Mākani resonance elastography

ʻO ka elastography resonance magnetic (MRE) kahi hōʻike e hoʻohui ana i ka magnetic resonance imaging (MRI) me nā haʻalulu haʻahaʻa e hana ai i ka palapala kiʻi i kapa ʻia ʻo elastogram. Hōʻike kēia hōʻike i nā loli i nā pūnaewele kino i hana ʻia e ka maʻi. Hoʻohana pinepine ʻia ka MRE e ʻike i ka paʻakikī o ke ate i hana ʻia e ka fibrosis a me ka mumū i ka maʻi ate lōʻihi. Akā, ke hoʻokolohua ʻia nei hoʻi ka MRE ma ke ʻano he ala noninvasive e ʻike ai i nā maʻi i nā ʻāpana ʻē aʻe o ke kino.

Hoʻohana ʻia ka MRE e ana i ka paʻakikī o ka ʻiʻo ate. Hana ʻia kēia e ʻike i ka ʻeha ʻana o ka ate, i kapa ʻia ʻo ka fibrosis, i nā kānaka me ka maʻi ate i ʻike ʻia a i ʻike ʻole ʻia paha. Hoʻonui ka ʻeha ʻana i ka paʻakikī o ka ʻiʻo ate. I ka manawa pinepine, ʻaʻohe hōʻailona o ka fibrosis ate i nā kānaka. Akā, hiki i ka fibrosis ate i mālama ʻole ʻia ke holomua i ka cirrhosis, ʻo ia ka fibrosis holomua a me ka ʻeha ʻana. Hiki i ka cirrhosis ke make. Inā ʻike ʻia, hiki pinepine ke mālama ʻia ka fibrosis ate e hoʻōki i ka holomua a i kekahi manawa e hoʻihoʻi i ke kūlana. Inā loaʻa iā ʻoe ka fibrosis ate, hiki i ka MRE ke kōkua i ka ana ʻana i ka nui o kou maʻi ate, alakaʻi i nā hoʻoholo mālama a hoʻoholo i ka maikaʻi o kou pane ʻana i ka mālama. ʻO ka hoʻokolohua maʻamau no ka fibrosis ate e hoʻohana ana i ka nila e lawe i kahi ʻāpana o ka ʻiʻo ate, i kapa ʻia ʻo ka biopsy. Loaʻa i ka MRE scan kekahi mau pono: ʻAʻohe ʻeha a maʻamau ka palekana a me ka ʻoluʻolu ma mua o ka biopsy. Loiloi ia i ka ate holoʻokoʻa, ʻaʻole wale ka ʻāpana o ka ʻiʻo ate i biopsy ʻia a i loiloi ʻia paha me nā hoʻokolohua ʻē aʻe ʻaʻohe ʻeha. Hiki ke ʻike i ka fibrosis i kahi kahua mua ma mua o nā ʻano kiʻi ʻē aʻe. He pono ia i nā kānaka momona. Hiki ke kōkua i ka wānana ʻana i ka pilikia o kekahi mau pilikia ate, me ka hōʻiliʻili wai i loko o ka ʻōpū, i kapa ʻia ʻo ascites.

Aia ka hao i loko o ke kino he pilikia palekana paha a i ʻole e hoʻopilikia i kahi ʻāpana o ke kiʻi MRE. Ma mua o ka loaʻa ʻana o kahi hoʻokolohua MRI e like me ka MRE, e haʻi aku i ka mea loea inā loaʻa iā ʻoe kekahi mau mea hao a i ʻole nā ​​​​mea uila i loko o kou kino, e like me: Nā mea hoʻololi metala hui. Nā valve naʻau hana. Kahi mea hoʻoikaika naʻau hoʻokomo. Kahi pacemaker. Nā mea hao hao. Nā mea hoʻokomo cochlear. Nā pōkā, nā ʻāpana shrapnel a i ʻole kekahi ʻano ʻāpana hao ʻē aʻe. Ma mua o kou hoʻonohonoho ʻana i kahi MRE, e haʻi aku i kāu hui mālama ola inā manaʻo ʻoe ua hāpai ʻoe.

Ma mua o kekahi ho'okolohua MRI, e hahai i nā kuhikuhi i hāʻawi ʻia. Inā ua hoʻonohonoho ʻia ʻoe no kahi ho'okolohua MRE o kou ate, e haʻi ʻia paha ʻoe ʻaʻole e ʻai i ka ʻai no ka liʻiliʻi o ʻehā mau hola ma mua o ka ho'okolohua, ʻoiai hiki iā ʻoe ke inu wai i kēlā manawa. E hoʻomau ʻoe i ka lawe ʻana i kāu mau lāʻau maʻamau ke ʻole i kuhikuhi ʻia. Ke noi ʻia nei ʻoe e hoʻololi i kahi kapa komo a wehe i: Nā niho kuʻi. Nā aniani maka. Nā lauoho lauoho. Nā kōkua pepeiao. Nā mea nani. Nā bras underwire. Nā wati. Nā wigs.

Hoʻokō pinepine ʻia kahi hoʻokolohua MRE ma ke ʻano he ʻāpana o kahi hoʻokolohua MRI maʻamau. Lawe ka hoʻokolohua MRI ate maʻamau i kahi 15 a 45 mau minuke. ʻOi aku ka liʻiliʻi o ka ʻāpana MRE o ka hoʻokolohua ma mua o ʻelima mau minuke. I loko o kahi hoʻokolohua MRE, waiho ʻia kahi pā kūikawā ma luna o ke kino, ma luna o kahi kapa. Hoʻopili ia i nā haʻalulu haʻahaʻa haʻalulu e hele ana ma o ke ate. Hana ka ʻōnaehana MRI i nā kiʻi o nā nalu e hele ana ma o ke ate a hoʻoponopono i ka ʻike e hana i nā kiʻi ʻāpana e hōʻike ana i ka paʻakikī o ka ʻiʻo.