Value of shear wave elastography for predicting hepatocellular carcinoma and esophagogastric varices in patients with chronic liver disease

Verfasser / Beitragende:
[Yoshitaka Kasai, Fuminori Moriyasu, Kazuhiro Saito, Takeshi Hara, Yoshiyuki Kobayashi, Ikuo Nakamura, Katsutoshi Sugimoto]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Medical Ultrasonics, 42/3(2015-07-01), 349-355
Format:
Artikel (online)
ID: 605539618
LEADER caa a22 4500
001 605539618
003 CHVBK
005 20210128100907.0
007 cr unu---uuuuu
008 210128e20150701xx s 000 0 eng
024 7 0 |a 10.1007/s10396-014-0603-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10396-014-0603-3 
245 0 0 |a Value of shear wave elastography for predicting hepatocellular carcinoma and esophagogastric varices in patients with chronic liver disease  |h [Elektronische Daten]  |c [Yoshitaka Kasai, Fuminori Moriyasu, Kazuhiro Saito, Takeshi Hara, Yoshiyuki Kobayashi, Ikuo Nakamura, Katsutoshi Sugimoto] 
520 3 |a Purpose: To assess the value of shear wave elastography (SWE) for predicting the presence of hepatocellular carcinoma (HCC) and esophagogastric varices (EGV) in patients with chronic liver disease. Methods: Liver tissue stiffness, as well as various other parameters potentially associated with HCC and portal hypertension, was measured by SWE in 273 patients with chronic liver disease. Among these patients, HCC was present in 89 and absent in 184, and EGV were present in 16 and absent in 257. The diagnostic performance of liver tissue stiffness and other clinical parameters in predicting the presence of HCC and EGV was evaluated using receiver operating characteristic (ROC) curves and the area under the ROC curve (AUROC). Results: With regard to HCC, liver tissue stiffness was significantly higher in patients with HCC (18.65±10.78kPa) than in those without HCC (10.64±8.04kPa; P<0.0001). Significant differences in patient age (P<0.0001), albumin (P<0.0001), platelet count (P<0.0001), AFP (P<0.0001), and DCP (P<0.0001) were also observed between patients with and without HCC. Liver tissue stiffness showed the largest AUROC (0.791). With regard to EGV, liver tissue stiffness was significantly higher in patients with EGV (22.65±10.19kPa) than in those without EGV (12.67±9.45kPa; P<0.0001). Significant differences in albumin (P<0.0001) and platelet count (P<0.0001) were also observed between patients with and without EGV. Conclusions: Liver tissue stiffness measured by SWE is an independent factor for predicting the presence of HCC and EGV in patients with chronic liver disease. 
540 |a The Japan Society of Ultrasonics in Medicine, 2015 
690 7 |a Shear wave elastography  |2 nationallicence 
690 7 |a Hepatocellular carcinoma  |2 nationallicence 
690 7 |a Esophagogastric varices  |2 nationallicence 
690 7 |a Ultrasound  |2 nationallicence 
690 7 |a Chronic liver disease  |2 nationallicence 
700 1 |a Kasai  |D Yoshitaka  |u Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, 160-0023, Tokyo, Japan  |4 aut 
700 1 |a Moriyasu  |D Fuminori  |u Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, 160-0023, Tokyo, Japan  |4 aut 
700 1 |a Saito  |D Kazuhiro  |u Department of Radiology, Tokyo Medical University, Tokyo, Japan  |4 aut 
700 1 |a Hara  |D Takeshi  |u Department of Intelligent Image Information, Gifu University Graduate School of Medicine, Gifu, Japan  |4 aut 
700 1 |a Kobayashi  |D Yoshiyuki  |u Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, 160-0023, Tokyo, Japan  |4 aut 
700 1 |a Nakamura  |D Ikuo  |u Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, 160-0023, Tokyo, Japan  |4 aut 
700 1 |a Sugimoto  |D Katsutoshi  |u Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, 160-0023, Tokyo, Japan  |4 aut 
773 0 |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/3(2015-07-01), 349-355  |x 1346-4523  |q 42:3<349  |1 2015  |2 42  |o 10396 
856 4 0 |u https://doi.org/10.1007/s10396-014-0603-3  |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/s10396-014-0603-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kasai  |D Yoshitaka  |u Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, 160-0023, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Moriyasu  |D Fuminori  |u Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, 160-0023, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Saito  |D Kazuhiro  |u Department of Radiology, Tokyo Medical University, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hara  |D Takeshi  |u Department of Intelligent Image Information, Gifu University Graduate School of Medicine, Gifu, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kobayashi  |D Yoshiyuki  |u Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, 160-0023, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nakamura  |D Ikuo  |u Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, 160-0023, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sugimoto  |D Katsutoshi  |u Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, 160-0023, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/3(2015-07-01), 349-355  |x 1346-4523  |q 42:3<349  |1 2015  |2 42  |o 10396