Abdominal imaging can misdiagnose submassive hepatic necrosis as cirrhosis in acute liver failure.

摘要: Patients with acute liver failure (ALF) can be listed status I for transplantation (LT) whereas patients cirrhosis must follow the MELD scoring system. Liver imaging mistakenly diagnose submassive hepatic necrosis in ALF as cirrhosis. The purpose of our study was to assess accuracy ultrasound (US) and computed tomography (CT) distinguishing from ALF. All transplanted during period were included. Controls age- gender-matched cirrhotic who underwent LT same period. Abdominal US or CT scans obtained on all independently reviewed by three blinded abdominal radiologists. Explants two pathologists, histological diagnosis correlated radiological diagnosis. Forty-one 42 analyzed. Univariate multivariate analyses both revealed overall 85% 93% CT. provide high levels terms discriminating but measures taken determine whether a patient has vs. needs approach 100% accuracy. Thus, studies alone should not definitively one etiology over other.