Clin Ultrasound.  2016 May;1(1):1-10. 10.18525/cu.2016.1.1.1.

Differential Diagnosis of Diffuse Liver Disease

Affiliations
  • 1Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea

Abstract

Ultrasonographic parameters supporting differential diagnosis of diffuse liver disease such as fatty liver, chronic viral hepatitis and cirrhosis include echo-pattern of liver parenchyme, presence or absence of surface irregularity and splenomegaly. Additionally, Doppler ultrasonographic indices can provide clue to diagnosis diffuse liver diseases. Thanks to develop the antiviral agents leading successful treatment of viral hepatitis and reversibility of hepatic fibrosis, a need for differential diagnosis between chronic hepatitis and early stage of cirrhosis has been increasingly recognized. The presence of surface irregularity of liver is currently accepted ultrasonographic finding with highly accuracy and reproducibility favoring early stage of cirrhosis. Recently, liver stiffness measurement by transient elastography is considered as a promising non-invasive method for assessment of hepatic fibrosis.

Keyword

Liver disease; Ultrasonography; Diagnosis, Differential; 미만성 간질환; 초음파; 감별 진단
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