Non-alcoholic fatty liver disease ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]

Overview

Ultrasound may be helpful in the diagnosis of complications of NAFLD, which include detection of fat percentage in the liver. Ultrasound is a qualitative test and should be considered as the reliable imaging test to diagnose NAFLD. Ultrasound is non- invasive, Inexpensive and no threat of radiation exposure to the patient. However, the accuracy of ultrasound is limited if the patient has hepatic fibrosis which Ultrasound cannot differentiate between hepatic fibrosis and steatosis[1]

Ultrasound

  • Ultrasound may be helpful in the diagnosis of NAFLD. And should be considered as the first line of imaging choice for NAFLD patients [1]
  • Ultrasound have senstivity of 60-100 and specificity of
  • Findings on an ultrasound suggestive of NAFLD include:
    • Detection of moderate to high amount of fat in the liver
    • Ultrasonography gives fairly good accuracy to detect moderate-to-severe degree hepatic steatosis. [2]
  •  Ultrasound elastography (EUS), which is another kind of ultrasound can evaluate the progression of non-alcoholic fatty liver disease (NAFLD) which gives qualitative progression of the liver fibrosis. [3]

References

  1. 1.0 1.1 "Nonalcoholic Fatty Liver Disease: Diagnosis and Management - American Family Physician".
  2. Lee DH (2017). "Imaging evaluation of non-alcoholic fatty liver disease: focused on quantification". Clin Mol Hepatol. doi:10.3350/cmh.2017.0042. PMID 28994271.
  3. Di Martino M, Koryukova K, Bezzi M, Catalano C (2017). "Imaging Features of Non-Alcoholic Fatty Liver Disease in Children and Adolescents". Children (Basel). 4 (8). doi:10.3390/children4080073. PMC 5575595. PMID 28800087.

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