肝脏脂肪变性的磁共振影像定量分析:新技术方法与临床应用
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国家自然科学基金(81771797);四川大学华西医院学科卓越发展1.3.5工程项目(ZYJC18008)


Quantification of hepatic steatosis with MR: new methods and clinical applications
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    摘要:

    脂肪变性是常见的肝脏病理改变,与多种慢性弥漫性肝病相关。早期脂肪变性常可逆转,故肝脏脂肪变性早期检测和定量分析具有重要临床意义。目前,穿刺活检是诊断肝脏脂肪变性的金标准,但该检查手段有创且存在取样误差。近年来,多种磁共振成像(MRI)技术广泛应用于肝脏脂肪定量,其中质子密度脂肪分数(PDFF)技术准确性高、稳定性好、可重复性强,适用于脂肪肝治疗后的疗效评估等纵向研究,且有望取代肝穿活检成为无创量化肝脏脂肪的检查方法。本文就肝脏脂肪变性的磁共振定量分析新技术方法和临床应用作一述评。

    Abstract:

    Hepatic steatosis (HS) is one of the common liver pathological changes and is associated with various chronic diffuse liver diseases. Early HS is reversible with timely intervention, thus early diagnosis and precise quantification of HS is of great clinical significance. Liver biopsy is currently the reference standard for the diagnosis and grading of HS, but it is invasive and prone to sampling variability. Recently, magnetic resonance (MR) techniques have been increasingly applied to HS quantification and could possibly be a noninvasive alternative to liver biopsy, among which, proton density fat fraction (PDFF) is considered as the most accurate, reproducible and repeatable imaging biomarker for noninvasive assessment of HS and has shown great potential to monitor the changes in steatosis in longitudinal clinical trials. In this paper, we will review the methods and clinical applications of MR in quantification of HS.

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  • 在线发布日期: 2020-04-09
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