Assessment of hepatic fat content in using quantitative ultrasound measurement of hepatic/renal ratio and hepatic echo-intensity attenuation rate.

Aims: This study aims to evaluate and validate a simple quantitative ultrasound (US) method for determining the hepatic fat content (HFC) based on the combination of quantitative US hepatic/renal ratio (US-HRR) and quantitative US hepatic echo-intensity attenuation rate (US-HAR) as compared with [1H...

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Publicado en:Medical Ultrasonography Vol. 22; no. 4; pp. 393 - 402
Autores principales: Yun-Sheng Wang, Gui-Ping Zhang, Xiao Yang, Jun Ye, Yong-Hong Cao, Rong Zhang, Shuai Ye, Shi-Mei Xing, Er-Lan Shi, Ji Zhang, Hu Lian, Jin-Xiang Xia, Qiu Zhang, Wu Dai, Wang, Yun-Sheng, Zhang, Gui-Ping, Yang, Xiao, Ye, Jun, Cao, Yong-Hong, Zhang, Rong
Formato: diagnostic images research tables/charts Journal Article
Publicado: Romanian Society of Ultrasonography in Medicine & Biology 2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Romanian Society of Ultrasonography in Medicine & Biology
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        atl: Assessment of hepatic fat content in using quantitative ultrasound measurement of hepatic/renal ratio and hepatic echo-intensity attenuation rate.
      aug:
        au:
          Yun-Sheng Wang
          Gui-Ping Zhang
          Xiao Yang
          Jun Ye
          Yong-Hong Cao
          Rong Zhang
          Shuai Ye
          Shi-Mei Xing
          Er-Lan Shi
          Ji Zhang
          Hu Lian
          Jin-Xiang Xia
          Qiu Zhang
          Wu Dai
          Wang, Yun-Sheng
          Zhang, Gui-Ping
          Yang, Xiao
          Ye, Jun
          Cao, Yong-Hong
          Zhang, Rong
        affil: Department of Endocrinology, the Second People's Hospital of Hefei, the Affiliated Hefei Hospital of Anhui Medical University
      sug:
        subj:
          Liver
          Fatty Liver
          Magnetic Resonance Spectroscopy
          Kidney
          Ultrasonography
          Human
          Funding Source
      ab: Aims: This study aims to evaluate and validate a simple quantitative ultrasound (US) method for determining the hepatic fat content (HFC) based on the combination of quantitative US hepatic/renal ratio (US-HRR) and quantitative US hepatic echo-intensity attenuation rate (US-HAR) as compared with [1H]-magnetic resonance spectroscopy (1H-MRS).Material and Methods: There were a total of 242 subjects recruited in the present study. All subjects were examined for HFC by quantitative US and 1H-MRS methods. The QUS-HRR and QUS-HAR were calculated from ordinary ultrasound images of liver and kidney with a triple modality 3D abdominal phantom using the Image J software.Results: The results found that US-HRR and US-HAR correlated with 1H-MRS HFC (US-HRR: r=0.946, p<0.001; US-HAR: r=0.936, p<0.001). The equation for HFC prediction by using quantitative US was: HFC (%) = 28.965 × US-HRR + 218.045 × US-HAR - 8.892. Subgroup analysis in study subjects with body mass index (BMI) ≥28 showed that quantitative US HFC was associated with 1H-MRS HFC (R2=0.953, p<0.001). Receiver operating characteristic (ROC) analysis observed that the cut-off value of fatty liver diagnosis was 6.71% in using the quantitative US model; the sensitivity and specificity for fatty liver diagnosis were 94.15% and 96.30%, respectively. Variability analysis indicated that there was a relative high degree of consistency in the measurement of HFC with different operators or ultrasonic apparatus.Conclusions: Quantitative US measurement could be regarded as a simple, sensitive tool to accurately assess HFC. It provides a valid alternative to 1H-MRS as an easy, non-invasive option for the precise estimation of HFC in clinical practice.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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