影像学技术对肝硬化临床终点事件的预测

Value of imaging technology in predicting the clinical end events of liver cirrhosis

肝硬化临床终点事件对患者不良影响较大,其中食管胃底静脉曲张、门静脉血栓形成、原发性肝癌等可导致患者生活质量低下甚至死亡。影像学的快速发展为肝硬化临床终点事件的诊断和预测提供了重要参考。基于超声、超声造影、超声内镜、CT、MRI、多层螺旋CT血管成像、数字减影血管造影、核医学检查等影像学手段诊断评估肝硬化临床终点事件极大地为临床医生提供了帮助。然而,不同种类的影像技术具有不同的影像学特征。因此,医生应根据临床需要使用。

The clinical end events of liver cirrhosis have great adverse influence on patients,among which esophageal and gastric varices,portal vein thrombosis,and primary liver cancer might lead to low quality of life and even death.The rapid development of imaging technology provides an important reference for the diagnosis and prediction of the clinical end events of liver cirrhosis.The imaging methods based on ultrasound,contrast-enhanced ultrasound,endoscopic ultrasound,computed tomography(CT),magnetic resonance imaging,multi-slice spiral CT angiography,digital subtraction angiography,and nuclear medicine examination provide great help for clinicians in the diagnosis and evaluation of the clinical end events of liver cirrhosis.However,different imaging techniques may have different features,and therefore,clinicians should use these techniques based on clinical needs.