Comparative Utility of Transient and 2D Shear Wave Elastography for the Assessment of Liver Fibrosis in Clinical Practice.
The aim of the study was to investigate the feasibility and correlation of liver stiffness measurements (LSM) between 2D-shear wave elastography (2D-SWE) and transient elastography (TE) in patients with chronic liver disease. Over 4 months, 421 patients with chronic liver disease of any cause underw...
| Publicado en: | Journal of Digital Imaging Vol. 34; no. 6; pp. 1342 - 1349 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2021
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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=154097225&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 154097225 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08971889 DOQ jtl: Journal of Digital Imaging issn: 08971889 maglogo: N pubinfo: dt: Dec2021 vid: 34 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 154097225 152863266 154097225 154097225 10.1007/s10278-021-00521-7 154097225 ppf: 1342 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Comparative Utility of Transient and 2D Shear Wave Elastography for the Assessment of Liver Fibrosis in Clinical Practice. aug: au: Karagiannakis, Dimitrios S. Voulgaris, Theodoros Angelopoulos, Theodoros Ioannidou, Panagiota Cholongitas, Evangelos Vlachogiannakos, Jiannis Papatheodoridis, George V. affil: Academic Department of Gastroenterology, Medical School of National &, Laiko General Hospital, Kapodistrian University of Athens, Athens, Greece sug: subj: Liver Cirrhosis Ultrasonography Liver Physiopathology Ultrasonography Methods Chronic Disease Predictive Value of Tests Sensitivity and Specificity Human Comparative Studies Liver Ultrasonography kappa Statistic Obesity Waist Circumference Prospective Studies Descriptive Statistics Adult Middle Age Aged Female Male Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: The aim of the study was to investigate the feasibility and correlation of liver stiffness measurements (LSM) between 2D-shear wave elastography (2D-SWE) and transient elastography (TE) in patients with chronic liver disease. Over 4 months, 421 patients with chronic liver disease of any cause underwent LSM by 2D-SWE and TE (M and/or XL probe) and controlled attenuation parameter at the same visit. LSM was not feasible by TE in 16 (3.8%) and by 2D-SWE in 17 (4.0%) patients. Median LSM were 8.9 and 8.7 kPa with TE and 2D-SWE, respectively, having a strong correlation (r = 0.774, p < 0.001) in the total cohort and in any cause of liver disease (r = 0.747–0.806, p < 0.001). There was a strong agreement on diagnosis of severe fibrosis (k-statistic: 0.841, p < 0.001) or cirrhosis (k-statistic: 0.823, p < 0.001). Both methods had increased failure rates in patients with obesity and/or increased waist circumference. Among 104 obese patients, TE was more feasible than 2D-SWE (92.3% vs 85.6%, p < 0.001]. LSM by 2D-SWE are strongly correlated to LSM by TE independently of the etiology of chronic liver disease, stage of fibrosis, degree of liver steatosis, and patients' characteristics. TE with the XL probe may be superior in a minority of obese patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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