An Assessment of the Clinical Accuracy of Ultrasound in Diagnosing Cirrhosis in the Absence of Portal Hypertension.
Ultrasound is an invaluable tool for the diagnosis of hepatocellular carcinoma and portal hypertension. However, the accuracy of ultrasound in diagnosing cirrhosis in the absence of portal hypertension has not been well studied. Using the specific terms cirrhosis or nodular(ity), a retrospective eva...
| Publicado en: | Gastroenterology & Hepatology Vol. 14; no. 6; pp. 367 - 374 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Gastro-Hep Communications, Inc
Jun2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130206228&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130206228 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15547914 6N5B jtl: Gastroenterology & Hepatology issn: 15547914 maglogo: N pubinfo: dt: Jun2018 vid: 14 iid: 6 pid: 72163 pub: Gastro-Hep Communications, Inc place: New York, New York artinfo: ui: 130206228 130206228 130206228 130206228 ppf: 367 ppct: 7 formats: fmt: @attributes: type: P tig: atl: An Assessment of the Clinical Accuracy of Ultrasound in Diagnosing Cirrhosis in the Absence of Portal Hypertension. aug: au: Kelly, Erin M. M. Feldstein, Vickie A. Parks, Monica Hudock, Rebecca Etheridge, Dustin Peters, Marion G. affil: Assistant professor of medicine in the Division of Gastroenterology and Hepatology at the University of Ottawa in Ottawa, Canada sug: subj: Liver Cirrhosis Ultrasonography Hypertension, Portal Sensitivity and Specificity Human Carcinoma, Hepatocellular Ultrasonography Retrospective Design Abdomen Ultrasonography Record Review Biopsy Patient-Reported Outcomes Ultrasonography Methods Severity of Illness ab: Ultrasound is an invaluable tool for the diagnosis of hepatocellular carcinoma and portal hypertension. However, the accuracy of ultrasound in diagnosing cirrhosis in the absence of portal hypertension has not been well studied. Using the specific terms cirrhosis or nodular(ity), a retrospective evaluation was conducted on abdominal ultrasounds performed between 2008 and 2013. Patients with evidence of portal hypertension were excluded from the evaluation. Charts were reviewed for evidence of cirrhosis on liver biopsy performed within 1 year of the ultrasound. Of the 69 patients whose ultrasound findings reported cirrhosis without portal hypertension who underwent liver biopsy, 47 (68%) had histologic evidence of cirrhosis. When patients with advanced fibrosis (F3 or F4) on liver biopsy were included, the sensitivity of the ultrasound improved to 80%. One in 5 biopsies showed only mild to moderate or no fibrosis (F0-F2). Sonographic assessment by experts may falsely suggest or overestimate cirrhosis. In the absence of objective evidence of portal hypertension, caution should be taken in diagnosing cirrhosis based on sonographic interpretation alone. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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