Ultrasonography for Noninvasive Assessment of Portal Hypertension.

Abstract:

:Portal hypertension is a major pathophysiology in patients with cirrhosis. Portal pressure is the gold standard to evaluate the severity of portal hypertension, and radiological intervention is the only procedure for pressure measurement. Ultrasound (US) is a simple and noninvasive imaging modality available worldwide. B-mode imaging allows broad applications for patients to detect and characterize chronic liver diseases and focal hepatic lesions. The Doppler technique offers real-time observation of blood flow with qualitative and quantitative assessments, and the application of microbubble-based contrast agents has improved the detectability of peripheral blood flow. In addition, elastography for the liver and spleen covers a wider field beyond the original purpose of fibrosis assessment. These developments enhance the practical use of US in the evaluation of portal hemodynamic abnormalities. This article reviews the recent progress of US in the assessment of portal hypertension.

journal_name

Gut Liver

journal_title

Gut and liver

authors

Maruyama H,Yokosuka O

doi

10.5009/gnl16078

subject

Has Abstract

pub_date

2017-07-15 00:00:00

pages

464-473

issue

4

eissn

1976-2283

issn

2005-1212

pii

gnl16078

journal_volume

11

pub_type

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