MRI in liver cirrhosis
Liver magnetic resonance imaging (MRI) has seen a massive increase in its use over the last decades. Since its first description in the early 1980s, contrast‐enhanced MRI is now the gold standard for the diagnosis of hepatocellular cancer in patients with liver cirrhosis. Techniques like magnetic re...
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| Vydané v: | Portal hypertension & cirrhosis (Print) Ročník 1; číslo 1; s. 23 - 41 |
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| Jazyk: | English |
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Nanjing
John Wiley & Sons, Inc
01.06.2022
School of Medicine, The University of Jordan, Amman, Jordan%School of Public Health, Texas A&M University, College Station, Texas, USA%Department of Radiology, Faculty of Medicine, Istanbul University, Istanbul, Turkey%Radcliffe Department of Medicine, University of Oxford, Oxford, UK%Translational Gastroenterology Unit, University of Oxford, Oxford, UK%Oxford NIHR Biomedical Research Centre, University of Oxford, Oxford, UK Wiley |
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| ISSN: | 2770-5846, 2770-5838, 2770-5846 |
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| Abstract | Liver magnetic resonance imaging (MRI) has seen a massive increase in its use over the last decades. Since its first description in the early 1980s, contrast‐enhanced MRI is now the gold standard for the diagnosis of hepatocellular cancer in patients with liver cirrhosis. Techniques like magnetic resonance (MR) elastography and combinations of multiple MR parameters in single scanning protocols are now available and these are opening new possibilities for the assessment of multiple aspects of disease in patients with liver cirrhosis. In this narrative review, we provide an overview of the use of MRI in patients with cirrhosis for the diagnosis of and screening for liver cancer, for the diagnosis of cirrhosis and prediction of long‐term outcomes, and for the evaluation of portal hypertension. With the multitude of techniques now available and the number of cirrhosis aspects that can be assessed by single scans make the study and application of MRI an attractive target in the search for a technique for use in this group of patients that often have to attend for multiple appointments and multiple tests, including invasive investigations.
Magnetic resonance imaging (MRI) with gadolinium contrast is the current gold standard for the diagnosis of hepatocellular cancer (HCC) in patients with liver cirrhosis (top panel). Recent developments have seen new applications of magnetic resonance (MR) in more indications including screening for HCC, diagnosis of cirrhosis, risk stratification for future decompensation, and portal hypertension assessment (middle panel). It is possible that in the future that multiple MR modalities will be combined into single scanning sessions to provide data for multiple indications (bottom panel).
Key points
Contrast‐enhanced magnetic resonance imaging is the current gold standard for diagnosis of hepatocellular cancer (HCC) in patients with cirrhosis.
Magnetic resonance techniques including elastography and Liver MultiScan (Perspectum Ltd.) have recently seen applications in diagnosis and risk stratification of cirrhosis, screening for HCC and ass. |
|---|---|
| AbstractList | Liver magnetic resonance imaging (MRI) has seen a massive increase in its use over the last decades. Since its first description in the early 1980s, contrast-enhanced MRI is now the gold standard for the diagnosis of hepatocellular cancer in patients with liver cirrhosis. Techniques like magnetic resonance (MR) elastography and combinations of multiple MR parameters in single scanning protocols are now available and these are opening new possibilities for the assessment of multiple aspects of disease in patients with liver cirrhosis. In this narrative review, we provide an overview of the use of MRI in patients with cirrhosis for the diagnosis of and screening for liver cancer, for the diagnosis of cirrhosis and prediction of long-term outcomes, and for the evaluation of portal hypertension. With the multitude of techniques now available and the number of cirrhosis aspects that can be assessed by single scans make the study and application of MRI an attractive target in the search for a technique for use in this group of patients that often have to attend for multiple appointments and multiple tests, including invasive investigations. Liver magnetic resonance imaging (MRI) has seen a massive increase in its use over the last decades. Since its first description in the early 1980s, contrast‐enhanced MRI is now the gold standard for the diagnosis of hepatocellular cancer in patients with liver cirrhosis. Techniques like magnetic resonance (MR) elastography and combinations of multiple MR parameters in single scanning protocols are now available and these are opening new possibilities for the assessment of multiple aspects of disease in patients with liver cirrhosis. In this narrative review, we provide an overview of the use of MRI in patients with cirrhosis for the diagnosis of and screening for liver cancer, for the diagnosis of cirrhosis and prediction of long‐term outcomes, and for the evaluation of portal hypertension. With the multitude of techniques now available and the number of cirrhosis aspects that can be assessed by single scans make the study and application of MRI an attractive target in the search for a technique for use in this group of patients that often have to attend for multiple appointments and multiple tests, including invasive investigations. Contrast‐enhanced magnetic resonance imaging is the current gold standard for diagnosis of hepatocellular cancer (HCC) in patients with cirrhosis. Magnetic resonance techniques including elastography and Liver MultiScan (Perspectum Ltd.) have recently seen applications in diagnosis and risk stratification of cirrhosis, screening for HCC and ass. Abstract Liver magnetic resonance imaging (MRI) has seen a massive increase in its use over the last decades. Since its first description in the early 1980s, contrast‐enhanced MRI is now the gold standard for the diagnosis of hepatocellular cancer in patients with liver cirrhosis. Techniques like magnetic resonance (MR) elastography and combinations of multiple MR parameters in single scanning protocols are now available and these are opening new possibilities for the assessment of multiple aspects of disease in patients with liver cirrhosis. In this narrative review, we provide an overview of the use of MRI in patients with cirrhosis for the diagnosis of and screening for liver cancer, for the diagnosis of cirrhosis and prediction of long‐term outcomes, and for the evaluation of portal hypertension. With the multitude of techniques now available and the number of cirrhosis aspects that can be assessed by single scans make the study and application of MRI an attractive target in the search for a technique for use in this group of patients that often have to attend for multiple appointments and multiple tests, including invasive investigations. Liver magnetic resonance imaging (MRI) has seen a massive increase in its use over the last decades. Since its first description in the early 1980s, contrast‐enhanced MRI is now the gold standard for the diagnosis of hepatocellular cancer in patients with liver cirrhosis. Techniques like magnetic resonance (MR) elastography and combinations of multiple MR parameters in single scanning protocols are now available and these are opening new possibilities for the assessment of multiple aspects of disease in patients with liver cirrhosis. In this narrative review, we provide an overview of the use of MRI in patients with cirrhosis for the diagnosis of and screening for liver cancer, for the diagnosis of cirrhosis and prediction of long‐term outcomes, and for the evaluation of portal hypertension. With the multitude of techniques now available and the number of cirrhosis aspects that can be assessed by single scans make the study and application of MRI an attractive target in the search for a technique for use in this group of patients that often have to attend for multiple appointments and multiple tests, including invasive investigations. Magnetic resonance imaging (MRI) with gadolinium contrast is the current gold standard for the diagnosis of hepatocellular cancer (HCC) in patients with liver cirrhosis (top panel). Recent developments have seen new applications of magnetic resonance (MR) in more indications including screening for HCC, diagnosis of cirrhosis, risk stratification for future decompensation, and portal hypertension assessment (middle panel). It is possible that in the future that multiple MR modalities will be combined into single scanning sessions to provide data for multiple indications (bottom panel). Key points Contrast‐enhanced magnetic resonance imaging is the current gold standard for diagnosis of hepatocellular cancer (HCC) in patients with cirrhosis. Magnetic resonance techniques including elastography and Liver MultiScan (Perspectum Ltd.) have recently seen applications in diagnosis and risk stratification of cirrhosis, screening for HCC and ass. |
| Abstract_FL | Liver magnetic resonance imaging (MRI) has seen a massive increase in its use over the last decades. Since its first description in the early 1980s, contrast-enhanced MRI is now the gold standard for the diagnosis of hepatocellular cancer in patients with liver cirrhosis. Techniques like magnetic resonance (MR) elastography and combinations of multiple MR parameters in single scanning protocols are now available and these are opening new possibilities for the assessment of multiple aspects of disease in patients with liver cirrhosis. In this narrative review, we provide an overview of the use of MRI in patients with cirrhosis for the diagnosis of and screening for liver cancer, for the diagnosis of cirrhosis and prediction of long-term outcomes, and for the evaluation of portal hypertension. With the multitude of techniques now available and the number of cirrhosis aspects that can be assessed by single scans make the study and application of MRI an attractive target in the search for a technique for use in this group of patients that often have to attend for multiple appointments and multiple tests, including invasive investigations. |
| Author | Arar, Ahmad Pavlides, Michael Singh, Viraj Erturk, Sukru M. Alzoubi, Osama Mozes, Ferenc |
| AuthorAffiliation | School of Medicine, The University of Jordan, Amman, Jordan%School of Public Health, Texas A&M University, College Station, Texas, USA%Department of Radiology, Faculty of Medicine, Istanbul University, Istanbul, Turkey%Radcliffe Department of Medicine, University of Oxford, Oxford, UK%Translational Gastroenterology Unit, University of Oxford, Oxford, UK%Oxford NIHR Biomedical Research Centre, University of Oxford, Oxford, UK |
| AuthorAffiliation_xml | – name: School of Medicine, The University of Jordan, Amman, Jordan%School of Public Health, Texas A&M University, College Station, Texas, USA%Department of Radiology, Faculty of Medicine, Istanbul University, Istanbul, Turkey%Radcliffe Department of Medicine, University of Oxford, Oxford, UK%Translational Gastroenterology Unit, University of Oxford, Oxford, UK%Oxford NIHR Biomedical Research Centre, University of Oxford, Oxford, UK |
| Author_FL | Alzoubi Osama Arar Ahmad Pavlides Michael Erturk Sukru M Singh Viraj Mozes Ferenc |
| Author_FL_xml | – sequence: 1 fullname: Alzoubi Osama – sequence: 2 fullname: Arar Ahmad – sequence: 3 fullname: Singh Viraj – sequence: 4 fullname: Erturk Sukru M – sequence: 5 fullname: Mozes Ferenc – sequence: 6 fullname: Pavlides Michael |
| Author_xml | – sequence: 1 givenname: Osama orcidid: 0000-0001-8196-3922 surname: Alzoubi fullname: Alzoubi, Osama organization: The University of Jordan – sequence: 2 givenname: Ahmad orcidid: 0000-0002-9172-8958 surname: Arar fullname: Arar, Ahmad organization: The University of Jordan – sequence: 3 givenname: Viraj surname: Singh fullname: Singh, Viraj organization: Texas A&M University – sequence: 4 givenname: Sukru M. surname: Erturk fullname: Erturk, Sukru M. organization: Istanbul University – sequence: 5 givenname: Ferenc surname: Mozes fullname: Mozes, Ferenc organization: University of Oxford – sequence: 6 givenname: Michael orcidid: 0000-0001-9882-8874 surname: Pavlides fullname: Pavlides, Michael email: Michael.pavlides@cardiov.ox.ac.uk organization: University of Oxford |
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| Keywords | Liver MultiScan imaging biomarker portal hypertension MR elastography hepatocellular cancer liver cirrhosis |
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| Publisher | John Wiley & Sons, Inc School of Medicine, The University of Jordan, Amman, Jordan%School of Public Health, Texas A&M University, College Station, Texas, USA%Department of Radiology, Faculty of Medicine, Istanbul University, Istanbul, Turkey%Radcliffe Department of Medicine, University of Oxford, Oxford, UK%Translational Gastroenterology Unit, University of Oxford, Oxford, UK%Oxford NIHR Biomedical Research Centre, University of Oxford, Oxford, UK Wiley |
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| Snippet | Liver magnetic resonance imaging (MRI) has seen a massive increase in its use over the last decades. Since its first description in the early 1980s,... Abstract Liver magnetic resonance imaging (MRI) has seen a massive increase in its use over the last decades. Since its first description in the early 1980s,... |
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| StartPage | 23 |
| SubjectTerms | Clinical medicine Contrast agents Hepatitis hepatocellular cancer Hypertension imaging biomarker Liver cancer Liver cirrhosis Liver diseases Liver MultiScan Medical diagnosis Medical prognosis MR elastography portal hypertension Radiation Ultrasonic imaging |
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| Title | MRI in liver cirrhosis |
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