Evaluation of liver ultrasound findings in patients with metabolic syndrome in the practice of general practitioner

May 22, 2023
Specialities :

Fatty liver dystrophy is considered a component of the metabolic syndrome. Violations of liver function indicate the risk of developing chronic diseases with an unfavorable prognosis. Early detection of hepatic steatosis is essential to ensure a timely and effective follow-up strategy to prevent progression of the disease. A mandatory condition for early diagnosis of fatty liver dystrophy in a family doctor’s practice is a non-invasive and reliable method — ultrasound examination of the liver.


  • 1. Xavier S.A., Monteiro S.O., Arieira C.M. et al. (2021) US-FLI Score — Is It Possible to Predict the Steatosis Grade with an Ultrasonographic Score? Mol. Genet. Metab., 132: 204–209.
  • 2. Ferraioli G. (2021) Quantitative Assessment of Liver Steatosis Using Ultrasound Controlled Attenuation Parameter (Echosens). J. Med. Ultrason., 48: 489–495.
  • 3. Choi S.J., Kim S.M., Kim Y.S. et al. (2021) Magnetic Resonance-Based Assessments Better Capture Pathophysiologic Profiles and Progression in Nonalcoholic Fatty Liver Disease. Diabetes Metab. J., 45: 739–752.
  • 4. McHenry S., Park Y., Browning J.D. et al. (2020) Dallas Steatosis Index Identifies Patients with Nonalcoholic Fatty Liver Disease. Clin. Gastroenterol. Hepatol., 18: 2073–2080.
  • 5. Lee J., Vali Y., Boursier J. et al. (2021) Prognostic Accuracy of FIB-4, NAFLD Fibrosis Score and APRI for NAFLD-Related Events: A Systematic Review. Liver Int., 41: 261–270.
  • 6. Johnson S.I., Fort D., Shortt K.J. et al. (2021) Ultrasound Stratification of Hepatic Steatosis Using Hepatorenal Index. Diagnostics, 11: 1443.
  • 7. Bae J.S., Dong H.L., Suh K.-S. et al. (2021) Noninvasive Assessment of Hepatic Steatosis Using a Pathologic Reference Standard: Comparison of CT, MRI, and Ultrasound-Based Techniques. Ultrasonography, 41: 344.
  • 8. Stahlschmidt F.L., Tafarel J.R., Menini-Stahlschmidt C.M., Baena C.P. (2021) Hepatorenal Index for Grading Liver Steatosis with Concomitant Fibrosis. PLoS ONE, 16: e0246837.
  • 9. Barr R.G., Cestone A., De Silvestri A. (2021) A Pre-Release Algorithm with a Confidence Map for Estimating the Attenuation Coefficient for Liver Fat Quantification. J. Ultrasound Med., 41: 1939–1948.