Imaging Findings of Diffuse Liver Diseases
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Review
VOLUME: 14 ISSUE: 1
P: 75 - 98
April 2026

Imaging Findings of Diffuse Liver Diseases

Turk Radiol Semin 2026;14(1):75-98
1. Aksaray Eğitim ve Araştırma Hastanesi, Radyoloji Anabilim Dalı, Aksaray, Türkiye
2. Hacettepe Ünivertesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye
No information available.
No information available
Received Date: 29.01.2026
Accepted Date: 10.03.2026
Online Date: 27.04.2026
Publish Date: 27.04.2026
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ABSTRACT

Diffuse liver diseases represent a heterogeneous group of disorders characterized by diffuse involvement of the hepatic parenchyma and may result from metabolic, inflammatory, vascular, cholestatic, or infiltrative etiologies. This review summarizes the etiologic classification and pathophysiologic background of diffuse liver diseases and discusses the imaging findings of common entities such as hepatic steatosis, fibrosis, and cirrhosis using ultrasound, computed tomography, and magnetic resonance (MR) imaging. Particular emphasis is placed on emerging quantitative imaging biomarkers, including MR imaging-based proton density fat fraction and ultrasound- and MRI-based elastography techniques, highlighting their clinical applications and limitations. In addition, imaging features of nodular lesions in chronic liver disease, vascular disorders, cholestatic diseases, and infiltrative metastatic patterns are reviewed. The central role of imaging in disease characterization, staging, detection of complications, and patient management is emphasized.

Keywords:
Diffuse liver disease, steatosis, fibrosis, elastography, MRI, PDFF

References

1
Boll DT, Merkle EM. Diffuse liver disease: strategies for hepatic CT and MR imaging. Radiographics. 2009; 29: 1591-614.
2
Brunt EM. Pathology of nonalcoholic fatty liver disease. Nat Rev Gastroenterol Hepatol. 2010; 7: 195-203.
3
Levene AP, Goldin RD. The epidemiology, pathogenesis and histopathology of fatty liver disease. Histopathology. 2012; 61: 141-52.
4
Rinella ME, Lazarus JV, Ratziu V, Francque SM, Sanyal AJ, Kanwal F, et al; NAFLD Nomenclature consensus group. A multisociety Delphi consensus statement on new fatty liver disease nomenclature. Hepatology. 2023; 78: 1966-86.
5
Riazi K, Azhari H, Charette JH, Underwood FE, King JA, Afshar EE, et al. The prevalence and incidence of NAFLD worldwide: a systematic review and meta-analysis. Lancet Gastroenterol Hepatol. 2022; 7: 851-61.
6
McPherson S, Hardy T, Henderson E, Burt AD, Day CP, Anstee QM. Evidence of NAFLD progression from steatosis to fibrosing-steatohepatitis using paired biopsies: implications for prognosis and clinical management. J Hepatol. 2015; 62: 1148-55.
7
Saadeh S, Younossi ZM, Remer EM, Gramlich T, Ong JP, Hurley M, et al. The utility of radiological imaging in nonalcoholic fatty liver disease. Gastroenterology. 2002; 123: 745-50.
8
Bohte AE, van Werven JR, Bipat S, Stoker J. The diagnostic accuracy of US, CT, MRI and 1H-MRS for the evaluation of hepatic steatosis compared with liver biopsy: a meta-analysis. Eur Radiol. 2011; 21: 87-97.
9
Strauss S, Gavish E, Gottlieb P, Katsnelson L. Interobserver and intraobserver variability in the sonographic assessment of fatty liver. AJR Am J Roentgenol. 2007; 189: W320-3.
10
Ferraioli G, Berzigotti A, Barr RG, Choi BI, Cui XW, Dong Y, et al. Quantification of liver fat content with ultrasound: a WFUMB position paper. Ultrasound Med Biol. 2021; 47: 2803-20.
11
Ferraioli G, Barr RG. Ultrasound evaluation of chronic liver disease. Abdom Radiol (NY). 2025; 50: 1158-70.
12
Park J, Lee JM, Lee G, Jeon SK, Joo I. Quantitative evaluation of hepatic steatosis using advanced ımaging techniques: focusing on new quantitative ultrasound techniques. Korean J Radiol. 2022; 23: 13-29.
13
Pickhardt PJ, Malecki K, Hunt OF, Beaumont C, Kloke J, Ziemlewicz TJ, et al. Hepatosplenic volumetric assessment at MDCT for staging liver fibrosis. Eur Radiol. 2017; 27: 3060-8.
14
Yajima Y, Narui T, Ishii M, Abe R, Ohtsuki M, Goto Y, et al. Computed tomography in the diagnosis of fatty liver: total lipid content and computed tomography number. Tohoku J Exp Med. 1982; 136: 337-42.
15
Kim DY, Park SH, Lee SS, Kim HJ, Kim SY, Kim MY, et al. Contrast-enhanced computed tomography for the diagnosis of fatty liver: prospective study with same-day biopsy used as the reference standard. Eur Radiol. 2010; 20: 359-66.
16
Pickhardt PJ, Blake GM, Kimmel Y, Weinstock E, Shaanan K, Hassid S, et al. Detection of moderate hepatic steatosis on portal venous phase contrast-enhanced CT: evaluation using an automated artificial ıntelligence tool. AJR Am J Roentgenol. 2023; 221: 748-58.
17
Pickhardt PJ, Blake GM, Moeller A, Garrett JW, Summers RM. Post-contrast CT liver attenuation alone is superior to the liver-spleen difference for identifying moderate hepatic steatosis. Eur Radiol. 2024; 34: 7041-52.
18
Gelal F, Coşkun M, Çetinoğlu K, Horoz Dönmez M, Çilenger AH, editors. Radyoloji Fiziği. 1st ed. Ankara: Dünya Tıp Kitapevi; 2023.p.312-3.
19
Dixon WT. Simple proton spectroscopic imaging. Radiology. 1984; 153: 189-94.
20
Ma J. Dixon techniques for water and fat imaging. J Magn Reson Imaging. 2008; 28: 543-58.
21
Yu H, Shimakawa A, McKenzie CA, Brodsky E, Brittain JH, Reeder SB. Multiecho water-fat separation and simultaneous R2* estimation with multifrequency fat spectrum modeling. Magn Reson Med. 2008; 60: 1122-34.
22
Hu HH, Börnert P, Hernando D, Kellman P, Ma J, Reeder S, et al. ISMRM workshop on fat-water separation: insights, applications and progress in MRI. Magn Reson Med. 2012; 68: 378-88.
23
Reeder SB, Hu HH, Sirlin CB. Proton density fat-fraction: a standardized MR-based biomarker of tissue fat concentration. J Magn Reson Imaging. 2012; 36: 1011-4.
24
Campo CA, Hernando D, Schubert T, Bookwalter CA, Pay AJV, Reeder SB. Standardized approach for ROI-based measurements of proton density fat fraction and R2* in the liver. AJR Am J Roentgenol. 2017; 209: 592-603.
25
Tang A, Desai A, Hamilton G, Wolfson T, Gamst A, Lam J, et al. Accuracy of MR imaging-estimated proton density fat fraction for classification of dichotomized histologic steatosis grades in nonalcoholic fatty liver disease. Radiology. 2015; 274: 416-25.
26
Guglielmo FF, Barr RG, Yokoo T, Ferraioli G, Lee JT, Dillman JR, et al. Liver fibrosis, fat, and ıron evaluation with MRI and fibrosis and fat evaluation with US: a practical guide for radiologists. Radiographics. 2023; 43: e220181.
27
Yokoo T, Serai SD, Pirasteh A, Bashir MR, Hamilton G, Hernando D, et al; RSNA-QIBA PDFF Biomarker Committee. Linearity, bias, and precision of hepatic proton density fat fraction measurements by using MR ımaging: a meta-analysis. Radiology. 2018; 286: 486-98.
28
Qayyum A. MR spectroscopy of the liver: principles and clinical applications. Radiographics. 2009; 29: 1653-64.
29
Reeder SB, Cruite I, Hamilton G, Sirlin CB. Quantitative assessment of liver fat with magnetic resonance ımaging and spectroscopy. J Magn Reson Imaging. 2011; 34: 729-49.
30
Hamilton G, Middleton MS, Hooker JC, Haufe WM, Forbang NI, Allison MA, et al. In vivo breath-hold (1) H MRS simultaneous estimation of liver proton density fat fraction, and T1 and T2 of water and fat, with a multi-TR, multi-TE sequence. J Magn Reson Imaging. 2015; 42: 1538-43.
31
Hamilton G, Yokoo T, Bydder M, Cruite I, Schroeder ME, Sirlin CB, et al. In vivo characterization of the liver fat ¹H MR spectrum. NMR Biomed. 2011; 24: 784-90.
32
Kramer H, Pickhardt PJ, Kliewer MA, Hernando D, Chen GH, Zagzebski JA, et al. Accuracy of liver fat quantification with advanced CT, MRI, and ultrasound techniques: prospective comparison with MR spectroscopy. AJR Am J Roentgenol. 2017; 208: 92-100.
33
Brittenham GM, Cohen AR, McLaren CE, Martin MB, Griffith PM, Nienhuis AW, et al. Hepatic iron stores and plasma ferritin concentration in patients with sickle cell anemia and thalassemia major. Am J Hematol. 1993; 42: 81-5.
34
St Pierre TG, Clark PR, Chua-Anusorn W. Single spin-echo proton transverse relaxometry of iron-loaded liver. NMR Biomed. 2004; 17: 446-58.
35
Adams P, Brissot P, Powell LW. EASL International Consensus Conference on Haemochromatosis. J Hepatol. 2000; 33: 485-504.
36
İdilman İS, Akata D, Özmen MN, Karçaaltıncaba M. Different forms of iron accumulation in the liver on MRI. Diagn Interv Radiol. 2016; 22: 22-8.
37
Matheson JS, Paul-Murphy J, O’Brien RT, Steinberg H. Quantitative ultrasound, magnetic resonance imaging, and histologic image analysis of hepatic iron accumulation in pigeons (Columbia livia). J Zoo Wildl Med. 2007; 38: 222-30. Erratum in: J Zoo Wildl Med. 2007; 38: 607.
38
Guyader D, Gandon Y, Deugnier Y, Jouanolle H, Loreal O, Simon M, et al. Evaluation of computed tomography in the assessment of liver iron overload. A study of 46 cases of idiopathic hemochromatosis. Gastroenterology. 1989; 97: 737-43.
39
Goldman IS, Winkler ML, Raper SE, Barker ME, Keung E, Goldberg HI, et al. Increased hepatic density and phospholipidosis due to amiodarone. AJR Am J Roentgenol. 1985; 144: 541-6.
40
Li TQ, Aisen AM, Hindmarsh T. Assessment of hepatic iron content using magnetic resonance imaging. Acta Radiol. 2004; 45: 119-29.
41
Bonkovsky HL, Rubin RB, Cable EE, Davidoff A, Rijcken TH, Stark DD. Hepatic iron concentration: noninvasive estimation by means of MR imaging techniques. Radiology. 1999; 212: 227-34.
42
Gandon Y, Guyader D, Heautot JF, Reda MI, Yaouanq J, Buhé T, et al. Hemochromatosis: diagnosis and quantification of liver iron with gradient-echo MR imaging. Radiology. 1994; 193: 533-8.
43
Alexopoulou E, Stripeli F, Baras P, Seimenis I, Kattamis A, Ladis V, et al. R2 relaxometry with MRI for the quantification of tissue iron overload in beta-thalassemic patients. J Magn Reson Imaging. 2006; 23: 163-70.
44
Wood JC, Ghugre N. Magnetic resonance imaging assessment of excess iron in thalassemia, sickle cell disease and other iron overload diseases. Hemoglobin. 2008; 32:85-96.
45
Akpinar E, Akhan O. Liver imaging findings of Wilson’s disease. Eur J Radiol. 2007; 61: 25-32.
46
Akhan O, Akpinar E, Karcaaltincaba M, Haliloglu M, Akata D, Karaosmanoglu AD, et al. Imaging findings of liver involvement of Wilson’s disease. Eur J Radiol. 2009; 69: 147-55.
47
Hodler J, Kubik-Huch RA, von Schulthess GK, editors. Diseases of the Abdomen and Pelvis 2018-2021: Diagnostic Imaging - IDKD Book [Internet]. Cham (CH): Springer; 2018.
48
Benson L, Hemmingsson A, Ericsson A, Jung B, Sperber G, Thuomas KA, et al. Magnetic resonance imaging in primary amyloidosis. Acta Radiol. 1987; 28: 13-5.
49
Kim SH, Han JK, Lee KH, Won HJ, Kim KW, Kim JS, et al. Abdominal amyloidosis: spectrum of radiological findings. Clin Radiol. 2003; 58: 610-20.
50
Venkatesh SK, Hoodeshenas S, Venkatesh SH, Dispenzieri A, Gertz MA, Torbenson MS, Ehman RL. Magnetic resonance elastography of liver in light chain amyloidosis. J Clin Med. 2019; 8: 739.
51
Grabowski GA, Petsko GA, Kolodny EH, Gaucher disease. The online metabolic and molecular bases of inherited diseases. New York: The McGraw-Hill Companies, Inc, 2010.
52
Regenboog M, van Dussen L, Verheij J, Weinreb NJ, Santosa D, Vom Dahl S, Häussinger D, et al. Hepatocellular carcinoma in Gaucher disease: an international case series. J Inherit Metab Dis. 2018; 41: 819-27.
53
Bataller R, Brenner DA. Liver fibrosis. J Clin Invest. 2005; 115: 209-18. Erratum in: J Clin Invest. 2005; 115: 1100.
54
Böttcher K, Pinzani M. Pathophysiology of liver fibrosis and the methodological barriers to the development of anti-fibrogenic agents. Adv Drug Deliv Rev. 2017; 121: 3-8.
55
Sharma A, Nagalli S. Chronic liver disease. [Updated 2023 Jul 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-.
56
Filingeri V, Sforza D, Tisone G. Complications and risk factors of a large series of percutaneous liver biopsies in patients with liver transplantation or liver disease. Eur Rev Med Pharmacol Sci. 2015; 19: 1621-9.
57
Maharaj B, Maharaj RJ, Leary WP, Cooppan RM, Naran AD, Pirie D, et al. Sampling variability and its influence on the diagnostic yield of percutaneous needle biopsy of the liver. Lancet. 1986; 1: 523-5.
58
Regev A, Berho M, Jeffers LJ, Milikowski C, Molina EG, Pyrsopoulos NT, et al. Sampling error and intraobserver variation in liver biopsy in patients with chronic HCV infection. Am J Gastroenterol. 2002; 97: 2614-8.
59
Barr RG, Ferraioli G, Palmeri ML, Goodman ZD, Garcia-Tsao G, Rubin J, et al. Elastography assessment of liver fibrosis: society of radiologists in ultrasound consensus conference statement. Radiology. 2015; 276: 845-61.
60
Ichikawa S, Motosugi U, Nakazawa T, Morisaka H, Sano K, Ichikawa T, et al. Hepatitis activity should be considered a confounder of liver stiffness measured with MR elastography. J Magn Reson Imaging. 2015; 41: 1203-8.
61
Kim DK, Choi JY, Park MS, Kim MJ, Chung YE. Clinical feasibility of MR elastography in patients with biliary obstruction. AJR Am J Roentgenol. 2018; 210: 1273-8.
62
Shi Y, Guo Q, Xia F, Dzyubak B, Glaser KJ, Li Q, et al. MR elastography for the assessment of hepatic fibrosis in patients with chronic hepatitis B infection: does histologic necroinflammation influence the measurement of hepatic stiffness? Radiology. 2014; 273: 88-98.
63
Wagner M, Corcuera-Solano I, Lo G, Esses S, Liao J, Besa C, et al. Technical failure of MR elastography examinations of the liver: experience from a large single-center study. Radiology. 2017; 284: 401-12.
64
Wells ML, Fenstad ER, Poterucha JT, Hough DM, Young PM, Araoz PA, et al. Imaging findings of congestive hepatopathy. Radiographics. 2016; 36: 1024-37.
65
Ferraioli G, Barr RG. Interpreting liver stiffness values in clinical practice: is histologic classification necessary for clinical relevance? Radiology. 2023; 307: e220553.
66
Bedossa P, Poynard T. An algorithm for the grading of activity in chronic hepatitis C. The METAVIR Cooperative Study Group. Hepatology. 1996; 24: 289-93.
67
Ferraioli G, Barr RG. Ultrasound liver elastography beyond liver fibrosis assessment. World J Gastroenterol. 2020; 26: 3413-20.
68
Poker A, Karcaaltıncaba M, Ozmen MN, Karaosmanoğlu AD, Erdemir AG, Ocal O, et al. Multiparametric MRI with MR elastography findings in patients with sinusoidal obstruction syndrome after oxaliplatin-based chemotherapy. Insights Imaging. 2022; 13: 147.
69
DiPaola FW, Schumacher KR, Goldberg CS, Friedland-Little J, Parameswaran A, Dillman JR. Effect of Fontan operation on liver stiffness in children with single ventricle physiology. Eur Radiol. 2017; 27: 2434-42.
70
Dohare N, Madhusudhan KS, Malik R, Das P, Sharma S. Utility of hepatic 2D shear-wave elastography in monitoring response to ımage-guided ıntervention in children with chronic Budd-Chiari syndrome: a prospective study. AJR Am J Roentgenol. 2022; 218: 534-43.
71
Lee S, Elton DC, Yang AH, Koh C, Kleiner DE, Lubner MG, et al. Fully automated and explainable liver segmental volume ratio and spleen segmentation at CT for diagnosing cirrhosis. Radiol Artif Intell. 2022; 4: e210268.
72
Yin Y, Yakar D, Dierckx RAJO, Mouridsen KB, Kwee TC, de Haas RJ. Liver fibrosis staging by deep learning: a visual-based explanation of diagnostic decisions of the model. Eur Radiol. 2021; 31: 9620-7.
73
Faria SC, Ganesan K, Mwangi I, Shiehmorteza M, Viamonte B, Mazhar S, et al. MR imaging of liver fibrosis: current state of the art. Radiographics. 2009; 29: 1615-35.
74
Taouli B, Tolia AJ, Losada M, Babb JS, Chan ES, Bannan MA, et al. Diffusion-weighted MRI for quantification of liver fibrosis: preliminary experience. AJR Am J Roentgenol. 2007; 189: 799-806.
75
Balassy C, Feier D, Peck-Radosavljevic M, Wrba F, Witoszynskyj S, et al. Susceptibility-weighted MR imaging in the grading of liver fibrosis: a feasibility study. Radiology. 2014; 270: 149-58.
76
Dai Y, Zeng M, Li R, Rao S, Chen C, DelProposto Z, et al. Improving detection of siderotic nodules in cirrhotic liver with a multi-breath-hold susceptibility-weighted imaging technique. J Magn Reson Imaging. 2011; 34: 318-25.
77
Rauscher I, Eiber M, Ganter C, Martirosian P, Safi W, Umgelter A, et al. Evaluation of T1r as a potential MR biomarker for liver cirrhosis: comparison of healthy control subjects and patients with liver cirrhosis. Eur J Radiol. 2014; 83: 900-4.
78
Wang QB, Zhu H, Liu HL, Zhang B. Performance of magnetic resonance elastography and diffusion-weighted imaging for the staging of hepatic fibrosis: a meta-analysis. Hepatology. 2012; 56: 239-47.
79
Muthupillai R, Lomas DJ, Rossman PJ, Greenleaf JF, Manduca A, Ehman RL. Magnetic resonance elastography by direct visualization of propagating acoustic strain waves. Science. 1995; 269: 1854-7.
80
Pepin KM, Welle CL, Guglielmo FF, Dillman JR, Venkatesh SK. Magnetic resonance elastography of the liver: everything you need to know to get started. Abdom Radiol (NY). 2022; 47: 94-114.
81
Hoodeshenas S, Yin M, Venkatesh SK. Magnetic resonance elastography of liver: current update. Top Magn Reson Imaging. 2018; 27: 319-33.
82
Venkatesh SK, Wells ML, Miller FH, Jhaveri KS, Silva AC, Taouli B, et al. Magnetic resonance elastography: beyond liver fibrosis-a case-based pictorial review. Abdom Radiol (NY). 2018; 43: 1590-611.
83
Guglielmo FF, Venkatesh SK, Mitchell DG. Liver MR elastography technique and image interpretation: pearls and pitfalls. Radiographics. 2019; 39: 1983-2002.
84
Committee QMB. MR elastography of the liver, quantitative imaging biomarkers alliance. Profile Stage: Technically confirmed, 2022.
85
Hines CD, Lindstrom MJ, Varma AK, Reeder SB. Effects of postprandial state and mesenteric blood flow on the repeatability of MR elastography in asymptomatic subjects. J Magn Reson Imaging. 2011; 33: 239-44.
86
Mederacke I, Wursthorn K, Kirschner J, Rifai K, Manns MP, Wedemeyer H, et al. Food intake increases liver stiffness in patients with chronic or resolved hepatitis C virus infection. Liver Int. 2009; 29: 1500-6.
87
Yin M, Talwalkar JA, Glaser KJ, Venkatesh SK, Chen J, Manduca A, Ehman RL. Dynamic postprandial hepatic stiffness augmentation assessed with MR elastography in patients with chronic liver disease. AJR Am J Roentgenol. 2011; 197: 64-70.
88
Zhang Y, Zheng T, Huang Z, Song B. CT and MR imaging of primary biliary cholangitis: a pictorial review. Insights Imaging. 2023; 14: 180.
89
Khoshpouri P, Habibabadi RR, Hazhirkarzar B, Ameli S, Ghadimi M, Ghasabeh MA, et al. Imaging features of primary sclerosing cholangitis: from diagnosis to liver transplant follow-up. Radiographics. 2019; 39: 1938-64.
90
O’Connor OJ, O’Neill S, Maher MM. Imaging of biliary tract disease. AJR Am J Roentgenol. 2011; 197: W551-8.
91
Bertolotto M, Martinoli C, Migaleddu V, Cernic S, Zappetti R. Color doppler sonography of intrahepatic vascular shunts. J Clin Ultrasound. 2008; 36: 527-38.
92
Lane MJ, Jeffrey RB Jr, Katz DS. Spontaneous intrahepatic vascular shunts. AJR Am J Roentgenol. 2000; 174: 125-31.
93
Bodner G, Peer S, Karner M, Perkmann R, Neuhauser B, Vogel W, et al. Nontumorous vascular malformations in the liver: color Doppler ultrasonographic findings. J Ultrasound Med. 2002; 21: 187-97.
94
Chan WS, Poon WL, Cho DH, Chiu SS, Luk SH. Transcatheter embolisation of intrahepatic arteriovenous shunts in patients with hepatocellular carcinoma. Hong Kong Med J. 2010; 16: 48-55.
95
Memeo M, Stabile Ianora AA, Scardapane A, Buonamico P, Sabbà C, Angelelli G. Hepatic involvement in hereditary hemorrhagic telangiectasia: CT findings. Abdom Imaging. 2004; 29: 211-20.
96
Choi BI, Chung JW, Itai Y, Matsui O, Han JK, Han MC. Hepatic abnormalities related to blood flow: evaluation with dual-phase helical CT. Abdom Imaging. 1999; 24: 340-56.
97
Itai Y, Murata S, Kurosaki Y. Straight border sign of the liver: spectrum of CT appearances and causes. Radiographics. 1995; 15: 1089-102.
98
Quiroga S, Sebastià C, Pallisa E, Castellà E, Pérez-Lafuente M, Alvarez-Castells A. Improved diagnosis of hepatic perfusion disorders: value of hepatic arterial phase imaging during helical CT. Radiographics. 2001; 21: 65-81; questionnaire 288-94.
99
Itai Y, Moss AA, Goldberg HI. Transient hepatic attenuation difference of lobar or segmental distribution detected by dynamic computed tomography. Radiology. 1982; 144: 835-9.
100
Millener P, Grant EG, Rose S, Duerinckx A, Schiller VL, Tessler FN, et al. Color Doppler imaging findings in patients with Budd-Chiari syndrome: correlation with venographic findings. AJR Am J Roentgenol. 1993; 161: 307-12.
101
Mathieu D, Vasile N, Menu Y, Van Beers B, Lorphelin JM, Pringot J. Budd-Chiari syndrome: dynamic CT. Radiology. 1987; 165: 409-13.
102
Miller WJ, Federle MP, Straub WH, Davis PL. Budd-Chiari syndrome: imaging with pathologic correlation. Abdom Imaging. 1993; 18: 329-35.
103
Brancatelli G, Vilgrain V, Federle MP, Hakime A, Lagalla R, Iannaccone R, et al. Budd-Chiari syndrome: spectrum of imaging findings. AJR Am J Roentgenol. 2007; 188: W168-76.
104
Noone TC, Semelka RC, Siegelman ES, Balci NC, Hussain SM, Kim PN, et al. Budd-Chiari syndrome: spectrum of appearances of acute, subacute, and chronic disease with magnetic resonance imaging. J Magn Reson Imaging. 2000; 11: 44-50.
105
Rizzetto F, Rutanni D, Carbonaro LA, Vanzulli A. Focal liver lesions in Budd-Chiari syndrome: spectrum of imaging findings. Diagnostics (Basel). 2023; 13: 2346.
106
Colagrande S, Centi N, Galdiero R, Ragozzino A. Transient hepatic intensity differences: part 2, Those not associated with focal lesions. AJR Am J Roentgenol. 2007; 188: 160-6.
107
Venkatesh SK, Harper KC, Borhani AA, Furlan A, Thompson SM, Chen EZM, et al. Hepatic sinusoidal disorders. Radiographics. 2024; 44: e240006.
108
Mohty M, Malard F, Abecassis M, Aerts E, Alaskar AS, Aljurf M, et al. Sinusoidal obstruction syndrome/veno-occlusive disease: current situation and perspectives-a position statement from the European Society for Blood and Marrow Transplantation (EBMT). Bone Marrow Transplant. 2015; 50: 781-9.
109
Elsayes KM, Shaaban AM, Rothan SM, Javadi S, Madrazo BL, Castillo RP, et al. A comprehensive approach to hepatic vascular disease. Radiographics. 2017; 37: 813-36.
110
Chan SS, Colecchia A, Duarte RF, Bonifazi F, Ravaioli F, Bourhis JH. Imaging in hepatic veno-occlusive disease/sinusoidal obstruction syndrome. Biol Blood Marrow Transplant. 2020; 26: 1770-9.
111
Colecchia A, Ravaioli F, Sessa M, Alemanni VL, Dajti E, Marasco G, et al. Liver stiffness measurement allows early diagnosis of veno-occlusive disease/sinusoidal obstruction syndrome in adult patients who undergo hematopoietic stem cell transplantation: results from a monocentric prospective study. Biol Blood Marrow Transplant. 2019; 25: 995-1003.
112
Ravaioli F, Colecchia A, Alemanni LV, Vestito A, Dajti E, Marasco G, et al. Role of imaging techniques in liver veno-occlusive disease diagnosis: recent advances and literature review. Expert Rev Gastroenterol Hepatol. 2019; 13: 463-84.
113
Idilman IS, Li J, Yin M, Venkatesh SK. MR elastography of liver: current status and future perspectives. Abdom Radiol (NY). 2020; 45: 3444-62.
114
Buscarini E, Gandolfi S, Alicante S, Londoni C, Manfredi G. Liver involvement in hereditary hemorrhagic telangiectasia. Abdom Radiol (NY). 2018; 43: 1920-30.
115
Gopalakrishnan D, Shajihan A, Purysko AS, Abraham J. Pseudocirrhosis in breast cancer - experience from an academic cancer center. Front Oncol. 2021; 11: 679163.
116
Martin DR, Seibert D, Yang M, Salman K, Frick MP. Reversible heterogeneous arterial phase liver perfusion associated with transient acute hepatitis: findings on gadolinium-enhanced MRI. J Magn Reson Imaging. 2004; 20: 838-42.
117
Marzola P, Maggioni F, Vicinanza E, Daprà M, Cavagna FM. Evaluation of the hepatocyte-specific contrast agent gadobenate dimeglumine for MR imaging of acute hepatitis in a rat model. J Magn Reson Imaging. 1997; 7: 147-52.
118
Matsui O, Kadoya M, Takashima T, Kameyama T, Yoshikawa J, Tamura S. Intrahepatic periportal abnormal intensity on MR images: an indication of various hepatobiliary diseases. Radiology. 1989; 171: 335-8.
119
Boyer TD, Lindor KD. Zakim and Boyer’s hepatology: a textbook of liver disease. In: Sanyal AJ, Terrault NA. 7th ed. Elsevier; 2016.
120
Maurya V, Ravikumar R, Gopinath M, Ram B. Ultrasound in acute viral hepatitis: does it have any role? Medical Journal of Dr. D.Y. Patil Vidyapeeth.2019; 12: 335-339.
121
Giorgio A, Amoroso P, Fico P, Lettieri G, Finelli L, de Stefano G, et al. Ultrasound evaluation of uncomplicated and complicated acute viral hepatitis. J Clin Ultrasound. 1986; 14: 675-9.
122
Yoo SM, Lee HY, Song IS, Lee JB, Kim GH, Byun JS. Acute hepatitis a: correlation of CT findings with clinical phase. Hepatogastroenterology. 2010; 57: 1208-14.
123
Needleman L, Kurtz AB, Rifkin MD, Cooper HS, Pasto ME, Goldberg BB. Sonography of diffuse benign liver disease: accuracy of pattern recognition and grading. AJR Am J Roentgenol. 1986; 146: 1011-5.
124
Heller MT, Tublin ME. The role of ultrasonography in the evaluation of diffuse liver disease. Radiol Clin North Am. 2014; 52: 1163-75.
125
Kawamoto S, Soyer PA, Fishman EK, Bluemke DA. Nonneoplastic liver disease: evaluation with CT and MR imaging. Radiographics. 1998; 18: 827-48.
126
Mortele KJ, Ros PR. Imaging of diffuse liver disease. Semin Liver Dis. 2001; 21: 195-212.
127
Saini S. Imaging of the hepatobiliary tract. N Engl J Med. 1997; 336: 1889-94.
128
Zissin R, Osadchy A, Shapiro-Feinberg M, Gayer G. CT of a thickened-wall gall bladder. Br J Radiol. 2003; 76: 137-43.
129
Rofsky NM, Fleishaker H. CT and MRI of diffuse liver disease. Semin Ultrasound CT MR. 1995; 16: 16-33.
130
Sharma P, Kitajima HD, Kalb B, Martin DR. Gadolinium-enhanced imaging of liver tumors and manifestations of hepatitis: pharmacodynamic and technical considerations. Top Magn Reson Imaging. 2009; 20: 71-8.
131
Chundru S, Kalb B, Arif-Tiwari H, Sharma P, Costello J, Martin DR. MRI of diffuse liver disease: characteristics of acute and chronic diseases. Diagn Interv Radiol. 2014; 20: 200-8.