transplantologiyaТрансплантологияTransplantologiya. The Russian Journal of Transplantation2074-05062542-0909IPO Association of Transplantologists10.23873/2074-0506-2026-18-1-109-124transplantologiya-1082Research ArticleОБЗОРНЫЕ СТАТЬИ И ЛЕКЦИИREVIEW ARTICLES AND LECTURESУльтразвуковые эластография/эластометрия и стеатометрия при трансплантации печениUltrasound elastography/elastometry and steatometry in liver transplantationhttps://orcid.org/0000-0002-6202-8506КамаловЮ. Р.KamalovYu. R.

Юлий Рафаэлович Камалов, д-р мед. наук, старший научный сотрудник, заведующий лабораторией ультразвуковой диагностики отдела клинической физиологии, инструментальной и лучевой диагностики

119435, Москва, Абрикосовский пер., д. 2, стр. 1

Yuliy R. Kamalov, Dr. Sci. (Med.), Senior Researcher, Head of the Ultrasound Diagnosis Laboratory, Department of Clinical Physiology, Instrumental and Radiology Diagnosis

2 Bldg. 1 Abrikosovskiy ln., Russia 119435

kamalov53@yandex.ruКрыжановскаяЕ. Ю.KryzhanovskayaE. Yu.

Евгения Юрьевна Крыжановская, канд. мед. наук, ведущий научный сотрудник лаборатории ультразвуковой диагностики отдела клинической физиологии, инструментальной и лучевой диагностики

119435, Москва, Абрикосовский пер., д. 2, стр. 1

Evgeniya Yu. Kryzhanovskaya, Cand. Sci. (Med.), Leading Researcher, the Ultrasound Diagnosis Laboratory, Department of Clinical Physiology, Instrumental and Radiology Diagnosis

2 Bldg. 1 Abrikosovskiy ln., Russia 119435

https://orcid.org/0000-0003-4205-5627ФилинА. В.FilinA. V.

Андрей Валерьевич Филин, д-р мед. наук, заведующий отделением пересадки печени

119435, Москва, Абрикосовский пер., д. 2, стр. 1

Andrey V. Filin, Dr. Sci. (Med.), Head of the Liver Transplantation Department

2 Bldg. 1 Abrikosovskiy ln., Russia 119435

https://orcid.org/0000-0003-1535-5982СандриковВ. А.SandrikovV. A.

Валерий Александрович Сандриков, академик РАН, проф., д-р мед. наук, заведующий отделом клинической физиологии, инструментальной и лучевой диагностики

119435, Москва, Абрикосовский пер., д. 2, стр. 1

Valeriy A. Sandrikov, Academician of the Russian Academy of Sciences, Prof., Dr. Sci. (Med.), Head of the Department of Clinical Physiology, Instrumental and Radiology Diagnosis

2 Bldg. 1 Abrikosovskiy ln., Russia 119435

ФГБНУ «РНЦХ им. акад. Б.В. Петровского»РоссияPetrovsky National Research Centre of SurgeryRussian Federation202616032026181109124Copyright © Камалов Ю.Р., Крыжановская Е.Ю., Филин А.В., Сандриков В.А., 20262026Камалов Ю.Р., Крыжановская Е.Ю., Филин А.В., Сандриков В.А.Kamalov Y.R., Kryzhanovskaya E.Y., Filin A.V., Sandrikov V.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jtransplantologiya.ru/jour/article/view/1082Актуальность

Актуальность. В настоящее время трансплантация печени остается наиболее эффективным методом лечения в основном терминальных стадий хронических диффузных заболеваний печени. Успех трансплантации зависит, в том числе, от адекватности выбора донорской печени, своевременной диагностики диффузных изменений трансплантата печени. В последние годы опубликованы многочисленные сообщения о применении при обследовании пациентов с хроническими диффузными заболеваниями печени ультразвуковых эластометрии/ эластографии и стеатометрии, значительно меньше публикаций о применении этих методов при трансплантации печени.

Цель

Цель. Обобщить современные данные об использовании ультразвуковых эластометрии/эластографии и стеатометрии на различных этапах трансплантации печени.

Материал и методы

Материал и методы. Проведен анализ данных зарубежных и отечественных исследований, посвященных использованию различных методов ультразвуковых эластометрии/эластографии и стеатометрии в до- и послеоперационных периодах при трансплантации печени. Поиск литературных данных был произведен в международных базах данных (PubMed/MedLine/ResearchGate) и в научной электронной библиотеке России (eLIBRARY.RU) за период 2006–2024 годов.

Заключение

Заключение. В проанализированных публикациях показана высокая информативность ультразвуковых эластометрии/эластографии и стеатометрии в выявлении фиброза и стеатоза донорской и трансплантированной печени, а также при отторжении трансплантата печени в послеоперационном периоде.

Background

Background. Currently, liver transplantation remains the most effective method of treating mostly the advanced stages of chronic diffuse liver diseases. The success of liver transplantation depends, in particular, on the adequate choice of a donor liver, timely diagnosis of diffuse changes in the liver graft. In recent years, numerous reports have been published on the use of ultrasound elastometry/elastography and steatometry in the examination of patients with chronic diffuse liver diseases; and there are significantly fewer publications on the use of these methods in liver transplantation.

Objective

Objective. To summarize current data on the use of ultrasound elastometry/elastography and steatometry at various stages of liver transplantation.

Material and methods

Material and methods. The analysis of data from foreign and native studies on the use of various methods of ultrasound elastometry/elastography and steatometry in the pre- and postoperative periods during liver transplantation has been performed. The literature data was searched in international databases (PubMed/MedLine/ResearchGate) and in the scientific electronic library of Russia (eLIBRARY.RU) for the period from 2006–2024.

Conclusion

Conclusion. The analyzed publications show the high informative value of ultrasound elastometry/elastography and steatometry in detecting fibrosis and steatosis in donor and transplanted livers, and  capabilities of these methods  in acute liver transplant rejection.

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The authors declare that there are no conflicts of interest present.