Hepatitis B ultrasound

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

The ultrasound may be used as a screening tool in patients with chronic hepatitis for the early detection of hepatic cirrhosis. HBsAg carriers with cirrhosis should be echographically evaluated every 6 months.

Ultrasound

The following findings may be identified:^[1]

Coarse echogenicity
Segmental hypertrophy with nodular appearance of the liver
Portal hypertension:

Ultrasound image demonstrating a cirrhotic liver and ascites – By Samir at en.wikipedia, CC BY 3.0, https://commons.wikimedia.org/w/index.php?curid=7389868

HBsAg carriers should have regular serial serum alpha-fetoprotein determinations, and ultrasound examinations for those above 40 years of age (with 6 month intervals).^[2]

Both these tests are recommended to be repeated regularly, for all HBsAg carriers with cirrhosis.^[1]

Large HCC filling portion of the right lobe – By Nevit Dilmen (talk) – Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=12635266

References

↑ ^1.0 ^1.1 “Hepatitis D” (PDF).
↑ World Health Organization, Guidelines for the Prevention, Care, and Treatment of persons with chronic Hepatitis B Infection. (March 2015). http://apps.who.int/iris/bitstream/10665/154590/1/9789241549059_eng.pdf Accessed on October 4th, 2016

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[WHO1-1] 1.0 ^1.1 “Hepatitis D” (PDF).

[WHO-Guideline-Hepatitis-B-2] World Health Organization, Guidelines for the Prevention, Care, and Treatment of persons with chronic Hepatitis B Infection. (March 2015). http://apps.who.int/iris/bitstream/10665/154590/1/9789241549059_eng.pdf Accessed on October 4th, 2016

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[2]