Non-invasive assessment of liver fibrosis in patients with alcoholic liver disease using acoustic radiation force impulse elastography

Verfasser / Beitragende:
[Dakun Zhang, Peng Li, Min Chen, Liping Liu, Yang Liu, Yuanyuan Zhao, Ruifang Wang]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/4(2015-04-01), 723-729
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-014-0154-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0154-5 
245 0 0 |a Non-invasive assessment of liver fibrosis in patients with alcoholic liver disease using acoustic radiation force impulse elastography  |h [Elektronische Daten]  |c [Dakun Zhang, Peng Li, Min Chen, Liping Liu, Yang Liu, Yuanyuan Zhao, Ruifang Wang] 
520 3 |a Objectives: To investigate the diagnostic performance of the acoustic radiation force impulse (ARFI) elastography for the assessment of the liver fibrosis in alcoholic liver disease (ALD). Methods: We included 112 patients with ALD in whom liver biopsy, ARFI elastography, and aspartate-to-platelet ratio index (APRI) measurements were performed. Results: ARFI elastography correlated significantly with histological fibrosis (r=0.685, P<0.001) in patients with ALD. The diagnostic accuracies expressed as areas under receiver operating characteristic (AUROC) curves for ARFI elastography and APRI were 0.846 and 0.763 for the diagnosis of significant fibrosis (S≥2), 0.875 and 0.688 for the diagnosis of severe fibrosis (S≥3), and 0.893 and 0.648 for the diagnosis of liver cirrhosis, respectively. The AUROC values of ARFI elastography were significantly better than those of APRI for predicting severe fibrosis (P=0.02) and cirrhosis (P=0.04). The optimum cutoff values for ARFI elastography were 1.33m/s for S≥2, 1.40m/s for S≥3, and 1.65m/s for S=4 in patients with elevated alanine aminotransferase (ALT) levels; these decreased to 1.24m/s for S≥2, 1.27m/s for S≥3, and 1.41m/s for S=4 in patients with normal ALT. Conclusion: ARFI elastography is an acceptable method for predicting the severity of fibrosis in patients with ALD. ARFI elastography is influenced by elevated aminotransferase levels in ALD. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Acoustic radiation force impulse elastography  |2 nationallicence 
690 7 |a Alcoholic liver disease  |2 nationallicence 
690 7 |a Cirrhosis  |2 nationallicence 
690 7 |a Liver fibrosis  |2 nationallicence 
700 1 |a Zhang  |D Dakun  |u Department of Ultrasound, The 302 Hospital of PLA, No. 100, Xi Si Huan Zhong Lu, 100039, Beijing, China  |4 aut 
700 1 |a Li  |D Peng  |u Second Clinic Department, Peking University School of Stomatology, 100101, Beijing, China  |4 aut 
700 1 |a Chen  |D Min  |u Department of Ultrasound, The 302 Hospital of PLA, No. 100, Xi Si Huan Zhong Lu, 100039, Beijing, China  |4 aut 
700 1 |a Liu  |D Liping  |u Department of Ultrasound, The First Hospital Affiliated to Shanxi Medical University, 030001, Taiyuan, China  |4 aut 
700 1 |a Liu  |D Yang  |u Department of Ultrasound, The 302 Hospital of PLA, No. 100, Xi Si Huan Zhong Lu, 100039, Beijing, China  |4 aut 
700 1 |a Zhao  |D Yuanyuan  |u Department of Ultrasound, Qi Lu Hospital (Qing dao), Shandong University, 266000, Qingdao, China  |4 aut 
700 1 |a Wang  |D Ruifang  |u Department of Ultrasound, The 302 Hospital of PLA, No. 100, Xi Si Huan Zhong Lu, 100039, Beijing, China  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/4(2015-04-01), 723-729  |x 0942-8925  |q 40:4<723  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0154-5  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-014-0154-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhang  |D Dakun  |u Department of Ultrasound, The 302 Hospital of PLA, No. 100, Xi Si Huan Zhong Lu, 100039, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Li  |D Peng  |u Second Clinic Department, Peking University School of Stomatology, 100101, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chen  |D Min  |u Department of Ultrasound, The 302 Hospital of PLA, No. 100, Xi Si Huan Zhong Lu, 100039, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Liu  |D Liping  |u Department of Ultrasound, The First Hospital Affiliated to Shanxi Medical University, 030001, Taiyuan, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Liu  |D Yang  |u Department of Ultrasound, The 302 Hospital of PLA, No. 100, Xi Si Huan Zhong Lu, 100039, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhao  |D Yuanyuan  |u Department of Ultrasound, Qi Lu Hospital (Qing dao), Shandong University, 266000, Qingdao, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Ruifang  |u Department of Ultrasound, The 302 Hospital of PLA, No. 100, Xi Si Huan Zhong Lu, 100039, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/4(2015-04-01), 723-729  |x 0942-8925  |q 40:4<723  |1 2015  |2 40  |o 261