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Liver Diseases pp 459-471 | Cite as

Liver Ultrasonography

  • Laura Iliescu
Chapter

Abstract

Ultrasonography is a well-established technique of diagnosis in a very large number of pathologies. Besides, abdominal ultrasonography is one of the most commonly performed imagistic investigations in medicine, of high value in the exploration of parenchymatous organs, particularly the liver. It offers information about liver structure and vascularization, but also about possible pathologic processes that may occur in or around the liver. Recent technologic advances have made ultrasonography almost as reliable as CT scan or MRI in the evaluation of liver diseases, and its utility extends beyond diagnosis, as a mean of imagistic control in interventional procedures, such as liver biopsy or radiofrequency ablation. This work aims to review the normal and pathologic ultrasonographic imaging of the liver, in respect to its structure, blood and bile circulation.

Keywords

Ultrasonography Liver Diagnostic imaging Portal hypertension 

References

  1. 1.
    Hassani S. Principles of ultrasonography. J Natl Med Assoc. 1974;66(3):205–8.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Ralls PW, Jeffrey RB Jr, Kane RA, Robbin ML. Diagnostic sonography. In: Yamada T, editor. Textbook of gastroenterology. 5th ed. Hoboken, NJ: Blackwell Publishing Ltd; 2009. p. 3083–113.Google Scholar
  3. 3.
    Hofer M. Ultrasound teaching manual - the basics of performing and interpreting ultrasound scans. Stuttgart: Thieme; 1999. p. 23–33.Google Scholar
  4. 4.
    Kudo M, Hirasa M, Takakuwa H, et al. Small hepatocellular carcinomas in chronic liver disease: detection with SPECT. Radiology. 1986;159:697.CrossRefGoogle Scholar
  5. 5.
    Penny S. Examination review for ultrasound: abdominal & obstetrics and gynecology. Philadelphia: Wolters Kluwer; 2018.Google Scholar
  6. 6.
    Borges VF, Diniz AL, Cotrim HP, Rocha HL, Andrade NB. Sonographic hepatorenal ratio: a noninvasive method to diagnose nonalcoholic steatosis. J Clin Ultrasound. 2013;41(1):18–25.CrossRefGoogle Scholar
  7. 7.
    Choi BI, Lee JY. The liver, Chapter 7. In: Lutz H, Buscarini E, editors. WHO manual of diagnostic ultrasound, vol. 1. 2nd ed. Malta: Gutenberg Press Ltd.; 2011. p. 139–67.Google Scholar
  8. 8.
    Guidelines for professional ultrasound practice. Society and College of Radiographers and British Medical Ultrasound Society, Revision 3; 2018.Google Scholar
  9. 9.
    EASL. EASL Clinical practice guidelines: vascular diseases of the liver. J Hepatol. 2015;  https://doi.org/10.1016/j.jhep.2015.07.040.
  10. 10.
    Grant EG. Parenchymal disease of the liver. In: Rifkin MD, Charboneau JW, Laing FC, editors. Ultrasound 1991 syllabus: special course. Oak Brook, IL: Radiological Society of North America; 1991. p. 281.Google Scholar
  11. 11.
    Browning JD, Szczepaniak LS, Dobbins R, Nuremberg P, Horton JD, Cohen JC, Grundy SM, Hobbs HH. Prevalence of hepatic steatosis in an urban population in the United States: impact of ethnicity. Hepatology. 2004;40(6):1387–95.CrossRefGoogle Scholar
  12. 12.
    Petritsch W, Pristautz H, Eber B. Is sonography superior to enzyme diagnosis in the detection of hepatic steatosis? Wien Klin Wochenschr. 1987;99(5):153–6.PubMedGoogle Scholar
  13. 13.
    Ricci C, Longo R, Gioulis E, Bosco M, Pollesello P, Masutti F, et al. Noninvasive in vivo quantitative assessment of fat content in human liver. J Hepatol. 1997;27(1):108–13.CrossRefGoogle Scholar
  14. 14.
    Ahima RS. Insulin resistance: cause or consequence of nonalcoholic steatohepatitis? Gastroenterology. 2007;132(1):444–6.CrossRefGoogle Scholar
  15. 15.
    White EM, Simeone JF, Mueller PR, et al. Focal periportal sparing in hepatic fatty infiltration: a cause of hepatic pseudomass on US. Radiology. 1987;162:57.CrossRefGoogle Scholar
  16. 16.
    Forsberg L, Floren CH, Hederstrom E, et al. Ultrasound examination in diffuse liver disease. Clinical significance of enlarged lymph nodes in the hepatoduodenal ligament. Acta Radiol. 1987;28:281.CrossRefGoogle Scholar
  17. 17.
    Quinn SF, Gosink BB. Characteristic sonographic signs of hepatic fatty infiltration. AJR Am J Roentgenol. 1985;145:753.CrossRefGoogle Scholar
  18. 18.
    Gerstenmaier JF, Gibson RN. Ultrasound in chronic liver disease. Insights Imaging. 2014;5:441–55.  https://doi.org/10.1007/s13244-014-0336-2.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Harbin WP, Robert NJ, Ferrucci JT Jr. Diagnosis of cirrhosis based on regional changes in hepatic morphology. Radiology. 1980;135:273.CrossRefGoogle Scholar
  20. 20.
    Choong CC, Venkatesh SK, Siew EP. Accuracy of routine clinical ultrasound for staging of liver fibrosis. J Clin Imaging Sci. 2012;2:58.CrossRefGoogle Scholar
  21. 21.
    Macarini L, Stoppino LP. Radiologic assessment of liver fibrosis – present and future, practical management of chronic viral hepatitis, Gaetano Serviddio. IntechOpen.  https://doi.org/10.5772/55164. 2013. https://www.intechopen.com/books/practical-management-of-chronic-viral-hepatitis/radiologic-assessment-of-liver-fibrosis-present-and-future.Google Scholar
  22. 22.
    Hess CF, Schmiedl U, Koelbel G, et al. Diagnosis of liver cirrhosis with US; receiver-operating characteristic analysis of multidimensional caudate lobe indexes. Radiology. 1989;171:349.CrossRefGoogle Scholar
  23. 23.
    Lafortune M, Matricardi L, Denys A, Favret M, Dery R, Pomier-Layrargues G. Degment 4 (the quadrate lobe): a barometer of cirrhotic liver disease at US. Radiology. 1998;206:157–60.CrossRefGoogle Scholar
  24. 24.
    Wang TF, Hwang SJ, Lee EY, Tsai YT, Lin HC, Li CP, et al. Gall-bladder wall thickening in patients with liver cirrhosis. J Gastroenterol Hepatol. 1997;12(6):445–9.CrossRefGoogle Scholar
  25. 25.
    EASL. EASL clinical practice guidelines on the management of benign liver tumours. J Hepatol. 2016;65:386–98.CrossRefGoogle Scholar
  26. 26.
    D’Onofrio M, Crosara S, De Robertis R, Canestrini S, Mucelli RP. Contrast enhanced ultrasound of focal liver lesions. AJR Am J Roentgenol. 2015;205:W56–66.CrossRefGoogle Scholar
  27. 27.
    Richter J, Hatz C, Häussinger D. Ultrasound in tropical and parasitic diseases. Lancet. 2003;362(9387):900–2.CrossRefGoogle Scholar
  28. 28.
    Kuligowska E, Connors SK, Shapiro JH. Liver abscess: sonography in diagnosis and treatment. Am J Roentgenol. 1982;138(2):253–7.CrossRefGoogle Scholar
  29. 29.
    Quaia E, Bertolotto M, Dalla Palma L. Characterization of liver hemangiomas with pulse inversion harmonic imaging. Eur Radiol. 2002;12:537–44.CrossRefGoogle Scholar
  30. 30.
    Buetow PC, Pantongrag-Brown L, Buck JL, Ros PR, Goodman ZD. Focal nodular hyperplasia of the liver: radiologic-pathologic correlation. Radiographics. 1996;16:369–88.CrossRefGoogle Scholar
  31. 31.
    EASL. EASL clinical practice guidelines: management of hepatocellular carcinoma. J Hepatol. 2018;69:182–236.CrossRefGoogle Scholar
  32. 32.
    Kefeli A, Basyigit S, Yeniova AO. Diagnosis of hepatocellular carcinoma, updates in liver cancer. Hesham Mohamed Abdeldayem. IntechOpen.  https://doi.org/10.5772/64992. 2017. https://www.intechopen.com/books/updates-in-liver-cancer/diagnosis-of-hepatocellular-carcinoma.Google Scholar
  33. 33.
    Forner A, Vilana R, Ayuso C, Bianchi L, Sole M, Ayuso JR, et al. Diagnosis of hepatic nodules 20 mm or smaller in cirrhosis: prospective validation of the noninvasive diagnostic criteria for hepatocellular carcinoma. Hepatology. 2008;47:97–104.CrossRefGoogle Scholar
  34. 34.
    Bolondi L, Sofia S, Siringo S, Gaiani S, Casali A, Zironi G, et al. Surveillance programme of cirrhotic patients for early diagnosis and treatment of hepatocellular carcinoma: a cost effectiveness analysis. Gut. 2001;48:251–9.CrossRefGoogle Scholar
  35. 35.
    Choi BI, Lee JH, Han MC, Kim SH, Yi JG, Kim CW. Hilar cholangiocarcinoma: comparative study with sonography and CT. Radiology. 1989;172:689–92.CrossRefGoogle Scholar
  36. 36.
    Kurtz AB, Middleton WD. Ultrasound: the requisites. St Louis, MO: Mosby-Year Book; 1996. p. 55–73.Google Scholar
  37. 37.
    Harding DJ, Perera M, Chen F, Olliff S, Tripathi D. Portal vein thrombosis in cirrhosis: controversies and latest developments. World JGastroenterol. 2015;21:6769–84.CrossRefGoogle Scholar
  38. 38.
    Aydinli M, Bayraktar Y. Budd-Chiari syndrome: etiology, pathogenesis and diagnosis. World J Gastroenterol. 2007;13(19):2693–6.  https://doi.org/10.3748/wjg.v13.i19.2693.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Laura Iliescu
    • 1
  1. 1.Internal Medicine and Gastroenterology, Institutul Clinic FundeniUniversity of Medicine and Pharmacy (UMF) Carol DavilaBucharestRomania

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