摘要
非酒精性脂肪性肝病(NAFLD)是一种越来越重要的公共健康问题,它被认为是21世纪与肝相关性最大的疾病。大约20%-30%NAFLD受试者会经历非酒精性脂肪性肝炎,这种情况可能会发展成肝硬化和肝细胞癌。基于以上原因,肝损伤评估是诊断和预后关键的手段,肝脏活组织检查仍是区分脂肪肝和脂肪性肝炎以及肝纤维化程度评估“黄金标准” 程序。尽管如此,它是一种微创、痛苦以及昂贵的过程,一种更好的方法以开发非侵入性方法,通过血清标记物和成像技术对NAFLD的存在和、或严重程度进行评估。本文旨在对主要可用于对NAFLD患者非侵入性评估手段的优缺点进行综述。
关键词: 非酒精性脂肪性肝病;非酒精性脂肪性肝炎;非侵入性评估;肝脏活细胞检查
Current Molecular Medicine
Title:Non-Invasive Assessment of Liver Injury in Non-Alcoholic Fatty Liver Disease: A Review of Literature
Volume: 16 Issue: 8
Author(s): M. Maida, F. S. Macaluso, F. Salomone, S. Petta
Affiliation:
关键词: 非酒精性脂肪性肝病;非酒精性脂肪性肝炎;非侵入性评估;肝脏活细胞检查
摘要: NAFLD (Non-Alcoholic Fatty Liver Disease) is an increasingly significant public health issue, regarded as the most relevant liver disease of the twenty-first century. Approximately 20%-30% of NAFLD subjects develop a NASH (Non-Alcoholic Steato-Hepatitis), a condition which can potentially evolve to liver cirrhosis and hepatocellular carcinoma. For these reasons a proper evaluation of liver damage is a key point for diagnosis and prognosis and liver biopsy still remains the “gold standard” procedure both for discrimination between steatosis and steatohepatitis and assessment of the degree of liver fibrosis. Nonetheless, given it is an invasive, painful and costly procedure, a great research efforts have been made in order to develop non-invasive methods for the assessment of NAFLD presence and/or severity by serum markers and imaging techniques. In this review we aimed to perform a comprehensive review of the literature about strengths and weaknesses of the main tools available for the non-invasive assessment of NAFLD patients.
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Cite this article as:
M. Maida, F. S. Macaluso, F. Salomone, S. Petta , Non-Invasive Assessment of Liver Injury in Non-Alcoholic Fatty Liver Disease: A Review of Literature, Current Molecular Medicine 2016; 16 (8) . https://dx.doi.org/10.2174/1566524016666161004143613
DOI https://dx.doi.org/10.2174/1566524016666161004143613 |
Print ISSN 1566-5240 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5666 |
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