{"id":14891,"date":"2024-04-19T18:55:18","date_gmt":"2024-04-19T09:55:18","guid":{"rendered":"https:\/\/clarivate.com\/ko\/?p=14891"},"modified":"2026-03-01T10:00:29","modified_gmt":"2026-03-01T10:00:29","slug":"medical-imaging-modalities-a-spotlight-on-the-liver","status":"publish","type":"post","link":"https:\/\/clarivate.com\/life-sciences-healthcare\/ko\/blog\/medical-imaging-modalities-a-spotlight-on-the-liver\/","title":{"rendered":"\uac04\uc5d0  \ucd08\uc810\uc744 \ub9de\ucd98 \uc758\ub8cc \uc601\uc0c1 \uae30\ubc95"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-14892 alignleft\" src=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/04\/sdoran_avatar-140x140-3.jpg\" alt=\"\" width=\"98\" height=\"98\" srcset=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/04\/sdoran_avatar-140x140-3.jpg 140w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/04\/sdoran_avatar-140x140-3-40x40.jpg 40w\" sizes=\"auto, (max-width: 98px) 100vw, 98px\" \/><\/p>\n<p><strong>SOPHIE DORAN<\/strong><\/p>\n<p><strong>\uac00\uce58 \ucee4\ubba4\ub2c8\ucf00\uc774\uc158 \uc218\uc11d\uc774\uc0ac<\/strong><\/p>\n<p><strong>\ud074\ub798\ub9ac\ubca0\uc774\ud2b8<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>\uac04\uc9c8\ud658\uc73c\ub85c \ub9e4\ub144 2\ubc31\ub9cc\uba85 \uc774\uc0c1\uc774 \uc0ac\ub9dd\ud569\ub2c8\ub2e4.<a name=\"_ftnref1\"><\/a> <a href=\"#_ftn1\"><sup>[1]<\/sup><\/a>\u00a0 4\uc6d4 19\uc77c \uc138\uacc4 \uac04\uc758 \ub0a0(World Liver Day)\uc744 \ub9de\uc774\ud574 \uac04\uc9c8\ud658\uc5d0 \uad00\ud55c \uc778\uc9c0\ub3c4\ub97c \ud5a5\uc0c1\uc2dc\ud0a4\uae30 \uc704\ud574 \uc720\ub7fd \uac04 \ud559\ud68c(European Association for the Study of the Liver: EASL), \ubbf8\uad6d \uac04\ud559\ud68c(American Association for the Study of Liver Diseases: AASLD)\uc640 \uac19\uc740 \uc8fc\uc694 \ud611\ud68c\uc758 \uc9c0\uc6d0\uc744 \ubc1b\uc544 \uc774\uae00\uc744 \uc791\uc131\ud588\uc2b5\ub2c8\ub2e4. <a name=\"_ftnref2\"><\/a><a href=\"#_ftn2\"><sup>[2]<\/sup><\/a><a name=\"_ftnref3\"><\/a><a href=\"#_ftn3\"><sup>[3]<\/sup><\/a>\u00a0 \uc758\ub8cc\uc601\uc0c1\uc740 \uac04\uc9c8\ud658\uc744 \ubc1c\uacac\ud558\uace0, \uc815\ubcf4\uc5d0 \uadfc\uac70\ud55c \uc9c4\ub2e8\uc744 \uc9c0\uc6d0\ud558\uace0, \uce58\ub8cc\ubc95\uc744 \uc120\ud0dd\ud558\ub294 \ub370 \uc788\uc5b4 \uac00\uc774\ub4dc\ub97c \ud574\uc8fc\uba70, \ubcd1\ubcc0\uc744 \uc9c0\uc18d\uc801\uc778 \ubaa8\ub2c8\ud130\ub9c1\uc744 \ud558\ub294\ub370 \uc788\uc5b4 \ud575\uc2ec\uc801\uc778 \uc5ed\ud560\uc744 \ub2f4\ub2f9\ud569\ub2c8\ub2e4.<a name=\"_ftnref4\"><\/a><a href=\"#_ftn4\"><sup>[4]<\/sup><\/a> \u00a0\ubcf8 \uae00\uc5d0\uc11c\ub294 \uad6d\uc18c \uac04\ubcd1\ubcc0(FLLs)\uacfc \uac04\uc554\uc758 \uac80\ucd9c \ubc0f \ud2b9\uc131 \uaddc\uba85\uc5d0 \uc0ac\uc6a9\ub418\ub294 \ud2b9\uc815 \uc601\uc0c1 \uae30\ubc95\uc758 \uae30\ubcf8\uc6d0\ub9ac, \uc774\uc810 \ubc0f \ud55c\uacc4\ub97c \ub2e4\ub904\ubcf4\uaca0\uc2b5\ub2c8\ub2e4.<\/p>\n<h3><strong>\uac04\uc554\uacfc \uad6d\uc18c \uac04 \ubcd1\ubcc0<\/strong><\/h3>\n<p>\uac04\uc554\uc740 \uc804\uc138\uacc4\uc801\uc73c\ub85c \uc554\uc0ac\ub9dd\ub960 3\uc704\ub97c \ucc28\uc9c0\ud569\ub2c8\ub2e4. <a name=\"_ftnref5\"><\/a><a href=\"#_ftn5\"><sup>[5]<\/sup><\/a>\u00a0\uac04\uc554\uc758 \uc8fc\uc694 \ud615\ud0dc\ub294 HCC(\uac04\uc138\ud3ec\uc554\uc885 )\ub85c \uc6d0\ubc1c\uc131 \uac04\uc554\uc758 80%\ub97c \ucc28\uc9c0\ud569\ub2c8\ub2e4.<a name=\"_ftnref6\"><\/a> <a href=\"#_ftn6\"><sup>[6]<\/sup><\/a>\u00a0HCC(\uac04\uc138\ud3ec\uc554\uc885)\ub294 FLL(\uad6d\uc18c\uac04\ubcd1\ubcc0)\uc758 \uc77c\uc885\uc774\uba70, FLL\uc740 \uac04\ub0b4 \ub2f4\uad00\uc554\uc885 \ubc0f \uac04 \uc804\uc774\uc640 \uac19\uc740 \ub2e4\ub978 \uc545\uc131 \ubcc0\ubcd1 \ubfd0 \uc544\ub2c8\ub77c \uac04 \ud608\uad00\uc885 \ubc0f \uad6d\uc18c \uacb0\uc815\uc131 \uc99d\uc2dd\uacfc \uac19\uc740 \uc591\uc131 \ubcd1\ubcc0\ub3c4 \ud3ec\ud568\ud569\ub2c8\ub2e4. FLL\uc758 \uc870\uae30\ubc1c\uacac\uacfc \uc815\ud655\ud55c \ud2b9\uc131 \ubd84\uc11d\uc740 \ucd5c\uc801\uc758 \uce58\ub8cc\ub97c \uacb0\uc815 \ubc0f \uc608\ud6c4 \uc608\uce21\uc5d0 \ub9e4\uc6b0 \uc911\uc694\ud569\ub2c8\ub2e4.<sup> [7]<\/sup><\/p>\n<p>FLL\uc740 \ubcf5\ud1b5\uc9c4\ub2e8 \ube44\uac04\uc554 \ud658\uc790\uc758 \uac04\uc554\uc804\uc774\ub97c \uc0b4\ud3b4\ubcf4\ub294 \ub4f1\uc758 \ub2e4\ub978 \ubaa9\uc801 \uc601\uc0c1 \ucd2c\uc601 \uc911\uc5d0 \uc6b0\uc5f0\ud788 \ubc1c\uacac\ub418\ub294 \uacbd\uc6b0\uac00 \ub9ce\uc2b5\ub2c8\ub2e4.<a name=\"_ftnref8\"><\/a><a href=\"#_ftn8\"><sup>[8]<\/sup><\/a>\u00a0FLL\uc758 \uc9c4\ub2e8 \ubc0f \ud2b9\uc131\ud654\ub97c \uc704\ud574\uc11c\ub294 3\uac00\uc9c0 \uc8fc\uc694 \uc601\uc0c1\uae30\ubc95\uc774 \uc0ac\uc6a9\ub429\ub2c8\ub2e4. \uc804\ud1b5\uc801\uc778 \ucd08\uc74c\ud30c\ub294 FLL\uc744 \ucd5c\ucd08\ub85c \ud0d0\uc9c0\ud558\ub294\ub370 \uc0ac\uc6a9\ub418\ub294 \uae30\ubc95\uc774\uace0 \uadf8 \ud6c4CECT(\uc870\uc601 \uc99d\uac15 \ucef4\ud4e8\ud130 \ub2e8\uce35 \ucd2c\uc601), CEMRI(\uc870\uc601 \uc99d\uac15 \uc790\uae30 \uacf5\uba85 \uc601\uc0c1) \ub610\ub294 CEUS(\uc870\uc601 \uc99d\uac15 \ucd08\uc74c\ud30c)\uac00 FLL \ud2b9\uc131\uc744 \ubc1d\ud788\ub294\ub370 \uc0ac\uc6a9\ub429\ub2c8\ub2e4. <a href=\"#_ftn8\"><sup>[8]<\/sup><\/a><a name=\"_ftnref9\"><\/a><a href=\"#_ftn9\"><sup>[9]<\/sup><\/a><a name=\"_ftnref10\"><\/a><a href=\"#_ftn10\"><sup>[10]<\/sup><\/a><\/p>\n<h3><strong>\uac04\uc9c8\ud658\uc744 \uc704\ud574 \uc0ac\uc6a9\ub418\ub294 \uc8fc\uc694 \uc601\uc0c1\uae30\ubc95<\/strong><\/h3>\n<p>\ucd08\uc74c\ud30c, \ucef4\ud4e8\ud130 \ub2e8\uce35\ucd2c\uc601(CT) \ubc0f \uc790\uae30\uacf5\uba85\uc601\uc0c1(MRI)\uc740 \ube44\uce68\uc2b5\uc801\uc778 \uc601\uc0c1\uae30\ubc95\uc73c\ub85c \uc11c\ub85c \ub2e4\ub978 \ubb3c\ub9ac \uc6d0\ub9ac\ub97c \ud65c\uc6a9\ud569\ub2c8\ub2e4. (\uadf8\ub9bc 1). \ucd08\uc74c\ud30c\ub294 \uccb4\ub0b4\ub85c \ud1b5\uacfc\ud558\uc5ec \uc5d0\ucf54\ucc98\ub7fc \ub0b4\ubd80\uc758 \uc870\uc9c1\uc5d0\uc11c \ud295\uaca8 \ub098\uc624\ub294 \uc74c\ud30c\ub97c \uc0ac\uc6a9\ud569\ub2c8\ub2e4. \uc11c\ub85c \ub2e4\ub978 \uc870\uc9c1 \uc720\ud615\uc774 \uc74c\ud30c\ub97c \ub2e4\ub974\uac8c \ubc18\uc0ac\ud558\uace0 \uc774\ub7ec\ud55c \uc5d0\ucf54\ub97c \ucc98\ub9ac\ud558\uc5ec \uc2e0\uccb4\uc758 \uc601\uc0c1\uc744 \uc0dd\uc131\ud558\ub294 \ub370 \uc18c\ud504\ud2b8\uc6e8\uc5b4\uac00 \uc0ac\uc6a9\ub429\ub2c8\ub2e4.<a name=\"_ftnref11\"><\/a><a href=\"#_ftn11\"><sup>[11]<\/sup><\/a><a name=\"_ftnref12\"><\/a><a href=\"#_ftn12\"><sup>[12]<\/sup><\/a><\/p>\n<p>CT\ub294 \uc77c\ub828\uc758 X\uc120\uc744 \uc0ac\uc6a9\ud558\uc5ec \uc11c\ub85c \ub2e4\ub978 \ubc29\ud5a5\uc5d0\uc11c \ub3d9\uc77c\ud55c \uc704\uce58\uc5d0 \ub300\ud574 \ub2e4\uc591\ud558\uac8c X\uc120\uc744 \ud22c\uc601\ud55c \ud6c4 \uc774\ubbf8\uc9c0\ub97c \uad6c\ucd95\ud569\ub2c8\ub2e4. \uc774\ud6c4, \ub2e8\uce35\ucd2c\uc601\uc744 \uc7ac\uad6c\uc131\ud574 \uc2e0\uccb4\uc758 3D \ub2e8\uba74 \uc774\ubbf8\uc9c0\ub97c \uc0dd\uc131\ud569\ub2c8\ub2e4. \uac1c\ubcc4 X-\uc120 \uc774\ubbf8\uc9c0\ub294 \uc870\uc9c1\uc744 \ud1b5\uacfc\ud560 \ub54c X-\uc120 \uac15\ub3c4\uc758 \uac10\uc18c\ub97c \uc815\ub7c9\ud654\ud569\ub2c8\ub2e4. \ub2e4\uc591\ud55c \ub0b4\uc7a5\uae30\uad00\ub4e4\uc774 \ub2e4\uc591\ud55c \uc218\uc900\uc758 \ubc29\uc0ac\uc120\uc744 \ud761\uc218\ud558\uba70(\uc608: \ubf08\uac00 \uac00\uc7a5 \ub9ce\uc774 \ubc29\uc0ac\uc120\uc744 \ud761\uc218\ud568) \uc774\ub7f0 \ucc28\uc774 \ubc1c\uc0dd\uc744 \ud65c\uc6a9\ud574 \ub300\ube44\ub97c \ub9cc\ub4e4\uac8c \ub429\ub2c8\ub2e4..<a href=\"#_ftn11\"><sup>[11]<\/sup><\/a><a href=\"#_ftn12\"><sup>[12]<\/sup><\/a><\/p>\n<p>MRI\ub294 \uac15\ub825\ud55c \uc790\uc11d\uc744 \uc0ac\uc6a9\ud574 \uc2e0\uccb4\uc758 \uc591\uc131\uc790(\uc8fc\ub85c \ubb3c \ubd84\uc790\uc758 \uc218\uc18c \uc6d0\uc790)\ub97c \uc790\uae30\uc7a5\uacfc \uc815\ub82c\uc2dc\ud0b5\ub2c8\ub2e4. \ud658\uc790\uc758 \ubab8\uc5d0 \ud2b9\uc815 \ubb34\uc120 \uc8fc\ud30c\uc218\ub97c \ud758\ub7ec \ubcf4\ub0b4\uba74 \uc2e0\uccb4\ub0b4\uc758 \uc591\uc131\uc790\ub4e4\uc740 \uc790\uae30\uc7a5 \uc815\ub82c\uc744 \ubc97\uc5b4\ub098 \ud68c\uc804\ud558\uac8c \ub429\ub2c8\ub2e4. \ubb34\uc120 \uc8fc\ud30c\uc218\uac00 \uaebc\uc9c0\uba74, \uc591\uc131\uc790\ub4e4\uc740 \ud734\uc2dd\uc0c1\ud0dc\uc758 \uc815\ub82c\ub85c \ub3cc\uc544\uac00 \uc5d0\ub108\uc9c0\ub97c \ubc29\ucd9c\ud558\uac8c \ub418\ub294\ub370 \ub0b4\uc7a5\uae30\uad00\uc758 \uc720\ud615\uc5d0 \ub530\ub77c \uc774\uc644\ub418\ub294 \ud2b9\uc131\uc774 \ub2ec\ub77c \ubc29\ucd9c\ub41c \uc5d0\ub108\uc9c0\ub97c \uce21\uc815\ud574 \uc774\ubbf8\uc9c0\ub97c \uc0dd\uc131\ud569\ub2c8\ub2e4.<a href=\"#_ftn11\"><sup>[11]<\/sup><\/a><a href=\"#_ftn12\"><sup>[12]<\/sup><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14893 size-full alignnone\" src=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/04\/non-invasive-modalities-for-liver-imaging-1.png\" alt=\"\" width=\"602\" height=\"630\" srcset=\"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/04\/non-invasive-modalities-for-liver-imaging-1.png 602w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/04\/non-invasive-modalities-for-liver-imaging-1-287x300.png 287w, https:\/\/clarivate.com\/life-sciences-healthcare\/wp-content\/uploads\/sites\/4\/2024\/04\/non-invasive-modalities-for-liver-imaging-1-38x40.png 38w\" sizes=\"auto, (max-width: 602px) 100vw, 602px\" \/><\/strong><\/p>\n<p><strong>\uadf8\ub9bc<\/strong><strong> 1: <\/strong><strong>\ube44\uce68\uc2b5\uc801 \uac04 \uc601\uc0c1 \uc720\ud615<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h3><strong>\uc9c8\ud658 \uad6c\ubd84\uc744 \uc704\ud55c \ub300\ube44 \ud5a5\uc0c1<\/strong><\/h3>\n<p>\uc704\uc758 3\uac00\uc9c0 \uc601\uc0c1\uae30\ubc95\uc758 \uc9c4\ub2e8\ub2a5\ub825\uc744 \ud5a5\uc0c1\uc2dc\ud0a4\uae30 \uc704\ud574 \uc870\uc601\uc81c\uac00 \uc0ac\uc6a9\ub418\uae30\ub3c4 \ud569\ub2c8\ub2e4. CEUS\ub97c \uc704\ud55c \uc870\uc601\uc81c\ub294 \ubd88\ud65c\uc131\uae30\uccb4\ub97c \uaecd\uc9c8\ub85c \uac10\uc2f8(\uc2e0\ud638 \uac15\ub3c4\ub97c \ub192\uc774\uae30 \uc704\ud574) \uc548\uc815\ud654\uc2dc\ud0a8 \ubbf8\uc138\uac70\ud488\uc73c\ub85c \uad6c\uc131\ub429\ub2c8\ub2e4. \uc774\ub294 \ud608\uc561\uc758 \uc5d0\ucf54\uae30\ub2a5\uc744 \ud5a5\uc0c1\uc2dc\ud0b5\ub2c8\ub2e4.<a name=\"_ftnref13\"><\/a> <a href=\"#_ftn13\"><sup>[13]<\/sup><\/a><a name=\"_ftnref14\"><\/a><a href=\"#_ftn14\"><sup>[14]<\/sup><\/a>\u00a0CECT\ub97c \uc704\ud55c \uc870\uc601\uc81c\ub294 X\uc120 \ud761\uc218\ub97c \uc99d\uac00\uc2dc\ucf1c \ub300\ube44\ub97c \uc120\uba85\ud558\uac8c \ud558\ub294 \uc694\uc624\ub4dc \uc6d0\uc790\uac00 \ud3ec\ud568\ub429\ub2c8\ub2e4. <a name=\"_ftnref15\"><\/a><a href=\"#_ftn15\"><sup>[15]<\/sup><\/a> \u00a0CEMRI\uc758 \uacbd\uc6b0 \ub0b4\uc7a5\uae30\uad00 \uc870\uc9c1\uc758 \uc591\uc131\uc790 \ud575\uc758 \uc774\uc644\uc2dc\uac04\uc744 \ub2e8\ucd95\ud574 \uc870\uc601\uac15\ud654\uc870\uc9c1\uc758 \uc2e0\ud638\uac15\ub3c4\ub97c \ud5a5\uc0c1\uc2dc\ud0a4\ub294 \uac00\ub3cc\ub9ac\ub284 \uae30\ubc18\uc758 \uc870\uc601\uc81c\ub97c \uc0ac\uc6a9\ud569\ub2c8\ub2e4. <a name=\"_ftnref16\"><\/a><a href=\"#_ftn16\"><sup>[16]<\/sup><\/a><a name=\"_ftnref17\"><\/a><a href=\"#_ftn17\"><sup>[17]<\/sup><\/a><\/p>\n<p>\uac04\uc554 \uace0\uc704\ud5d8\uad70 \ud658\uc790\ub97c \ub300\uc0c1\uc73c\ub85c FLL\uc758 \ud2b9\uc131\ud654\ub97c \uc704\ud574LI-RADS (Liver Imaging Reporting and Data System: \uac04 \uc601\uc0c1 \ubcf4\uace0 \ubc0f \ub370\uc774\ud130\uc2dc\uc2a4\ud15c)\uc774 \uac1c\ubc1c\ub418\uc5c8\uc2b5\ub2c8\ub2e4. \uc774 \uc2dc\uc2a4\ud15c\uc740 FLL\uc744LR-1 (\ud655\uc2e4\ud55c \uc591\uc131) \uc5d0\uc11cLR-5 (\ud655\uc2e4\ud55c HCC)\uae4c\uc9c0 \uad6c\ubd84\ud569\ub2c8\ub2e4. CECT \/CEMRI \ubc0fCEUS\uc5d0\uc11c LI-RADS \uc54c\uace0\ub9ac\uc998\uc744 \uc0ac\uc6a9<a name=\"_ftnref18\"><\/a>\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<a href=\"#_ftn18\"><sup>[18]<\/sup><\/a>\u00a0 \uc774 \ubd84\ub958\ub294 \ubcd1\ubcc0 \ud06c\uae30\uc640 \uac04 \ub0b4 \uc870\uc601\uc81c\uc758 \ud750\ub984\uacfc \uac19\uc740 \uc694\uc18c\ub4e4\uc744 \uace0\ub824\ud569\ub2c8\ub2e4. \uac04\uc740 \uac04\ub3d9\ub9e5\uacfc \uac04\ubb38\ub9e5\uc73c\ub85c\ubd80\ud130 \uc774\uc911 \ud608\uc561 \uacf5\uae09\uc744 \ubc1b\uae30 \ub54c\ubb38\uc5d0 \uc8fc\uc785\ub41c \uc870\uc601\uc81c\uac00(\uc5b4\ub290 \uae30\ubc95\uc774\ub4e0)\uac00 \uac04\uc744 &#8216;\uc6cc\uc2dc\uc778(wash in)&#8217;\ud558\uace0 &#8216;\uc6cc\uc2dc\uc544\uc6c3(wash out)&#8217;\ud558\ub294 \uc138 \uac00\uc9c0 \uad6c\ubcc4 \uac00\ub2a5\ud55c \ub2e8\uacc4\uac00 \uc788\uc2b5\ub2c8\ub2e4: \uac04\ub3d9\ub9e5\uae30, \uac04\ubb38\ub9e5\uae30, \ub9d0\uae30. FLL\uc758 \ub300\uc870 \uc99d\uac15 \ud328\ud134\uc5d0 \ub530\ub77c \uc8fc\ubcc0 \uac04 \uc870\uc9c1\uacfc \ube44\uad50\ud558\uc5ec CEUS, CECT \ubc0f\/\ub610\ub294 CEMRI\uc5d0 \uc758\ud574 FLL\uc774 \ubd84\ub958\ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<a name=\"_ftnref19\"><\/a><a href=\"#_ftn19\"><sup>[19]<\/sup><\/a><a name=\"_ftnref20\"><\/a><a href=\"#_ftn20\"><sup>[20]<\/sup><\/a><a name=\"_ftnref21\"><\/a><a href=\"#_ftn21\"><sup>[21]<\/sup><\/a><a name=\"_ftnref22\"><\/a><a href=\"#_ftn22\"><sup>[22]<\/sup><\/a><\/p>\n<h3><strong>\uac04 \uc601\uc0c1\uae30\ubc95\uc758 \uc774\uc810\uacfc \ud55c\uacc4<\/strong><\/h3>\n<p>\uc138\uac00\uc9c0 \uc870\uc601 \uc99d\uac15\uae30\ubc95\uc740 \ubaa8\ub450 FLL\uc744 \ud2b9\uc131\ud654\ud558\ub294 \uc5ed\ud560\uc744 \ud558\uba70 \uac01\uac01\uc758 \uc7a5\uc810\uacfc \ud55c\uacc4\ub97c \uac00\uc9c0\uace0 \uc788\uc2b5\ub2c8\ub2e4. \uc608\ub97c \ub4e4\uc5b4CEUS(\uc870\uc601 \uc99d\uac15 \ucd08\uc74c\ud30c)\ub294 \uc2e4\uc2dc\uac04 \uc601\uc0c1\uc744 \uc81c\uacf5\ud558\uace0, \uc811\uadfc\uc131\uc774 \ub113\uc73c\uba70, \uc784\uc0c1\uc758\/\ubc29\uc0ac\uc120\uc0ac\uac00 \ud658\uc790\uc758 \ubcd1\uc0c1\uc5d0\uc11c \uc9c4\ud589\ud560 \uc218 \uc788\uace0 \ube44\uad50\uc801 \uc800\ub834\ud569\ub2c8\ub2e4. <a href=\"#_ftn10\"><sup>[10]<\/sup><\/a><a name=\"_ftnref23\"><\/a><a href=\"#_ftn23\"><sup>[23]<\/sup><\/a><a name=\"_ftnref24\"><\/a><a href=\"#_ftn24\"><sup>[24]<\/sup><\/a>\u00a0\ud558\uc9c0\ub9cc, CEUS\ub294 \uc81c\ud55c\ub41c \uad00\ud1b5 \uae4a\uc774\ub97c \uac00\uc9c0\uace0 \uc788\uc5b4 \ube44\ub9cc \ub610\ub294 \uacfc\uccb4\uc911 \ud658\uc790\uc758 \ucd2c\uc601\uc5d0 \uc601\ud5a5\uc744 \ubbf8\uce58\uba70 \ud55c\ubc88\uc5d0 \ud55c\uac1c\uc758 \ubcd1\ubcc0 \ub9cc\uc744 \uc5f0\uad6c\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.\u00a0<a href=\"#_ftn22\"><sup>[22]<\/sup><\/a><a href=\"#_ftn23\"><sup>[23]<\/sup><\/a><a href=\"#_ftn24\"><sup>[24]<\/sup><\/a>\u00a0\ubc18\ub300\ub85c CECT(\uc870\uc601 \uc99d\uac15 \ucef4\ud4e8\ud130 \ub2e8\uce35 \ucd2c\uc601)\uc640 CEMRI(\uc870\uc601 \uc99d\uac15 \uc790\uae30 \uacf5\uba85 \uc601\uc0c1)\ub294 \uae4a\uc740 \uad6c\uc870\ub97c \uc2dc\uac01\ud654\ud558\uace0 \uac04 \uc804\uccb4\uc758 \ud3c9\uac00\uac00 \uac00\ub2a5\ud569\ub2c8\ub2e4.\u00a0<a href=\"#_ftn10\"><sup>[10]<\/sup><\/a><a href=\"#_ftn15\"><sup>[15]<\/sup><\/a><a href=\"#_ftn23\"><sup>[23]<\/sup><\/a><a href=\"#_ftn24\"><sup>[24]<\/sup><\/a>\u00a0CECT(\uc870\uc601 \uc99d\uac15 \ucef4\ud4e8\ud130 \ub2e8\uce35 \ucd2c\uc601)\uc758 \ud55c\uacc4\ub294 \uc774\uc628\ud654 \ubc29\uc0ac\uc120\uc744 \uc0ac\uc6a9\ud558\ub294 \uac83\uc73c\ub85c CT\ubc0f MRI\uc870\uc601\uc81c\ub294 \uc2e0\uc7a5 \uc190\uc0c1\uc73c\ub85c \uc778\ud55c \uc2e0\ub3c5\uc131\uc791\uc6a9\uc73c\ub85c \uc2e0\uc7a5\uae30\ub2a5\uc774 \uc800\ud558\ub41c \ud658\uc790\uc5d0\uac8c\ub294 \uc0ac\uc6a9\ud560 \uc218 \uc5c6\uc2b5\ub2c8\ub2e4. <a href=\"#_ftn10\"><sup>[10]<\/sup><\/a><a href=\"#_ftn23\"><sup>[23]<\/sup><\/a><a name=\"_ftnref25\"><\/a><a href=\"#_ftn25\"><sup>[25]<\/sup><\/a>\u00a0CECT(\uc870\uc601 \uc99d\uac15 \ucef4\ud4e8\ud130 \ub2e8\uce35 \ucd2c\uc601)\uc640 CEMRI(\uc870\uc601 \uc99d\uac15 \uc790\uae30 \uacf5\uba85 \uc601\uc0c1)\ub294 \uc2e4\uc2dc\uac04 \uc601\uc0c1\uc774 \ubd88\uac00\ub2a5\ud558\uba70, \uc870\uc601\uc81c \ud22c\uc5ec \ud6c4 \uc0ac\uc804\uc5d0 \uacb0\uc815\ub41c \uc2dc\uac04\uc5d0 \uc601\uc0c1\uac80\uc0ac\uac00 \uc2dc\ud589\ub429\ub2c8\ub2e4. <a href=\"#_ftn22\"><sup>[22]<\/sup><\/a>\u00a0\ub610\ud55c, \ud658\uc790\uac00 \ub300\ud615 \uc2a4\uce90\ub108\uc5d0 \ud63c\uc790 \uac07\ud600\uc11c \ucd2c\uc601\ub418\ubbc0\ub85c \ubd88\ud3b8\uc744 \uacbd\ud5d8\ud560 \uc218 \uc788\ub294 \uc804\uc6a9 \uacf5\uac04\uc5d0\uc11c \uc218\ud589\ub429\ub2c8\ub2e4. <a href=\"#_ftn24\"><sup>[24]<\/sup><\/a><\/p>\n<p>\ub2e4\uc591\ud55c \uc694\uc778\uc5d0 \ub530\ub77c \ud55c \uc601\uc0c1\uae30\ubc95\uc774 \ub2e4\ub978 \uc601\uc0c1\uae30\ubc95\ubcf4\ub2e4 \uc6b0\uc120\uc801\uc73c\ub85c \uc0ac\uc6a9\ub420 \uc218 \uc788\uace0, \uc5ec\ub7ec\uac00\uc9c0 \uc601\uc0c1\uae30\ubc95\uc774 \ud568\uaed8 \uc0ac\uc6a9\ub418\uc5b4 \uc0c1\ud638 \ubcf4\uc644\ud560 \uc218\ub3c4 \uc788\uc2b5\ub2c8\ub2e4. <a href=\"#_ftn8\"><sup>[8]<\/sup><\/a><a href=\"#_ftn10\"><sup>[10]<\/sup><\/a><a href=\"#_ftn22\"><sup>[22]<\/sup><\/a>\u00a0\uc774\ub7f0 \uae30\uc220\uc758 \uc7a5\ub2e8\uc810\uc744 \uc774\ud574\ud558\ub294 \uc77c\uc740 \ud2b9\uc815 \ud658\uc790\ub97c \uc704\ud55c \uac00\uc7a5 \uc801\ud569\ud55c \uc601\uc0c1\uae30\ubc95\uc744 \uc120\ud0dd\ud558\uace0 FLL\uc758 \uc815\ud655\ud55c \ud2b9\uc131\ud654\uc640 \uc9c4\ub2e8\uc744 \ub3d5\ub294 \ub370 \ud544\uc218\uc801\uc785\ub2c8\ub2e4. \uc774\ub294 \uc9c4\ub2e8\uacfc \uce58\ub8cc \uc9c0\uc5f0\uc744 \ud53c\ud560 \ubfd0 \uc544\ub2c8\ub77c \ud658\uc790\uc758 \uce58\ub8cc \uacb0\uacfc\ub97c \ud5a5\uc0c1\uc2dc\ud0b5\ub2c8\ub2e4. <a href=\"#_ftn4\"><sup>[4]<\/sup><\/a>\u00a0\uc774\ub97c \ud1b5\ud574 \uc5bb\uc740 \uc778\uc0ac\uc774\ud2b8\ub294 \uc758\ub8cc \uc5c5\ubb34 \ud750\ub984\uc744 \ucd5c\uc801\ud654\uc2dc\ud0a4\ub294 \ub370 \ub3c4\uc6c0\uc774 \ub420 \ubfd0 \uc544\ub2c8\ub77c \uad81\uadf9\uc801\uc73c\ub85c \uc758\ub8cc \ud65c\uc6a9\ub960\uc744 \ub0ae\ucd94\ub294 \ub370 \ub3c4\uc6c0\uc744 \uc90d\ub2c8\ub2e4. <a href=\"#_ftn9\"><sup>[9]<\/sup><\/a><a href=\"#_ftn24\"><sup>[24]<\/sup><\/a><a name=\"_ftnref26\"><\/a><a href=\"#_ftn26\"><sup>[26]<\/sup><\/a><\/p>\n<p>Clarivate Value Communication \ud300\uc740 \uc0dd\uba85\uacfc\ud559 \ud68c\uc0ac\ub4e4\uc774 \ud601\uc2e0\uc801\uc774\uace0 \uace0\ub3c4\ub85c \ubc1c\uc804\ub41c \uc758\ub8cc\uae30\uc220\uc758 \uc774\uc810\uc744 \uba85\ud655\ud558\uace0 \uc601\ud5a5\ub825\uc788\ub294 \ubc29\ubc95\uc73c\ub85c \ub9c8\ucf13 \uc561\uc138\uc2a4 \uc774\ud574\uad00\uacc4\uc790\uc5d0\uac8c \uc81c\uc2dc\ud560 \uc218 \uc788\ub3c4\ub85d \uc9c0\uc6d0\ud569\ub2c8\ub2e4. \ud074\ub798\ub9ac\ubca0\uc774\ud2b8\ub294 \uacac\uace0\ud558\uace0 \uacbd\uc7c1\ub825\uc788\ub294 \uac00\uce58 \ucee4\ubba4\ub2c8\ucf00\uc774\uc158 \uc790\ub8cc\ub4e4\uc744 \uac1c\ubc1c\ud558\ub294 \ub370 \uc5ec\uae30\uc5d0\ub294 \uac00\uce58 \uc2a4\ud1a0\ub9ac \uc2ac\ub77c\uc774\ub4dc \ub371, \uae00\ub85c\ubc8c \uac00\uce58 \ubc0f \ubcf4\uc0c1 \uc11c\ub958, \uc774\uc758 \ucc98\ub9ac \ubc0f \ucd9c\ud310\ubb3c \ub4f1\uc774 \ud3ec\ud568\ub429\ub2c8\ub2e4. \ud074\ub798\ub9ac\ubca0\uc774\ud2b8\ub294 \ub610\ud55c \uc8fc\uc694 \ubcf4\ud5d8\uc0ac(Payers) \ubc0f KOL\uc5f0\uad6c \ubc0f \u00a0\uc778\ud130\uc561\ud2f0\ube0c \uace0\uac1d \uc6cc\ud06c\uc0f5 \ubc0f \uad50\uc721 \uac1c\ubc1c\uc5d0 \uc788\uc5b4 \uad11\ubc94\uc704\ud55c \uacbd\ud5d8\uc744 \uac16\uace0 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\ud074\ub798\ub9ac\ubca0\uc774\ud2b8\uc758 \uc9c0\uc6d0 \ubc94\uc704 \ubc0f \uadc0\ud558\ub97c \uc5b4\ub5bb\uac8c \ub3c4\uc6b8\uc218 \uc788\ub294\uc9c0 \uc54c\uc544\ubcf4\uc2dc\ub824\uba74 <u><a href=\"https:\/\/clarivate.com\/ko\/products\/life-sciences-and-healthcare-consulting-services\/evidence-value-access-consulting\/\">https:\/\/clarivate.com\/ko\/products\/life-sciences-and-healthcare-consulting-services\/evidence-value-access-consulting\/<\/a><\/u> \ub97c \ubc29\ubb38\ud574 \uc8fc\uc2ed\uc2dc\uc624.<\/p>\n<p>\ubcf8 \uae00\uc740 \uc758\ud559 \uc804\ubb38 \uc791\uac00\uc778 Ulrike Jahnke Writer \ubc0f Paul Cowling\uc774 \uc791\uc131\ud588\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\ucc38\uace0\uc790\ub8cc<\/p>\n<p><a name=\"_ftn1\"><\/a><a href=\"#_ftnref1\"><sup>[1]<\/sup><\/a>Devarbhavi H, Asrani SK, Arab JP, Nartey YA, Pose E, Kamath PS. Global burden of liver disease: 2023 update. J Hepatol. 2023 Aug;79(2):516-537<\/p>\n<p><a name=\"_ftn2\"><\/a><a href=\"#_ftnref2\"><sup>[2]<\/sup><\/a><a href=\"https:\/\/worldliverday.org\/\" target=\"_blank\" rel=\"noopener\">World Liver Day website<\/a>.<\/p>\n<p><a name=\"_ftn3\"><\/a><a href=\"#_ftnref3\"><sup>[3]<\/sup><\/a><a href=\"https:\/\/easl.eu\/news\/wld2024\/\" target=\"_blank\" rel=\"noopener\">European Association for the Study of the Liver<\/a>\u00a0(EASL)\u00a0<a href=\"https:\/\/worldliverday.org\/wp-content\/uploads\/2023\/04\/World-Liver-Day-2023-Press-Release-19-April-2023.pdf\" target=\"_blank\" rel=\"noopener\">press release<\/a><\/p>\n<p><a name=\"_ftn4\"><\/a><a href=\"#_ftnref4\"><sup>[4]<\/sup><\/a>Singh S, Hoque S, Zekry A, Sowmya A. Radiological Diagnosis of Chronic Liver Disease and Hepatocellular Carcinoma: A Review. J Med Syst. 2023 Jul 11;47(1):73<\/p>\n<p><a name=\"_ftn5\"><\/a><a href=\"#_ftnref5\"><sup>[5]<\/sup><\/a>Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021 May;71(3):209-249<\/p>\n<p><a name=\"_ftn6\"><\/a><a href=\"#_ftnref6\"><sup>[6]<\/sup><\/a>Rumgay H, Ferlay J, de Martel C, Georges D, Ibrahim AS, Zheng R, Wei W, Lemmens VEPP, Soerjomataram I. Global, regional and national burden of primary liver cancer by subtype. Eur J Cancer. 2022 Jan;161:108-118<\/p>\n<p><a name=\"_ftn7\"><\/a><a href=\"#_ftnref7\"><sup>[7]<\/sup><\/a>Marrero JA, Ahn J, Rajender Reddy K; Americal College of Gastroenterology. ACG clinical guideline: the diagnosis and management of focal liver lesions. Am J Gastroenterol. 2014 Sep;109(9):1328-47<\/p>\n<p><a name=\"_ftn8\"><\/a><a href=\"#_ftnref8\"><sup>[8]<\/sup><\/a>Algarni AA, Alshuhri AH, Alonazi MM, Mourad MM, Bramhall SR. Focal liver lesions found incidentally. World J Hepatol. 2016 Mar 28;8(9):446-51<\/p>\n<p><a name=\"_ftn9\"><\/a><a href=\"#_ftnref9\"><sup>[9]<\/sup><\/a>O\u2019Brien M, Oliver L, Proctor N, Siakantari M, Cantin P, Griffin CP, Stenberg B. Assessing the impact and resource implications of contrast-enhanced ultrasound on workflow of patients with incidental focal liver lesions on the UK national health service. Acta Radiol Open. 2023 Jun 13;12(6):20584601231183131<\/p>\n<p><a name=\"_ftn10\"><\/a><a href=\"#_ftnref10\"><sup>[10]<\/sup><\/a>Burrowes DP, Medellin A, Harris AC, Milot L, Lethebe BC, Wilson SR. Characterization of Focal Liver Masses: A Multicenter Comparison of Contrast-Enhanced Ultrasound, Computed Tomography, and Magnetic Resonance Imaging. J Ultrasound Med. 2021 Dec;40(12):2581-2593<\/p>\n<p><a name=\"_ftn11\"><\/a><a href=\"#_ftnref11\"><sup>[11]<\/sup><\/a>Medical Imaging Signals and Systems. Second Edition. Eds: Prince CL, Links JM. Pearson Education Inc. 2015<\/p>\n<p><a name=\"_ftn12\"><\/a><a href=\"#_ftnref12\"><sup>[12]<\/sup><\/a>Medical Imaging Systems. An Introductory Guide. Eds: Maier M, Steidl S, Christlein V, Hornegger J, Springer Open 2018<\/p>\n<p><a name=\"_ftn13\"><\/a><a href=\"#_ftnref13\"><sup>[13]<\/sup><\/a>Frinking P, Segers T, Luan Y, Tranquart F. Three Decades of Ultrasound Contrast Agents: A Review of the Past, Present and Future Improvements. Ultrasound Med Biol. 2020 Apr;46(4):892-908<\/p>\n<p><a name=\"_ftn14\"><\/a><a href=\"#_ftnref14\"><sup>[14]<\/sup><\/a>Yusefi H, Helfield B. Ultrasound Contrast Imaging: Fundamentals and Emerging Technology. Front Phys. 2022;10:791145<\/p>\n<p><a name=\"_ftn15\"><\/a><a href=\"#_ftnref15\"><sup>[15]<\/sup><\/a>Owens TC, Anton N, Attia MF. CT and X-ray contrast agents: Current clinical challenges and the future of contrast. Acta Biomater. 2023 Nov;171:19-36<\/p>\n<p><a name=\"_ftn16\"><\/a><a href=\"#_ftnref16\"><sup>[16]<\/sup><\/a>Lohrke J, Frenzel T, Endrikat J, Alves FC, Grist TM, Law M, et al. 25 Years of Contrast-Enhanced MRI: Developments, Current Challenges and Future Perspectives. Adv Ther. 2016 Jan;33(1):1-28<\/p>\n<p><a name=\"_ftn17\"><\/a><a href=\"#_ftnref17\"><sup>[17]<\/sup><\/a>Chandra T, Mohan S. Role of Contrast in MR Imaging. Top Magn Reson Imaging. 2016 Aug;25(4):151-6<\/p>\n<p><a name=\"_ftn18\"><\/a><a href=\"#_ftnref18\"><sup>[18]<\/sup><\/a>Marks RM, Masch WR, Chernyak V. LI-RADS: Past, Present, and Future, From the AJR Special Series on Radiology Reporting and Data Systems. AJR Am J Roentgenol. 2021 Feb;216(2):295-304<\/p>\n<p><a name=\"_ftn19\"><\/a><a href=\"#_ftnref19\"><sup>[19]<\/sup><\/a>Bargellini I, Battaglia V, Bozzi E, Lauretti DL, Lorenzoni G, Bartolozzi C. Radiological diagnosis of hepatocellular carcinoma. J Hepatocell Carcinoma. 2014;1:137-48<\/p>\n<p><a name=\"_ftn20\"><\/a><a href=\"#_ftnref20\"><sup>[20]<\/sup><\/a>Dietrich CF, Nolsoe CP, Barr RG, Berzigotti A, Burns PN, Cantisani V, et al. Guidelines and Good Clinical Practice Recommendations for Contrast-Enhanced Ultrasound (CEUS) in the Liver-Update 2020 WFUMB in Cooperation with EFSUMB, AFSUMB, AIUM, and FLAUS. Ultrasound Med Biol. 2020 Oct;46(10):2579-604<\/p>\n<p><a name=\"_ftn21\"><\/a><a href=\"#_ftnref21\"><sup>[21]<\/sup><\/a>Kim TK, Noh SY, Wilson SR, Kono Y, Piscaglia F, Jang HJ, et al. Contrast-enhanced ultrasound (CEUS) liver imaging reporting and data system (LI-RADS) 2017 \u2013 a review of important differences compared to the CT\/MRI system. Clin Mol Hepatol. 2017 Dec;23(4):280-9<\/p>\n<p><a name=\"_ftn22\"><\/a><a href=\"#_ftnref22\"><sup>[22]<\/sup><\/a>Wilson SR, Lyshchik A, Piscaglia F, Cosgrove D, Jang HJ, Sirlin C, et al. CEUS LI-RADS: algorithm, implementation, and key differences from CT\/MRI. Abdom Radiol (NY). 2018 Jan;43(1):127-42<\/p>\n<p><a name=\"_ftn23\"><\/a><a href=\"#_ftnref23\"><sup>[23]<\/sup><\/a>Yang Q, Zheng R, Zhou J, Tang L, Zhang R, Jiang T, et al. On-Site Diagnostic Ability of CEUS\/CT\/MRI for Hepatocellular Carcinoma (2019-2022): A Multicenter Study. J Ultrasound Med. 2023 Dec;42(12):2825-38<\/p>\n<p><a name=\"_ftn24\"><\/a><a href=\"#_ftnref24\"><sup>[24]<\/sup><\/a>Islam, S.K.M.S., Nasim, M.A.A., Hossain, I., Ullah, D.M.A., Gupta, D.K.D., Bhuiyan, M.M.H. (2023). Introduction of Medical Imaging Modalities. In: Zheng, B., Andrei, S., Sarker, M.K., Gupta, K.D. (eds) Data Driven Approaches on Medical Imaging. Springer, Cham<\/p>\n<p><a name=\"_ftn25\"><\/a><a href=\"#_ftnref25\"><sup>[25]<\/sup><\/a>American College of Radiology (ACR).\u00a0<a href=\"https:\/\/www.acr.org\/-\/media\/ACR\/Files\/Clinical-Resources\/Contrast_Media.pdf\" target=\"_blank\" rel=\"noopener\">ACR Manual On Contrast Media \u2013 2023<\/a><\/p>\n<p><a name=\"_ftn26\"><\/a><a href=\"#_ftnref26\"><sup>[26]<\/sup><\/a>Thrall JH. Appropriateness and imaging utilization: \u201ccomputerized provider order entry and decision support\u201d. Acad Radiol. 2014 Sep;21(9):1083-7<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>SOPHIE DORAN \uac00\uce58 \ucee4\ubba4\ub2c8\ucf00\uc774\uc158 \uc218\uc11d\uc774\uc0ac \ud074\ub798\ub9ac\ubca0\uc774\ud2b8 &nbsp; \uac04\uc9c8\ud658\uc73c\ub85c \ub9e4\ub144 2\ubc31\ub9cc\uba85 \uc774\uc0c1\uc774 \uc0ac\ub9dd\ud569\ub2c8\ub2e4. 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