Quantitative Assessment of Steatosis in Liver Tissue Using Controlled Attenuation Parameter

摘要

Hepatic steatosis (or fatty liver) is a common histological finding in patients with metabolic syndrome, alcoholic hepatitis, or hepatitis C, or those who receive certain drugs such as steroids and amiodarone. The complication of hepatic steatosis in patients with other liver diseases such as hepatitis C leads to the progression of liver fibrosis and poor treatment response. Therefore, an accurate evaluation of hepatic steatosis is essential for clinical decision making and prognosis assessment. Abdominal ultrasonography is a highly accurate and commonly used tool for diagnosing fatty liver. The diagnostic criteria of this technique include the following: brightness contrast between the liver parenchyma and the right renal cortex; masking of the portal vein, hepatic vein, and gallbladder wall; and ultrasound attenuation in deep liver tissues. However, ultrasound has low sensitivity in diagnosing mild steatosis and is prone to the operator's subjective opinion. Although computed tomography and magnetic resonance imaging play a certain role in diagnosing fatty liver, these techniques are limited by availability and radiation exposure.