Alcoholic hepatitis CT: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Alcoholic hepatitis}} | {{Alcoholic hepatitis}} | ||
{{CM}} {{AE}} {{S.M}} | |||
==Overview== | |||
== CT== | |||
* [[CT scan]] is usually performed among [[patients]] with [[Alcoholic Hepatitis]] to exclude other abnormalities including [[neoplasm]], [[biliary]] [[obstruction]] or [[infiltrative]] [[liver]] [[disease]]. | |||
*[[CT scan]] can predict [[severity]] and [[outcome]] of [[Alcoholic Hepatitis]] by presence of the following findings: | |||
** [[Splenomegaly]], defined as [[spleen]] dimension ≥ 13 cm | |||
** [[Ascites]] | |||
** [[Varices]]; defined as moderate if esophageal varices < 3 mm or paraesophageal varices < 5 mm, severe varices defined as esophageal varices > 3 mm or paraesophageal varices > 5 mm | |||
** [[Liver]] length to mid [[clavicular]] line | |||
** [[Liver]] [[attenuation]], measured approximately 5 cm2 regions of interest in the right, central, and left [[liver]] at the level of the [[portal]] [[vein]] | |||
**[[Spleen]] [[attenuation]], measured approximately 5 cm2 regions of interest in the center of [[spleen]] | |||
** [[Liver]] [[heterogenecity]], mild heterogenecity considered as if 1 to 50% of [[hepatic]] [[parenchyma]] was [[heterogenous]], more than 50% of [[heterogenous]] area considered [[moderate]] to [[severe]][[heterogenecity]] | |||
hepatic parenchyma was heterogenous | |||
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==References== | ==References== | ||
Revision as of 22:59, 30 July 2021
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Alcoholic hepatitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Alcoholic hepatitis CT On the Web |
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American Roentgen Ray Society Images of Alcoholic hepatitis CT |
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Risk calculators and risk factors for Alcoholic hepatitis CT |
Template:CM Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[1]
Overview
CT
- CT scan is usually performed among patients with Alcoholic Hepatitis to exclude other abnormalities including neoplasm, biliary obstruction or infiltrative liver disease.
- CT scan can predict severity and outcome of Alcoholic Hepatitis by presence of the following findings:
- Splenomegaly, defined as spleen dimension ≥ 13 cm
- Ascites
- Varices; defined as moderate if esophageal varices < 3 mm or paraesophageal varices < 5 mm, severe varices defined as esophageal varices > 3 mm or paraesophageal varices > 5 mm
- Liver length to mid clavicular line
- Liver attenuation, measured approximately 5 cm2 regions of interest in the right, central, and left liver at the level of the portal vein
- Spleen attenuation, measured approximately 5 cm2 regions of interest in the center of spleen
- Liver heterogenecity, mild heterogenecity considered as if 1 to 50% of hepatic parenchyma was heterogenous, more than 50% of heterogenous area considered moderate to severeheterogenecity
hepatic parenchyma was heterogenous
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