Imaging

Hepatitis

Preliminary Diagnosis: Hepatitis

I. What imaging technique is first-line for this diagnosis

  • Ultrasound (US)

II. Describe the advantages and disadvantages of this technique for diagnosis of hepatitis.

Advantages

  • Real-time examination

  • Does not use ionizing radiation

  • Relatively inexpensive

Disadvantages

  • No specific findings in acute hepatitis

  • Findings are variable depending on the different etiologic factors that cause hepatic inflammation and stage of liver insult (most common findings are hepatomegaly and the “starry night liver” pattern)

  • Limited evaluation in obese patients

III. What are the contraindications for the first-line imaging technique?

  • No significant contraindications exist.

IV. What alternative imaging techniques are available?

  • MRI

  • CT

V. Describe the advantages and disadvantages of the alternative techniques for diagnosis of hepatitis.

MRI

Advantages

  • May confirm and further evaluate focal lesions or diffuse alterations of the liver discovered at a prior US examination

Disadvantages

  • Expensive

  • Requires significant patient cooperation to minimize motion artifact

CT

Advantages

  • May confirm and further evaluate focal lesions or diffuse alterations of the liver discovered at a prior US examination

Disadvantages

  • Exposure to ionizing radiation

VI. What are the contraindications for the alternative imaging techniques?

MRI

  • Contraindicated in patients with non-MR compatible metallic (ferromagnetic) hardware or foreign bodies, uncooperative or claustrophobic

  • Need to assess undermining clinical conditions before administration of IV contrast, including allergies and renal function.

MRI/CT

  • Need to assess undermining clinical conditions before administration of IV contrast, including allergies and renal function

You must be a registered member of ONA to post a comment.

Sign Up for Free e-newsletters

Regimen and Drug Listings

GET FULL LISTINGS OF TREATMENT Regimens and Drug INFORMATION

Bone Cancer Regimens Drugs
Brain Cancer Regimens Drugs
Breast Cancer Regimens Drugs
Endocrine Cancer Regimens Drugs
Gastrointestinal Cancer Regimens Drugs
Genitourinary Cancer Regimens Drugs
Gynecologic Cancer Regimens Drugs
Head and Neck Cancer Regimens Drugs
Hematologic Cancer Regimens Drugs
Lung Cancer Regimens Drugs
Other Cancers Regimens
Rare Cancers Regimens
Skin Cancer Regimens Drugs