Evaluation of the effectiveness of ultrasound shear elastography and liver steatometry
- 作者: Tarasova O.1, Kuhareva E.1, Krasnitskaya S.1, Mazurchik N.1, Ngameni M.1, Malinina N.1, Zykin B.1, Ogurtsov P.1
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隶属关系:
- Рeoples’ Friendship University of Russia
- 期: 卷 92, 编号 4 (2020)
- 页面: 17-22
- 栏目: Original articles
- URL: https://journals.rcsi.science/0040-3660/article/view/34085
- DOI: https://doi.org/10.26442/00403660.2020.04.000497
- ID: 34085
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Detection of liver fibrosis and steatosis at early stages is a difficult task for clinical practice, due to the lack of early signs in routine radiation diagnostics.
Aim. To evaluate the efficacy of ultrasound shear elastography and ultrasound steatometry of the liver with the use of domestic ultrasonic diagnostic system Angiodin-Sono/N-Ultra.
Materials and methods. 264 people held ultrasound elastography and ultrasound steatometry. 38 patients underwent percutaneous puncture liver biopsy and subsequent pathophysiological examination.
Results. High correlation of fibrosis obtained at the Angiodin-Sono/N-Ultra and the leading ultrasonic systems with shear elastography was revealed. Cross-sectional comparative analysis of elasticity with the results of liver steatometry was conducted.
Conclusions. Results obtained in all groups correlate with the data obtained in studies on Fibroscan. When working with system Angiodin we got a simultaneous comparative analysis of elasticity with the results of liver steatosis. Results appear to be much more stable and compact than those obtained in studies on the Fibroscan. A new diagnostic criterion was revealed – the phenomenon of independence of fibrosis and steatosis indices.
作者简介
O. Tarasova
Рeoples’ Friendship University of Russia
编辑信件的主要联系方式.
Email: tarasova_oi@pfur.ru
ORCID iD: 0000-0001-6376-8189
доц. каф. госпитальной терапии Центра изучения печени
俄罗斯联邦, MoscowE. Kuhareva
Рeoples’ Friendship University of Russia
Email: tarasova_oi@pfur.ru
ORCID iD: 0000-0001-6538-9027
ассистент каф. госпитальной терапии Центра изучения печени
俄罗斯联邦, MoscowS. Krasnitskaya
Рeoples’ Friendship University of Russia
Email: tarasova_oi@pfur.ru
ORCID iD: 0000-0003-1618-0942
морфолог, Центр изучения печени
俄罗斯联邦, MoscowN. Mazurchik
Рeoples’ Friendship University of Russia
Email: tarasova_oi@pfur.ru
ORCID iD: 0000-0002-2524-9203
доцент каф. госпитальной терапии Центра изучения печени
俄罗斯联邦, MoscowM. Ngameni
Рeoples’ Friendship University of Russia
Email: tarasova_oi@pfur.ru
ORCID iD: 0000-0001-7230-3711
аспирант каф. госпитальной терапии Центра изучения печени
俄罗斯联邦, MoscowN. Malinina
Рeoples’ Friendship University of Russia
Email: tarasova_oi@pfur.ru
ORCID iD: 0000-0002-0829-474X
аспирант каф. госпитальной терапии Центра изучения печени
俄罗斯联邦, MoscowB. Zykin
Рeoples’ Friendship University of Russia
Email: tarasova_oi@pfur.ru
ORCID iD: 0000-0002-8871-1434
проф. каф. госпитальной терапии Центра изучения печени
俄罗斯联邦, MoscowP. Ogurtsov
Рeoples’ Friendship University of Russia
Email: tarasova_oi@pfur.ru
ORCID iD: 0000-0001-7939-891X
проф., зав. каф. госпитальной терапии Центра изучения печени
俄罗斯联邦, Moscow参考
- Ивашкин В.Т., Маевская М.В., Павлов Ч.С., Тихонов И.Н. Клинические рекомендации по диагностике и лечению неалкогольной жировой болезни печени Российского общества по изучению печени и Российской гастроэнтерологической ассоциации. Рос. журн. гастроэнтерологии, гепатологии, колопроктологии. 2016;2:24-42 [Ivashkin VT, Maevskaya MV, Pavlov ChS, Tihonov IN. Klinicheskie rekomendacii po diagnostike i lecheniyu nealkogol’noj zhirovoj bolezni pecheni Rossijskogo obshchestva po izucheniyu pecheni i Rossijskoj gastroenterologicheskoj associacii. Ros. zhurn. gastroenterologii, gepatologii, koloproktologii. 2016;2:24-42 (In Russ.)]. doi: 10.22416/1382-4376-2016-26-2-24-42
- Целиковский А.В., Притулина Ю.Г., Астапченко Д.С. и др. Влияние стеатоза печени на эффективность комбинированной противовирусной терапии хронического гепатита С. Современные проблемы науки и образования. 2012;6:186 [Celikovskij AV, Pritulina YuG, Astapchenko DS, et al. Vliyanie steatoza pecheni na effektivnost’ kombinirovannoj protivovirusnoj terapii hronicheskogo gepatita S. Sovremennye problemy nauki i obrazovaniya. 2012;6:186 (In Russ.)].
- Chan H, Wong G, Choi PC, et al. Alanine aminotransferase-based algorithms of liver stiffness measurement by transient elastography (Fibroscan) for liver fibrosis in chronic hepatitis B. J Viral Hepat. 2009;16(1):36-44. doi: 10.1111/j.1365-2893.2008.01037.x
- Castera L, Vilgrain V, Anguo P. Nonivasive evaluation of NAFLD. Nat Rev Gastroenterol Hepatol. 2013;10:666-75. doi: 10.1038/ nrgastro.2013.175 PMID: 24061203
- Бакулин И.Г., Сандлер Ю.Г., Кейян В.А., Ротин Д.Л. Новый неинвазивный метод оценки стеатоза при хронических заболеваниях печени. Терапевтический архив. 2016;88(2):49-57 [Bakulin IG, Sandler YuG, Kejyan VA, Rotin DL. Novyj neinvazivnyj metod ocenki steatoza pri hronicheskih zabolevaniyah pecheni. Therapeutic Archive. 2016;88(2):49-57 (In Russ.)]. doi: 10.17116/terarkh201688249-57
- Castera L, Vergniol J, Foucher J et al. Prospective comparison of transient elastography, Fibrotest, APRI, and liver biopsy for the assessment of fibrosis in chronic hepatitis C. Gastroenterology. 2005;128(2):343-50. doi: 10.1053/j.gastro.2004.11.018
- Bedossa P. Current histological classification of NAFLD: strength and limitations. Hepatol Int. 2013;7(2):765-70. doi: 10.1007/s12072-013-9446-z
- Leung VY, Shen J, Wong VW, et al. Quantitative elastography of liver fibrosis and spleen stiffness in chronic hepatitis B carriers: comparison of shearwave elastography and transient elastography with liver biopsy correlation. Radiology. 2013;269:910-8. doi: 10.1148/radiol.13130128
- Herrmann E, de Lédinghen V, Cassinotto C, et al. Assessment of biopsyproven liver fibrosis by two-dimensional shear wave elastography: An individual patient data-based meta-analysis. Hepatology. 2018;67:260-72. doi: 10.1002/hep.29179
- Wong VW, Vergniol J, Wong GL, et al. Diagnosis of fibrosis and cirrhosis using liver stiffness measurement in nonalcoholic fatty liver disease. Hepatology. 2010;51:454-62. doi: 10.1002/hep.23312
- Castera L, Foucher J, Bernard PH, et al. Pitfalls of liver stiffness measurement: a 5-year prospective study of 13,369 examinations. Hepatology. 2010;51:828-35. doi: 10.1002/hep.23425
- Sporea I, Jurchiş A, Şirli R, et al. Can Transient Elastography be a reliable method for assessing liver fibrosis in Non Alcoholic Steatohepatitis (NASH)? Med Ultrason. 2013;15(2):106-10. doi: 10.11152/mu. 2013.2066.152.is1aj2
- Mulabecirovic A, Mjelle AB, Gilja OH, et al. Liver elasticity in healthy individuals by two novel shear-wave elastography systems – Comparison by age, gender, BMI and number of measurements. PloS one. 2018;13(9):art.no.e0203486. doi: 10.1371/journal.pone.0203486
- Zeng J, Zheng J, Huang Z, et al. Comparison of 2-D Shear Wave Elastography and Transient Elastography for Assessing Liver Fibrosis in Chronic Hepatitis B. Ultrasound Med Biol. 2017;43:1563-70. doi: 10.1016/j.ultrasmedbio.2017.03.014
- Wu T, Wang P, Zhang T, et al. Comparison of Two-Dimensional Shear Wave Elastography and Real-Time Tissue Elastography for Assessing Liver Fibrosis in Chronic Hepatitis B. Dig Dis. 2016;34:640-9. doi: 10.1159/000448825
- Zhuang Y, Ding H, Zhang Y, et al. Twodimensional Shear-Wave Elastography Performance in the Noninvasive Evaluation of Liver Fibrosis in Patients with Chronic Hepatitis B: Comparison with Serum Fibrosis Indexes. Radiology. 2017;283:873-82. doi: 10.1148/radiol.2016160131
- De Lédinghen V, Vergniol J, Foucher J, et al. Non-invasive diagnosis of liver steatosis using controlled attenuation parameter (CAP) and transient elastography. Liver Int. 2012;32(6):911-8. doi: 10.1111/j.1478-3231.2012.02820
- Kosasih S, Zhi Qin W, Abdul Rani R, et al. Relationship between Serum Cytokeratin-18, Control Attenuation Parameter, NAFLD Fibrosis Score, and Liver Steatosis in Nonalcoholic Fatty Liver Disease. Int J Hepatol. 2018:9252536. doi: 10.1155/2018/9252536