Diagnostic value of spleen stiffness by magnetic resonance elastography for prediction of esophageal varices in cirrhotic patients.

Purpose: To evaluate the diagnostic value of spleen stiffness (SS) via magnetic resonance elastography (MRE) in predicting esophageal varices. Methods: From January 2016 to September 2018, we retrospectively reviewed 263 patients with esophagogastroduodenoscopy (EGD) records and available spleen and...

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Publicado en:Abdominal Radiology Vol. 46; no. 2; pp. 526 - 534
Autores principales: Jhang, Zih-En, Wu, Kuan-Lin, Chen, Chia-Bang, Chen, Yao-Li, Lin, Ping-Yi, Chou, Chen-Te
Formato: Journal Article
Publicado: Springer Nature Feb2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Diagnostic value of spleen stiffness by magnetic resonance elastography for prediction of esophageal varices in cirrhotic patients.
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          Jhang, Zih-En
          Wu, Kuan-Lin
          Chen, Chia-Bang
          Chen, Yao-Li
          Lin, Ping-Yi
          Chou, Chen-Te
        affil: Department of Medical Imaging, Changhua Christian Hospital, No. 135, Nan-Hsiao Street, 500, Changhua, Taiwan
      sug:
      ab: Purpose: To evaluate the diagnostic value of spleen stiffness (SS) via magnetic resonance elastography (MRE) in predicting esophageal varices. Methods: From January 2016 to September 2018, we retrospectively reviewed 263 patients with esophagogastroduodenoscopy (EGD) records and available spleen and liver stiffness (LS) values from MRE. Clinical information including the underlying diseases, endoscopic grade of esophageal varices (EV) and laboratory data were collected from electronic medical records. Results: In cirrhotic patients, MRE-SS was higher in those with EV than in those without. MRE-SS also showed significant association with EV in the multivariate analysis, whereas MRE-LS did not. The diagnostic performance of MRE-SS for EV in cirrhotic patients was demonstrated by the area under curve of 0.853 (cut-off value: 9.53 kPa, P < 0.001), 84.4% sensitivity and 73.7% specificity. Conclusion: For prediction of EV in cirrhotic patients, MRE-SS is a useful non-invasive tool and it demonstrates better diagnostic performance than MRE-LS does.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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