/L during [[alcohol withdrawal]] in order to preserve the diagnostic accuracy of this test.<ref name="pmid20180235">{{cite journal |vauthors=Mueller S, Millonig G, Sarovska L, Friedrich S, Reimann FM, Pritsch M, Eisele S, Stickel F, Longerich T, Schirmacher P, Seitz HK |title=Increased liver stiffness in alcoholic liver disease: differentiating fibrosis from steatohepatitis |journal=World J. Gastroenterol. |volume=16 |issue=8 |pages=966–72 |year=2010 |pmid=20180235 |pmc=2828601 |doi= |url=}}</ref>

==References==
{{Reflist|2}}


{{WS}}
{{WH}}

[[Category:Surgery]]
[[Category:Gastroenterology]]
[[Category:Up-To-Date]]
[[Category:Hepatology]]
[[Category:Medicine]]
[[Category:Radiology]]