Difference between revisions of "Ultrasonography of the liver"
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'''[[Ultrasonography of cirrhosis]]''' is done without IV contrast. In Swedish practice, it should be done within 2 months in suspected cirrhosis.<ref group="notes">{{NU Hospital Group}}</ref> | '''[[Ultrasonography of cirrhosis]]''' is done without IV contrast. In Swedish practice, it should be done within 2 months in suspected cirrhosis.<ref group="notes">{{NU Hospital Group}}</ref> | ||
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| + | ==General screening== | ||
| + | A general screening of the liver includes: | ||
| + | *'''Echogenicity''', where being more hyperechogenic than the kidneys indicates steatosis. | ||
| + | *'''Focal changes''', mainly cysts or tumors. In case of liver tumors, see '''[[ultrasonography of liver tumors]]''' | ||
| + | |||
| + | Also, in suspected liver disease, it is often indicated to perform a {{general upper abdominal screening}}. | ||
==Size== | ==Size== | ||
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File:Ascites ultrasound 2.JPG|thumb|[[Ultrasonography of cirrhosis|Ultrasonography of '''cirrhosis''']].<br>This image demonstrates irregular liver surface and ascites. | File:Ascites ultrasound 2.JPG|thumb|[[Ultrasonography of cirrhosis|Ultrasonography of '''cirrhosis''']].<br>This image demonstrates irregular liver surface and ascites. | ||
| + | File:Contrast-enhanced ultrasound of encephaloid hepatocellular carcinoma.jpg|thumb|link=Ultrasonography of liver tumors|[[Ultrasonography of liver tumors|Ultrasonography of liver '''tumors''']] | ||
</gallery> | </gallery> | ||
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{{Bottom}} | {{Bottom}} | ||
Revision as of 20:30, 6 December 2018
Author:
Mikael Häggström [notes 1]
Planning
Contrast-enhanced liver ultrasonography is often indicated in cases of focal liver changes, as well as follow-ups of metastases. In Swedish practice, it should be performed within 2 to 4 weeks, depending on the supiciousness of cancer.
Ultrasonography of cirrhosis is done without IV contrast. In Swedish practice, it should be done within 2 months in suspected cirrhosis.[notes 2]
General screening
A general screening of the liver includes:
- Echogenicity, where being more hyperechogenic than the kidneys indicates steatosis.
- Focal changes, mainly cysts or tumors. In case of liver tumors, see ultrasonography of liver tumors
Also, in suspected liver disease, it is often indicated to perform a general upper abdominal screening.
Size
File:Liver measurements on ultrasonography.jpg
Abdominal ultrasonography of the liver, as a sagittal plane through the midclavicular line, with some standard measurements.[1]
File:Liver size at the midclavicular line at 0 to 7 years.png
Normal craniocaudal dimension of the posterior surface of the right lobe of the liver at the midclavicular line at ages 0 to 7.[2]
- Basic evaluation: Maximum dimension on a sagittal plane view through the midclavicular line, which is normally up to 18 cm in adults.[1]
- More comprehensive, also including:
Diseases
- Ascites ultrasound 2.JPG
Ultrasonography of cirrhosis.
This image demonstrates irregular liver surface and ascites. - Contrast-enhanced ultrasound of encephaloid hepatocellular carcinoma.jpg
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.
- ↑ NU Hospital Group, Sweden
References
- ↑ 1.0 1.1 1.2 1.3 1.4 Christoph F. Dietrich, Carla Serra, Maciej Jedrzejczyk (2010-07-28). Ultrasound of the liver - EFSUMB – European Course Book. European federation of societies for ultrasound in medicine and biology (EFSUMB).
- ↑ Rocha, Silvia Maria Sucena da; Ferrer, Ana Paula Scoleze; Oliveira, Ilka Regina Souza de; Widman, Azzo; Chammas, Maria Cristina; Oliveira, Luiz Antonio Nunes de; Cerri, Giovanni Guido (2009). "Determinação do tamanho do fígado de crianças normais, entre 0 e 7 anos, por ultrassonografia ". Radiologia Brasileira 42 (1): 7–13. doi:. ISSN 0100-3984.
