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Shear Wave Dispersion Elastography in ALD and MASLD: Comparative Pathophysiology and Clinical Potential—A Narrative Review

Title: Shear Wave Dispersion Elastography in ALD and MASLD: Comparative Pathophysiology and Clinical Potential—A Narrative Review
Authors: Dionisi T.; Galasso L.; Mancarella F. A.; Mignini I.; Ainora M. E.; Gasbarrini A.; Addolorato G.; Zocco M. A.
Contributors: Dionisi, Tommaso; Galasso, Linda; Antuofermo, L.; Mancarella, Francesco Antonio; Esposto, G.; Mignini, Irene; Ainora, Maria Elena; Gasbarrini, Antonio; Addolorato, Giovanni; Zocco, Maria Assunta
Publisher Information: Multidisciplinary Digital Publishing Institute (MDPI)
Publication Year: 2024
Collection: Università Cattolica del Sacro Cuore: PubliCatt
Subject Terms: ALD; biomarker; elastography; fibrosis; liver disease; necroinflammation; SWD; Settore MEDS-05/A - Medicina interna
Description: Alcohol-related liver disease (ALD) is a major cause of global morbidity and mortality, progressing from steatosis to cirrhosis and hepatocellular carcinoma. While liver biopsy remains the gold standard for identifying liver disease, non-invasive methods like shear wave dispersion (SWD) elastography offer promising alternatives. This scoping review evaluates SWD’s potential in the study of ALD, comparing it to metabolic dysfunction-associated steatotic liver disease (MASLD). SWD measures changes in shear wave speed in relation to liver viscosity and necroinflammation. Studies in MASLD suggest that SWD effectively correlates with fibrosis and inflammation stages, but its application in ALD remains underexplored. Both ALD and MASLD show similar inflammatory and fibrotic pathways, despite having different etiologies and histological features. This review emphasizes the necessity to identify ALD-specific SWD reference values and verify SWD’s ability to improve diagnosis and disease progression. Prospective studies comparing SWD findings with histological benchmarks in ALD are essential for establishing its clinical utility. Incorporating SWD into clinical practice could revolutionize the non-invasive evaluation of ALD, offering a safer, cost-effective, and repeatable diagnostic tool.
Document Type: article in journal/newspaper
Language: English
Relation: volume:13; issue:24; firstpage:N/A; lastpage:N/A; issueyear:2024; journal:JOURNAL OF CLINICAL MEDICINE; https://hdl.handle.net/10807/314148
DOI: 10.3390/jcm13247799
Availability: https://hdl.handle.net/10807/314148; https://doi.org/10.3390/jcm13247799
Rights: info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.29B12129
Database: BASE