Accuracy of Controlled Attenuation Parameter and Liver Stiffness Measurement in Patients with Non-alcoholic Fatty Liver Disease

Mikolašević, Ivana; Domislović, Viktor; Klapan, Mia; Jurić, Toni; Lukic, Andjela; Krznarić-Zrnić, Irena; Fučkar-Čupić, Dora; Štimac, Davor; Kanižaj, Tajana Filipec; Krznarić, Željko; Radić-Krišto, Delfa; Milić, Sandra; Martinović, Marko; Grubešić, Aron; Grgurević, Ivica

doi:10.1016/j.ultrasmedbio.2020.11.015

Cited by 11 publications

(7 citation statements)

References 30 publications

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“…Generally, the reduced elastic rebound is highly suggestive for stiffer tissue. This finding, in the context of CLD, indicates liver fibrosis and/or cirrhosis or some other pathological process, such as malignant focal lesions [5][6][7][8]. Elastography modalities currently in use are transient elastography (FibroScan), 2-dimensional shearwave elastography (SWE), acoustic radiation force impulse (ARFI) imaging, real-time elastography (RTE), and magnetic resonance (MR) imaging elastography.…”

Section: Eus Elastographymentioning

confidence: 99%

“…Elastography modalities currently in use are transient elastography (FibroScan), 2-dimensional shearwave elastography (SWE), acoustic radiation force impulse (ARFI) imaging, real-time elastography (RTE), and magnetic resonance (MR) imaging elastography. RTE is different from other ultrasound elastography techniques because it can measure heartbeat-induced strain, which allows relatively objective qualitative and semiquantitative results [5][6][7][8][9][10].…”

Section: Eus Elastographymentioning

confidence: 99%

“…Elastographic methods, such as FibroScan, have shown a good correlation to histological findings [5][6][7][8][9]. However, there are some limitations in terms of FibroScan use, such as the applicability of its measurements with a transabdominal approach in obese patients, those with ascites, or in those with narrow intercostal spaces.…”

Section: Eus Elastographymentioning

confidence: 99%

“…However, there are some limitations in terms of FibroScan use, such as the applicability of its measurements with a transabdominal approach in obese patients, those with ascites, or in those with narrow intercostal spaces. In addition, FibroScan has lower applicability in discriminating between intermediate stages of fibrosis [6][7][8][9][10][11].…”

Section: Eus Elastographymentioning

confidence: 99%

“…Additionally, transabdominal elastography is usually performed over the right lobe of the liver; therefore, the association of elastography findings with histological findings is affected by variability between the right and left lobes of the liver [6][7][8][9][10][11][12]. On the other hand, EUS processors have the capability to carry out elastography both in the right and left lobes of the liver.…”

Section: Eus Elastographymentioning

confidence: 99%

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Role of Endoscopic Ultrasound in Liver Disease: Where Do We Stand?

et al. 2021

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As the burden of liver disease in the general populace steadily increases, so does the need for both advanced diagnostic and treatment options. Endoscopic ultrasound is a reliable diagnostic and therapeutic method that has an established role, foremost in pancreatobiliary pathology. This paper aims to summarize the growing role of endoscopic ultrasound in hepatology based on the search of the current literature. A number of applications of endoscopic ultrasound are reviewed, including both noninvasive methods and tissue acquisition in focal and diffuse liver disease, portal hypertension measurement, detection and management of gastric and esophageal varices, treatment of focal liver lesions and staging of pancreatobiliary malignancies, treatment of cystic and solid liver lesions, as well as liver abscess drainage. Both hepatologists and endoscopists should be aware of the evolving role of endoscopic ultrasound in liver disease. The inherent invasive nature of endoscopic examination limits its use to a targeted population identified using noninvasive methods. Endoscopic ultrasound is one the most versatile methods in gastroenterology, allowing immediate access with detection, sampling, and treatment of digestive tract pathology. Further expansion of its use in hepatology is immanent.

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Section: Eus Elastographymentioning

confidence: 99%