Radiologic follow-up in Fontan-associated liver disease in Europe: European Society of Paediatric Radiology survey demonstrates the need for a consensus protocol.
Giulia PeruccaCharlotte de LangeStéphanie Franchi-AbellaMarcello NapolitanoMichael RiccabonaDamjana KljučevšekSeema TosoJochen HerrmannSamuel StafraceKassa DargeMaria Beatrice DamasioCostanza BrunoMagdalena Maria WoźniakLuisa LoboDonald IbeAnne M SmetsPhilippe PetitLil-Sofie Ording MüllerPublished in: Pediatric radiology (2021)
Fontan surgery is a life-saving procedure for newborns with complex cardiac malformations, but it originates complications in different organs. The liver is also affected, with development of fibrosis and sometimes cirrhosis and hepatocellular carcinoma. There is no general agreement on how to follow-up these children for the development of liver disease. To understand the current practice on liver follow-up, we invited members of the European Society of Paediatric Radiology (ESPR) to fill out an online questionnaire. The survey comprised seven questions about when and how liver follow-up is performed on Fontan patients. While we found some agreement on the use of US as screening tool, and of MRI for nodule characterization, the discrepancies on timing and the lack of a shared protocol make it currently impossible to compare data among centers.
Keyphrases
- cross sectional
- minimally invasive
- intensive care unit
- artificial intelligence
- randomized controlled trial
- emergency department
- newly diagnosed
- healthcare
- magnetic resonance imaging
- young adults
- primary care
- pregnant women
- electronic health record
- prognostic factors
- risk factors
- big data
- left ventricular
- machine learning
- heart failure
- quality improvement
- patient reported
- computed tomography
- diffusion weighted imaging
- patient reported outcomes