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[Ultrasound in a differentiated treatment approach for liver diseases].

OBJECTIVE
Prospective assessment of the proposed diagnostic algorithm aimed at increasing the reliability of diagnosis of diffuse and focal liver diseases, reducing diagnostic invasiveness, economic costs, developing management strategy of patients with liver tumors and early diagnosis of hepatocellular carcinoma.


MATERIAL AND METHODS
A prospective case-control study included 336 patients with a preliminary diagnosis of diffuse focal liver damage for the period from January 2015 to April 2019.


RESULTS
The authors described a diagnostic algorithm for focal liver lesions based on various ultrasound modes including gray-scale scanning (B-mode), Doppler ultrasound and pulse-wave Doppler. Moreover, 2D-SWE for assessing the liver stiffness and fibrosis grade (METAVIR grading system) and CEUS for differential diagnosis of liver neoplasms are applied.