Where are we Now with Ultrasound-based Liver Elastography?

2021 ◽  
pp. 236-252
Keyword(s):  
Liver Elastography

Liver Elastography in Healthy Children Using Three Different Systems – How Many Measurements Are Necessary?

2020 ◽  
Author(s):  
Anders Batman Mjelle ◽  
Anesa Mulabecirovic ◽  
Roald Flesland Havre ◽  
Edda Jonina Olafsdottir ◽  
Odd Helge Gilja ◽  
...  
Keyword(s):  
Shear Wave ◽  
Transient Elastography ◽  
Intraclass Correlation ◽  
Age Groups ◽  
Liver Stiffness ◽  
Shear Wave Elastography ◽  
Healthy Children ◽  
Significant Difference ◽  
Pediatric Liver Disease ◽  
Liver Elastography

Abstract Purpose Liver elastography is increasingly being applied in screening for and follow-up of pediatric liver disease, and has been shown to correlate well with fibrosis staging through liver biopsy. Because time is of the essence when examining children, we wanted to evaluate if a reliable result can be achieved with fewer acquisitions. Materials and Methods 243 healthy children aged 4–17 years were examined after three hours of fasting. Participants were divided into four age groups: 4–7 years; 8–11 years; 12–14 years and 15–17 years. Both two-dimensional shear wave elastography (2D-SWE; GE Logiq E9) and point shear wave elastography (pSWE; Samsung RS80A with Prestige) were performed in all participants, while transient elastography (TE, Fibroscan) was performed in a subset of 87 children aged 8–17 years. Median liver stiffness measurement (LSM) values of 3, 4, 5, 6, 7, and 8 acquisitions were compared with the median value of 10 acquisitions (reference standard). Comparison was performed for all participants together as well as within every specific age group. We investigated both the intraclass correlation coefficient (ICC) with absolute agreement and all outliers more than 10 %, 20 % or ≥ 0.5 or 1.0 kPa from the median of 10 acquisitions. Results For all three systems there was no significant difference between three and ten acquisitions, with ICCs ≥ 0.97. All systems needed 4 acquisitions to achieve no LSM deviating ≥ 1.0 kPa of a median of ten. To achieve no LSM deviating ≥ 20 % of a median of ten acquisitions, pSWE and TE needed 4 acquisitions, while 2D-SWE required 6 acquisitions. Conclusion Our results contradict recommendations of 10 acquisitions for pSWE and TE and only 3 for 2D-SWE.

P.04.3 SPLEEN AND LIVER ELASTOGRAPHY AS A NON-INVASIVE TOOL FOR DETECTION OF ESOPHAGEAL VARICES IN PATIENTS WITH LIVER CIRRHOSIS

2019 ◽  
Vol 51 ◽  
pp. e172 ◽  
Author(s):  
D. Macor ◽  
M. Giuffrè ◽  
F. Tinè ◽  
F. Masutti ◽  
C. Abazia ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Esophageal Varices ◽  
Non Invasive ◽  
Liver Elastography

Elast q - 2D shear wave liver elastography correlates well with vibration controlled transcient elastography in patients with different etiologies of chronic liver disease

2020 ◽  
Vol 73 ◽  
pp. S774-S775
Author(s):  
David JM Bauer ◽  
Annalisa De Silvestri ◽  
Dr. Laura Maiocchi ◽  
Ruxandra Mare ◽  
Ioan Sporea ◽  
...  
Keyword(s):  
Liver Disease ◽  
Chronic Liver Disease ◽  
Shear Wave ◽  
Chronic Liver ◽  
Liver Elastography

scholarly journals 2D shear wave liver elastography by Aixplorer to detect portal hypertension in cirrhosis: An individual patient data meta‐analysis

2020 ◽  
Vol 40 (6) ◽  
pp. 1435-1446 ◽  
Author(s):  
Maja Thiele ◽  
Mie B. Hugger ◽  
Yongsoo Kim ◽  
Pierre‐Emmanuel Rautou ◽  
Laure Elkrief ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Shear Wave ◽  
Individual Patient Data ◽  
Meta Analysis ◽  
Patient Data ◽  
Liver Elastography

ARFI Elastography of the Spleen is Inferior to Liver Elastography for the Detection of Portal Hypertension

2011 ◽  
Vol 32 (S 02) ◽  
pp. E24-E30 ◽  
Author(s):  
K. Rifai ◽  
J. Cornberg ◽  
M. Bahr ◽  
I. Mederacke ◽  
A. Potthoff ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Arfi Elastography ◽  
Liver Elastography

Ultrasound-based liver elastography

2020 ◽  
pp. 109-133
Author(s):  
Ioan Sporea ◽  
Roxana Şirli
Keyword(s):  
Liver Elastography

scholarly journals Ultrasound-based liver elastography: current results and future perspectives

2020 ◽  
Vol 45 (11) ◽  
pp. 3463-3472
Author(s):  
Cheng Fang ◽  
Paul S. Sidhu
Keyword(s):  
Liver Disease ◽  
Liver Fibrosis ◽  
Liver Biopsy ◽  
Chronic Liver Disease ◽  
Research Direction ◽  
Chronic Liver ◽  
Current Evidence ◽  
Diffuse Liver Disease ◽  
Disease Spectrum ◽  
Liver Elastography

Abstract Chronic liver disease affects 185 million population worldwide. It encompasses a heterogenous disease spectrum, but all can lead to the development of liver fibrosis. The degree of liver fibrosis is not only a prognosticator, but has also been used to guide the treatment strategy and to evaluate treatment response. Traditionally, staging of liver fibrosis is determined on histological analysis using samples obtained from an invasive liver biopsy. Ultrasound-based liver elastography is a non-invasive method of assessing diffuse liver disease in patients with known chronic liver disease. The use of liver elastography has led to a significant reduction in the number of liver biopsies performed to assess the severity of liver fibrosis and a liver biopsy is now reserved for only select sub-groups of patients. The aim of this review article is to discuss the key findings and current evidence for ultrasound-based elastography in diffuse liver disease as well as the technical challenges and to evaluate the potential research direction.

scholarly journals Update to the Society of Radiologists in Ultrasound Liver Elastography Consensus Statement

Radiology ◽  
2020 ◽  
Vol 296 (2) ◽  
pp. 263-274 ◽  
Author(s):  
Richard G. Barr ◽  
Stephanie R. Wilson ◽  
Deborah Rubens ◽  
Guadalupe Garcia-Tsao ◽  
Giovanna Ferraioli
Keyword(s):  
Consensus Statement ◽  
Liver Elastography

scholarly journals What is new in liver elastography

2019 ◽  
Vol 45 ◽  
pp. S24-S25
Author(s):  
Ioan Sporea
Keyword(s):  
Liver Elastography

scholarly journals WS16.4 Non invasive liver elastography (LSM) and computed tomography (CT) for evaluation of liver disease in 57 cystic fibrosis adult patients

2015 ◽  
Vol 14 ◽  
pp. S29 ◽  
Author(s):  
S. Hillaire ◽  
N. Regnard ◽  
D. Cazals-Hatem ◽  
S. De Miranda ◽  
A. Roux ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cystic Fibrosis ◽  
Liver Disease ◽  
Adult Patients ◽  
Non Invasive ◽  
Liver Elastography
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