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Review
Virtual touch quantification (VTq) elastography for non-invasive assessment of liver disease and its complications: what the clinician needs to know
  1. David Sherman1,
  2. Phillip Lung2,
  3. Philip Shorvon2
  1. 1Gastroenterology Department, Central Middlesex Hospital, London Northwest Healthcare NHS Trust, London, UK
  2. 2Department of Radiology, Central Middlesex Hospital, London Northwest Healthcare NHS Trust, London, UK
  1. Correspondence to Dr David Sherman, Gastroenterology Department, Central Middlesex Hospital, London Northwest Healthcare NHS Trust, Acton Lane, London NW10 7NS, UK; david.sherman{at}nhs.net

Abstract

Liver stiffness measurement (LSM) is the most widely used non-invasive alternative to biopsy for assessing liver fibrosis in the UK. Virtual touch quantification (VTq, also known as acoustic radiation force impulse) is the principal available alternative to transient elastography (Fibroscan) and is delivered via software enhancements to standard ultrasound (US) machines. It has recently been endorsed by National Institute for Health and Care Excellence in terms of both accuracy and cost-effectiveness for use in viral hepatitis. However, while an increasing proportion of radiologists use VTq, familiarity among gastroenterologists and trainees with LSM techniques is variable and implementation is patchy. This review considers the background, evidence for and practical use of VTq elastography in clinical practice in the UK. Potential future developments in this rapidly evolving field are also highlighted.

  • HEPATIC FIBROSIS
  • LIVER CIRRHOSIS
  • LIVER IMAGING
  • PORTAL HYPERTENSION
  • ULTRASONOGRAPHY

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Footnotes

  • Contributors DS wrote the first draft, which was then reviewed and amended by both PL and PS.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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