Publication Name	World Journal of Hepatology
Manuscript ID	116709
Country	Italy

Category	Gastroenterology & Hepatology
Manuscript Type	Editorial
Article Title	Beyond static structure: Prognostic power of dynamic vascular and parenchymal enhancement on magnetic resonance imaging in advanced chronic-liver-disease
Manuscript Source	Invited Manuscript
All Author List	Francesco Giangregorio
Funding Agency and Grant Number
Corresponding Author	Francesco Giangregorio, Associate Professor, Chief Physician, Director, Department of Internal Medicine, Castel San Giovanni Hospital, Viale II Giugno 1, Castel San Giovanni, Piacenza 29015, Emilia-Romagna, Italy. f.giangregorio67@gmail.com
Key Words	Advanced chronic liver disease; Functional liver imaging score; Gadoxetic acid-enhanced magnetic resonance imaging; Hepatic enhancement; Magnetic resonance elastography; Contrast-enhanced ultrasound; Prognosis cirrhosis; Portal hypertension multiparametric magnetic resonance imaging; Risk stratification; Non-invasive tests
Core Tip	The editorial advocates a paradigm shift in hepatology: moving beyond static liver structure to dynamic functional assessment. While magnetic resonance imaging-derived scores like functional liver imaging score offer powerful prognosis, their cost and complexity limit widespread screening. Here, contrast-enhanced ultrasound emerges as a vital, accessible tool for real-time hemodynamic profiling. The future lies not in a single technology, but in a stratified, intelligent pathway – leveraging simpler tests for broad screening and reserving advanced magnetic resonance imaging for high-risk cases – to truly democratize precision liver care.
Citation	Giangregorio F. Beyond static structure: Prognostic power of dynamic vascular and parenchymal enhancement on magnetic resonance imaging in advanced chronic-liver-disease. World J Hepatol 2026; In press

Received	2025-11-18 07:19
Peer-Review Started	2025-11-18 07:19
First Decision by Editorial Office Director	2025-11-21 08:02
Return for Revision	2025-11-21 08:02
Revised	2025-11-25 23:20
Publication Fee Transferred
Second Decision by Editor	2026-01-07 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-07 08:59
Articles in Press	2026-01-07 08:59
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-5182 (online)
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