隨著時代的進步,台灣生活水平提高,飲食逐漸精緻化,脂肪肝的盛行率也逐年攀升且有年輕化的趨勢。脂肪肝大多沒有症狀,然而若長期置之不理而讓脂肪越積越多,仍有形成肝硬化及肝癌的風險,若能及早在健康檢查中讓病人清楚得知有脂肪肝,就能及早應對,降低脂肪肝的程度,達到預防醫學的目的。本篇文章比較超音波、電腦斷層、磁振造影等不同影像工具來診斷脂肪肝嚴重程度的優缺點,並建議可在高階健檢中增加mDIXON Quant波序,除了可精準定量脂肪肝,還能提升病人對脂肪肝的病識感,達到早期發現積極治療的目的。
With the progress of the times, Taiwan's living standards have improved, and the diet has gradually become more refined. The prevalence of fatty liver in Taiwan has also increased year by year and has a younger trend. Most fatty liver has no symptoms, however there is a risk of liver cirrhosis and liver cancer. If the patient can be clearly informed of the presence of fatty liver in the health checkup, it can be dealt with earlier, reduce the degree of fatty liver, and achieve the purpose of preventive medicine. This article compares the advantages and disadvantages of different imaging tools such as ultrasound, computed tomography and magnetic resonance imaging to diagnose the severity of fatty liver, and it is suggested that mDIXON-Quant method can be added in the high-level health examination. In addition to accurately quantifying fatty liver, it can also improve patients' knowledge of fatty liver and achieve the purpose of early detection and active treatment.