Assessment of liver fibrosis in chronic hepatitis: comparison of shear wave elastography and transient elastography

Autor: Subrat K. Acharya, Vishnubhatla Sreenivas, Shashi B. Paul, Mousumi Mahanta, Harpreet Kaur, Shouriyo Ghosh, Maneesh Vijayvargiya, Shivanand Gamanagatti, Saurabh Kedia, Prasenjit Das, Siddhartha Dutta Gupta, Shalimar, Nancy Kalra
Rok vydání: 2017
Předmět:
Zdroj: Abdominal Radiology. 42:2864-2873
ISSN: 2366-0058
2366-004X
DOI: 10.1007/s00261-017-1213-5
Popis: To evaluate the diagnostic accuracy of shear wave elastography (SWE) and transient elastography (TE) in the evaluation of liver fibrosis in chronic hepatitis B (CHB) and C (CHC) patients taking liver biopsy as gold standard. Ethics committee approved this prospective cross-sectional study. Between October 2012 and December 2014, consecutive CHB/CHC patients fulfilling the inclusion criteria were included—age more than 18 years, informed written consent, willing and suitable for liver biopsy. SWE, TE, and biopsy were performed the same day. Liver stiffness measurement (LSM) cut-offs for various stages of fibrosis were generated for SWE and TE. AUC, sensitivity, specificity, and positive/negative predictive values were estimated individually or in combination. CH patients (n = 240, CHB 172, CHC 68), 176 males, 64 females, mean age 32.6 ± 11.6 years were enrolled. Mean LSM of patients with no histological fibrosis (F0) was 5.0 ± 0.7 and 5.1+1.4 kPa on SWE and TE, respectively. For differentiating F2 and F3–4 fibrosis on SWE, at 7.0 kPa cut-off, the sensitivity was 81.3% and specificity 77.6%. For TE, at 8.3 kPa cut-off, sensitivity was 81.8% and specificity 83.1%. For F3 vs. F4, SWE sensitivity was 83.3% and specificity 90.7%. At 14.8 kPa cut-off, TE showed similar sensitivity (83.3%) but specificity increased to 96.5%. Significant correlation between SWE and TE was observed (r = 0.33, p
Databáze: OpenAIRE
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