Shimane Journal of Medical Science 34 2
2017-12-31 発行
Kotani, Satoshi
Shimane Prefectural Central Hospital
Kohge, Naruaki
Shimane Prefectural Central Hospital
Tsukano, Kosuke
Shimane Prefectural Central Hospital
Ogawa, Sayaka
Shimane Prefectural Central Hospital
Yamanouchi, Satoshi
Shimane Prefectural Central Hospital
Kusunoki, Ryusaku
Shimane Prefectural Central Hospital
Aimi, Masahito
Shimane Prefectural Central Hospital
Miyaoka, Yoichi
Shimane Prefectural Central Hospital
Fujishiro, Hirofumi
Shimane Prefectural Central Hospital
Yamamoto, Tomohiko
Shimane Prefectural Central Hospital
Ohnuma, Hideyuki
Shimane Prefectural Central Hospital
Description
Objective: We aimed to evaluate the diagnostic accuracy
of shear wave elastography( SWE) for the assessment
of liver fibrosis in patients with liver disease.
Methods: A total of 54 consecutive patients who underwent
SWE measurement and liver biopsy were included.
Receiver-operator characteristic (ROC) curves
were constructed to calculate the area under the ROC
curve( AUC) for F0-2 versus F3-4 and F0-3 versus F4.
Results: Fibrosis scores estimated by SWE were F0 for
9 cases, F1 for 18 cases, F2 for 11 cases, F3 for 9 cases,
and F4 for 7 cases. AUCs for severe fibrosis (F3 and
F4) and cirrhosis (F4) were 0.931 (P < 0.001) and
0.916 (P < 0.001), respectively. Shear wave velocity
correlated significantly with liver fibrosis obtained by
liver biopsy( r = 0.679, P < 0.001).
Conclusion: SWE is a useful and non-invasive technology
to estimate liver fibrosis in liver disease regardless
of etiology.
Rights
Faculty of Medicine, Shimane University