EFSUMB Guidelines and Recommendations on the Clinical Use of Liver Ultrasound Elastography, Update 2017 (Long Version)

Christoph F. Dietrich, Jeffrey Bamber, Annalisa Berzigotti, Simona Bota, Vito Cantisani, Laurent Castera, David Cosgrove, Giovanna Ferraioli, Mireen Friedrich-Rust, Odd Helge Gilja, Ruediger Stephan Goertz, Thomas Karlas, Robert De Knegt, Victor De Ledinghen, Fabio Piscaglia, Bogdan Procopet, Adrian Saftoiu, Paul S. Sidhu, Ioan Sporea, Maja Thiele

Research output: Contribution to journalReview articlepeer-review

Abstract

We present here the first update of the 2013 EFSUMB (European Federation of Societies for Ultrasound in Medicine and Biology) Guidelines and Recommendations on the clinical use of elastography, focused on the assessment of diffuse liver disease. The first part (long version) of these Guidelines and Recommendations deals with the basic principles of elastography and provides an update of how the technology has changed. The practical advantages and disadvantages associated with each of the techniques are described, and guidance is provided regarding optimization of scanning technique, image display, image interpretation, reporting of data and some of the known image artefacts. The second part provides clinical information about the practical use of elastography equipment and the interpretation of results in the assessment of diffuse liver disease and analyzes the main findings based on published studies, stressing the evidence from meta-analyses. The role of elastography in different etiologies of liver disease and in several clinical scenarios is also discussed. All of the recommendations are judged with regard to their evidence-based strength according to the Oxford Centre for Evidence-Based Medicine Levels of Evidence. This updated document is intended to act as a reference and to provide a practical guide for both beginners and advanced clinical users.

Original languageEnglish
Pages (from-to)e16-e47
JournalUltraschall in der Medizin
Volume38
Issue number4
DOIs
Publication statusPublished - Aug 1 2017

Keywords

  • alcoholic hepatitis
  • chronic liver disease
  • chronic viral hepatitis
  • fibrosis
  • guidelines
  • hepatitis
  • liver
  • NAFLD
  • shear wave elastography
  • strain elastography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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