Expert consensus on MRI diagnosis of liver fibrosis in chronic hepatitis B (version 2023).
10.3760/cma.j.cn501113-20230223-00075
- VernacularTitle:慢性乙型肝炎肝纤维化MRI诊断专家共识（2023年版）
- Collective Name:Radiology Committee on Infectious and Inflammatory Disease, Chinese Research Hospital Association;;Radiology of Infection Sub-branch, Radiology Branch, Chinese Medical Association;;Digital Health Committee of China Association for the Promotion of Science and Technology Industrialization;;Committee on Radiology of HIV, Working and Treating Committee of HIV/AIDS and STD Association;;Radiology of Infectious Disease Management Sub-branch, Infectious Disease Management Branch, Hospital Management Association in China;;Beijing Imaging Diagnosis and Treatment Technology Innovation Alliance
- Publication Type:Journal Article
- Keywords:
Chronic hepatitis B;
Expert consensus;
Hepatic fibrosis;
Magnetic resonance imaging
- MeSH:
Humans;
Hepatitis B, Chronic/drug therapy*;
Consensus;
Liver Cirrhosis/diagnosis*;
Liver/diagnostic imaging*;
Magnetic Resonance Imaging/methods*
- From:
Chinese Journal of Hepatology
2023;31(10):1009-1017
- CountryChina
- Language:Chinese
-
Abstract:
Chronic hepatitis B is a common chronic inflammatory disease of the liver in China that frequently results in sustained damage to the liver parenchyma, followed by liver fibrosis, and ultimately progresses to unfavorable outcomes such as cirrhosis, liver failure, and liver cancer. Liver fibrosis reversal can be achieved through early and effective intervention. Therefore, timely and accurate assessment of the degree of liver fibrosis is of great clinical significance for the treatment and prognosis assessment of patients with chronic hepatitis B. MRI plays a crucial role in the early assessment and monitoring of the therapeutic efficacy of liver fibrosis in chronic hepatitis B. Currently, there is a lack of uniform consensus on MRI scanning protocols and related diagnostic thresholds for liver fibrosis in chronic hepatitis B, which is not conducive to practical clinical evaluation and application. This expert consensus is based on a full review of relevant domestic and international literature and the formulation of methodologies based on evidence-based medical guidelines and standards to develop recommendations for MRI scanning techniques and the diagnosis of liver fibrosis in chronic hepatitis B, with a view to providing a clear basis for the clinical diagnosis.
