COMPREHENSIVE ULTRASOUND DIAGNOSTICS IN THE ASSESSMENT OF NON- ALCOHOLIC FATTY LIVER DISEASE IN CHILDREN: MODERN APPROACHES AND CLINICAL SIGNIFICANCE

Аннотация

Non-alcoholic fatty liver disease (NAFLD) is one of the most common causes of chronic liver damage in children and adolescents. Ultrasound and elastography play a key role in the early detection of steatosis and fibrosis, allowing for an objective assessment of the liver's morphofunctional state without invasive procedures. The work presents the characteristics of the main ultrasound signs of NAFLD, the possibility of quantitative assessment of steatosis, as well as the role of compression and shift wave elastography in determining the degree of fibrosis. Current diagnostic criteria, correlation of ultrasound parameters with clinical and biochemical parameters, and modern requirements for disease progression risk stratification are considered. The use of a comprehensive ultrasound approach allows for increased accuracy in diagnosing NAFLD and determining the optimal management tactics for patients.