Ultrasound Evaluation in Patients at Risk for Hepatocellular Carcinoma

Fetzer, David T.; Rodgers, Shuchi K.; Seow, James; Dawkins, Adrian; Joshi, Gayatri; Gabriel, Helena; Kamaya, Aya

doi:10.1016/j.rcl.2019.01.004

Cited by 8 publications

(4 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The aim of imaging examination in patients with chronic HBV infection is to monitor clinical progression by the identification of signs of cirrhosis and portal hypertension, and to detect and differentiate space-occupying lesions to make an early diagnosis of HCC. 93 , 94 …”

Section: Imaging Diagnosismentioning

confidence: 99%

Guidelines for Prevention and Treatment of Chronic Hepatitis B

Wang

Duan

2021

Journal of Clinical and Translational Hepatology

View full text Add to dashboard Cite

To achieve the goal of the World Health Organization to eliminate viral hepatitis as a major public health threat by 2030, the Chinese Society of Infectious Diseases and the Chinese Society of Hepatology convened an expert panel in 2019 to update the guidelines for the prevention and treatment of chronic hepatitis B (CHB). The current guidelines cover recent advances in basic, clinical, and preventive studies of CHB infection and consider the actual situation in China. These guidelines are intended to provide support for the prevention, diagnosis, and treatment of CHB.

show abstract

Section: Imaging Diagnosismentioning

confidence: 99%

Guidelines for Prevention and Treatment of Chronic Hepatitis B

Wang

Duan

2021

Journal of Clinical and Translational Hepatology

View full text Add to dashboard Cite

show abstract

“…This is partly explained by the poor acoustic window because of cirrhosis, body habitus, or liver steatosis (6). Prospective evaluation has shown reduced sensitivity and specificity and higher likelihood of US inadequacy in male patients and in those with a larger body habitus, an echogenic or nodular liver due to high fat content or fibrosis, and ascites (6,27,28). Studies have shown that the per-patient sensitivity of US for small HCCs (<2 cm), defined as Barcelona Clinic Liver Cancer stage 0 or A, is as low as 47%-63% (5,26,29).…”

Section: Challenges Of Us Surveillancementioning

confidence: 99%

Abbreviated MRI for Hepatocellular Carcinoma Screening and Surveillance

An¹,

Pena²,

Cunha³

et al. 2020

RadioGraphics

View full text Add to dashboard Cite

Describe the at-risk patient groups and guideline recommendations for HCC surveillance.List the key differences among the three strategies for abbreviated MRI for HCC surveillance: nonenhanced, dynamic contrast-enhanced, and hepatobiliary phase contrast-enhanced abbreviated MRI.Discuss the abbreviated MRI protocols that are tailored for detection of HCC and involve the use of fewer sequences than a complete multiphase MRI examination.

show abstract

“…In addition to the radiation exposure that occurs with repeated computed tomography examinations, adherence to this screening program is also difficult as these imaging techniques are not easily accessible, particularly in developing countries. Contrast-enhanced ultrasound is a good surveillance option for patients at high risk for HCC[ 5 ]. Therefore, Harris et al [ 1 ] recommend the use of alternative imaging if the standard ultrasound is limited.…”

Section: To the Editormentioning

confidence: 99%