Diagnostic Advances
Copyright ©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Oct 14, 2013; 19(38): 6329-6347
Published online Oct 14, 2013. doi: 10.3748/wjg.v19.i38.6329
Liver elastography, comments on EFSUMB elastography guidelines 2013
Xin-Wu Cui, Mireen Friedrich-Rust, Chiara De Molo, Andre Ignee, Dagmar Schreiber-Dietrich, Christoph F Dietrich
Xin-Wu Cui, Chiara De Molo, Andre Ignee, Christoph F Dietrich, Department of Internal Medicine, Caritas-Krankenhaus Bad Mergentheim, 97980 Bad Mergentheim, Germany
Mireen Friedrich-Rust, Department of Internal Medicine 1, J.W.Goethe University Hospital, 60590 Frankfurt, Germany
Dagmar Schreiber-Dietrich, Department of Pediatrics, Asklepiosklinik St. Augustin, Abt. Neonatologie und Pädiatrische Intensivmedizin, 52757 St. Augustin, Germany
Author contributions: Dietrich CF established the design and conception of the paper; Cui XW, Dietrich CF, Friedrich-Rust M, De Molo C, Ignee A and Schreiber-Dietrich D analyzed the literature data; Dietrich CF provided the first draft of the manuscript; Cui XW, Friedrich-Rust M, De Molo C, Ignee A and Schreiber-Dietrich D discussed and revised critically for intellectual content; Dietrich CF, Cui XW and Friedrich-Rust M provided figures. Dietrich CF, Cui XW, Friedrich-Rust M, De Molo C, Ignee A and Schreibe-Dietrich D discussed the statement and conclusions, the comments of the reviewer, and approved the final version to be published.
Correspondence to: Christoph F Dietrich, Professor, Department of Internal Medicine, Caritas-Krankenhaus Bad Mergentheim, Uhlandstr. 7, 97980 Bad Mergentheim, Germany. christoph.dietrich@ckbm.de
Telephone: +49-7931-582201 Fax: +49-7931-582290
Received: May 20, 2013
Revised: August 11, 2013
Accepted: September 16, 2013
Published online: October 14, 2013
Processing time: 148 Days and 10.3 Hours
Abstract

Recently the European Federation of Societies for Ultrasound in Medicine and Biology Guidelines and Recommendations have been published assessing the clinical use of ultrasound elastography. The document is intended to form a reference and to guide clinical users in a practical way. They give practical advice for the use and interpretation. Liver disease forms the largest section, reflecting published experience to date including evidence from meta-analyses with shear wave and strain elastography. In this review comments and illustrations on the guidelines are given.

Keywords: Liver; Ultrasound; Elastography; Guidelines; Fibrosis

Core tip: The presented paper is intended to comment the “European Federation of Societies for Ultrasound in Medicine and Biology Guidelines and Recommendations on the Clinical Use of Ultrasound Elastography” and discuss the multivariate factors that have an influence on liver stiffness, and the current techniques of ultrasound elastography as well as magnetic resonance elastography.