Radiologic follow-up in Fontan-associated liver disease in Europe: European Society of Paediatric Radiology survey demonstrates the need for a consensus protocol.
Pediatr Radiol
; 51(13): 2607-2610, 2021 12.
Article
em En
| MEDLINE
| ID: mdl-34654969
ABSTRACT
Fontan surgery is a life-saving procedure for newborns with complex cardiac malformations, but it originates complications in different organs. The liver is also affected, with development of fibrosis and sometimes cirrhosis and hepatocellular carcinoma. There is no general agreement on how to follow-up these children for the development of liver disease. To understand the current practice on liver follow-up, we invited members of the European Society of Paediatric Radiology (ESPR) to fill out an online questionnaire. The survey comprised seven questions about when and how liver follow-up is performed on Fontan patients. While we found some agreement on the use of US as screening tool, and of MRI for nodule characterization, the discrepancies on timing and the lack of a shared protocol make it currently impossible to compare data among centers.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Radiologia
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Carcinoma Hepatocelular
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Técnica de Fontan
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Cardiopatias Congênitas
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Neoplasias Hepáticas
Tipo de estudo:
Guideline
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Child
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Humans
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Newborn
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article