SOP Scherwellenelastografie (Acoustic Radiation Force Impulse, ARFI)

Die sonoelastografischen (ARFI-)Verfahren bieten die Möglichkeit, eine relevante Fibrose der Leber nichtinvasiv zu diagnostizieren, und können ggf. helfen, eine Leberbiopsie zu vermeiden. Des Weiteren kann die Messung der Lebersteifigkeit mittels ARFI im Therapie-Monitoring diffuser Lebererkrankungen eingesetzt werden. Die nachfolgende SOP beschreibt die Einflussfaktoren und Prozeduren zur Gewinnung optimaler 2-D-Elastografie-Messwerte der Leber.

Schlüsselwörter

Elastografie - Acoustic Radiation Force Impulse - zweidimensionale Scherwellenelastografie - Durchführung - Normwerte

Publication History

Article published online:
15 June 2021

• Literatur

• 1 Stauber R. Nichtinvasive Diagnose der Leberfibrose bei chronischen Hepatopathien. J Gastroenterol Hepatol Erkrank 2009; 7: 12-17
• 2 Gress VS, Glawion EN, Schmidberger J. et al. Comparison of Liver Shear Wave Elastography Measurements using Siemens Acuson S3000, GE LOGIQ E9, Philips EPIQ7 and Toshiba Aplio 500 (Software Versions 5.0 and 6.0) in Healthy Volunteers. Ultraschall Med 2019; 40: 504-512 DOI: 10.1055/a-0651-0542.
• 3 Maaß M, Kratzer W. Scherwellenelastografie zur Beurteilung von Leberfibrose. Gastroenterologie up2date 2016; 12: 266-268 DOI: 10.1055/s-0042-117566.
• 4 Bota S, Herkner H, Sporea I. et al. Meta-analysis: ARFI elastography versus transient elastography for the evaluation of liver fibrosis. Liver Int 2013; 33: 1138-1147 DOI: 10.1111/liv.12240.
• 5 Bamber J, Cosgrove D, Dietrich CF. et al. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic Principles and Technology. Ultraschall in Med 2013; 34: 169-184 DOI: 10.1055/s-0033-1335205.
• 6 Friedrich-Rust M, Nierhoff J, Lupsor M. et al. Performance of Acoustic Radiation Force Impulse imaging for the staging of liver fibrosis: A pooled meta-analysis. J Viral Hepat 2012; 19: e212-e219 DOI: 10.1111/j.1365-2893.2011.01537.x.
• 7 Schellhaas B, Strobel D, Wildner D. et al. Two-dimensional shear-wave elastography: a new method comparable to acoustic radiation force impulse imaging?. Eur J Gastroenterol Hepatol 2017; 29: 723-729 DOI: 10.1097/MEG.0000000000000846.
• 8 Shiina T, Nightingale KR, Palmeri ML. et al. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 1: basic principles and terminology. Ultrasound Med Biol 2015; 41: 1126-1147 DOI: 10.1016/j.ultrasmedbio.2015.03.009.
• 9 Fang C, Sidhu PS. Ultrasound-based liver elastography: current results and future perspectives. Abdom Radiol (NY) 2020; 45: 3463-3472 DOI: 10.1007/s00261-020-02717-x.
• 10 Naganuma H, Ishida H, Uno A. et al. Diagnostic problems in two-dimensional shear wave elastography of the liver. World J Radiol 2020; 12: 76-86 DOI: 10.4329/wjr.v12.i5.76.
• 11 Kim DW, Suh CH, Kim KW. et al. Technical Performance of Two-Dimensional Shear Wave Elastography for Measuring Liver Stiffness: A Systematic Review and Meta-Analysis. Korean J Radiol 2019; 20: 880-893 DOI: 10.3348/kjr.2018.0812.
• 12 Moga TV, Stepan AM, Pienar C. et al. Intra- and Inter-Observer Reproducibility of a 2-D Shear Wave Elastography Technique and the Impact of Ultrasound Experience in Achieving Reliable Data. Ultrasound Med Biol 2018; 44: 1627-1637 DOI: 10.1016/j.ultrasmedbio.2018.03.029.
• 13 Dietrich CF, Bamber J, Berzigotti A. et al. EFSUMB Guidelines and Recommendations on the Clinical Use of Liver Ultrasound Elastography, Update 2017 (Long Version). Ultraschall Med 2017; 38: e16-e47 DOI: 10.1055/s-0043-103952.
• 14 Kjærgaard M, Thiele M, Jansen C. et al. High risk of misinterpreting liver and spleen stiffness using 2D shear-wave and transient elastography after a moderate or high calorie meal. PLoS One 2017; 12: e0173992 DOI: 10.1371/journal.pone.0173992.
• 15 Gersak MM, Sorantin E, Windhaber J. et al. The influence of acute physical effort on liver stiffness estimation using Virtual Touch Quantification (VTQ). Preliminary results. Med Ultrason 2016; 18: 151-156 DOI: 10.11152/mu.2013.2066.182.vtq.
• 16 Chapman T, Dubinsky T, Barr RG. Ultrasound Elastography of the Liver: What the Clinician Needs to Know. J Ultrasound Med 2017; 36: 1293-1304 DOI: 10.7863/ultra.16.08001.
• 17 Ferraioli G, Wong VW, Castera L. et al. Liver Ultrasound Elastography: An Update to the World Federation for Ultrasound in Medicine and Biology Guidelines and Recommendations. Ultrasound Med Biol 2018; 44: 2419-2440 DOI: 10.1016/j.ultrasmedbio.2018.07.008.
• 18 Byenfeldt M, Elvin A, Fransson P. Influence of Probe Pressure on Ultrasound-Based Shear Wave Elastography of the Liver Using Comb-Push 2-D Technology. Ultrasound Med Biol 2019; 45: 411-428 DOI: 10.1016/j.ultrasmedbio.2018.09.023.
• 19 Barr RG. Shear wave liver elastography. Abdom Radiol (NY) 2018; 43: 800-807 DOI: 10.1007/s00261-017-1375-1.
• 20 Yun MH, Seo YS, Kang HS. et al. The effect of the respiratory cycle on liver stiffness values as measured by transient elastography. J Viral Hepat 2011; 18: 631-636 DOI: 10.1111/j.1365-2893.2010.01376.x.
• 21 Karlas T, Pfrepper C, Wiegand J. et al. Acoustic radiation force impulse imaging (ARFI) for non-invasive detection of liver fibrosis: examination standards and evaluation of interlobe differences in healthy subjects and chronic liver disease. Scand J Gastroenterol 2011; 46: 1458-1467 DOI: 10.3109/00365521.2011.610004.
• 22 Jung C, Groth M, Petersen KU. et al. Hepatic shear wave elastography in children under free-breathing and breath-hold conditions. Eur Radiol 2017; 27: 5337-5343 DOI: 10.1007/s00330-017-4909-6.
• 23 Lee JH, Lee SM, Yoon JH. et al. Impact of respiratory motion on liver stiffness measurements according to different shear wave elastography techniques and region of interest methods: a phantom study. Ultrasonography 2021; 40: 103-114 DOI: 10.14366/usg.19079.
• 24 Herrmann E, de Lédinghen V, Cassinotto C. et al. Assessment of Biopsy-Proven Liver Fibrosis by Two-Dimensional Shear Wave Elastography: An Individual Patient Data-Based Meta-analysis. Hepatology 2018; 67: 260-272 DOI: 10.1002/hep.29179.
• 25 Trout AT, Dillman JR, Xanthakos S. et al. Prospective assessment of correlation between US acoustic radiation force impulse and MR elastography in a pediatric population: dispersion of US shear-wave speed measurement matters. Radiology 2016; 281: 544-552 DOI: 10.1148/radiol.2016152797.
• 26 Tada T, Nishimura T, Yoshida M. et al. Nonalcoholic fatty liver disease and nonalcoholic steatohepatitis: new trends and role of ultrasonography. J Med Ultrason (2001) 2020; 47: 511-520 DOI: 10.1007/s10396-020-01058-y.
• 27 Cho YS, Lim S, Kim Y. et al. Abdominal Wall Thickness Affects Liver Stiffness Measurements by 2-D Shear Wave Elastography in Patients with Chronic Liver Disease. Ultrasound Med Biol 2019; 45: 2697-2703 DOI: 10.1016/j.ultrasmedbio.2019.06.415.