Molecular Imaging of Chronic Liver Diseases

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Gastroenterology & Hepatopancreatobiliary Medicine".

Deadline for manuscript submissions: closed (31 December 2021) | Viewed by 2105

Special Issue Editor


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Guest Editor
Department of Internal Medicine, Yale School of Medicine, Yale University, New Haven, CT 06511, USA
Interests: protein engineering; molecular imaging; fibrosis imaging; cancer imaging; MRI; SPECT/CT; contrast media; diagnostic techniques and procedures; early diagnosis

Special Issue Information

Dear Colleagues,

Chronic liver diseases (CLDs) such as fibrosis and cancer are an enormous global burden as they are major causes of morbidity and mortality worldwide. CLD originates from a variety of causes such as viral hepatitis, metabolic dysfunction, as well as alcohol abuse and autoimmune disease. Biopsy as the imperfect gold standard for diagnosis and staging of CLD has many limitations such as invasiveness, procedure-associated risks, limited representativeness for the entire organ, sampling error and inter- and intra-observer sampling variability with relatively high error rates even for diagnosis of advanced stages of liver fibrosis. Clinical imaging techniques, such as computed tomography (CT), and magnetic resonance imaging (MRI), can detect established disease in the liver but are less sensitive at detecting early-stage disease, and cannot distinguish active disease (fibrogenesis) from stable scar, therefore, earlier detection strategies are urgently needed to enable earlier interventions. Molecular imaging enables visualization of biological processes and pathological alterations at a cellular and molecular level in a noninvasive and quantitative manner and it can be used for early detection, staging, prognosis, disease activity and heterogeneity and treatment response in CLD to help to improve patient stratification, outcome for new therapies and eventually the care of patients.

In this Special Issue, we hope to encourage submissions of original articles and reviews covering development of various molecular imaging techniques and probes for imaging biomarkers in clinical and preclinical models of liver diseases and their potential clinical implications. The imaging methods include, but are not limited to MRI, nuclear imaging (PET, SPECT/CT), ultrasound and optical techniques.

Dr. Mani Salarian
Guest Editor

Manuscript Submission Information

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Keywords

  • Chronic Liver Disease
  • Fibrosis
  • Cancer
  • Molecular Imaging
  • Probes
  • Biomarker

Published Papers (1 paper)

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Research

10 pages, 259 KiB  
Article
Cardiovascular Evaluation of Liver Transplant Patients by Using Coronary Calcium Scoring in ECG-Synchronized Computed Tomographic Scans
by Anna Bettina Roehl, Marc Hein, Johanna Kroencke, Felix Kork, Alexander Koch, Anne Andert, Michael Becker, Jonas Schmöe and Sebastian Daniel Reinartz
J. Clin. Med. 2021, 10(21), 5148; https://doi.org/10.3390/jcm10215148 - 02 Nov 2021
Cited by 3 | Viewed by 1641
Abstract
Background: The goal of cardiac evaluation of patients awaiting orthotopic liver transplantation (OLT) is to identify the patients at risk for cardiovascular events (CVEs) in the peri- and postoperative periods by opportunistic evaluation of coronary artery calcium (CAC) in non-gated abdominal computed tomographs [...] Read more.
Background: The goal of cardiac evaluation of patients awaiting orthotopic liver transplantation (OLT) is to identify the patients at risk for cardiovascular events (CVEs) in the peri- and postoperative periods by opportunistic evaluation of coronary artery calcium (CAC) in non-gated abdominal computed tomographs (CT). Methods: We hypothesized that in patients with OLT, a combination of Lee’s revised cardiac index (RCRI) and CAC scoring would improve diagnostic accuracy and prognostic impact compared to non-invasive cardiac testing. Therefore, we retrospectively evaluated 169 patients and compared prediction of CVEs by both methods. Results: Standard workup identified 22 patients with a high risk for CVEs during the transplant period, leading to coronary interventions. Eighteen patients had a CVE after transplant and a CAC score > 0. The combination of CAC and RCRI ≥ 2 had better negative (NPV) and positive predictive values (PPV) for CVEs (NPV 95.7%, PPV 81.6%) than standard non-invasive stress tests (NPV 92.0%, PPV 54.5%). Conclusion: The cutoff value of CAC > 0 by non-gated CTs combined with RCRI ≥ 2 is highly sensitive for identifying patients at risk for CVEs in the OLT population. Full article
(This article belongs to the Special Issue Molecular Imaging of Chronic Liver Diseases)
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