Comparison of Transient Elastography and Acoustic Radiation Force Impulse for Non-Invasive Staging of Liver Fibrosis in Patients With Chronic Hepatitis C

Rizzo, Leonardo; Calvaruso, Vincenza; Cacopardo, Bruno; Alessi, Nicola; Attanasio, Massimo; Petta, Salvatore; Fatuzzo, Filippo; Montineri, Arturo; Mazzola, Alessandra; L’Abbate, Luca; Nunnari, Giuseppe; Bronte, F.; Marco, Vito Di; Craxı̀, Antonio; Cammà, Calogero

doi:10.1038/ajg.2011.341

Cited by 189 publications

(149 citation statements)

References 26 publications

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“…Hence, we could not incorporate their predictive performances in this review. Considering that these elastography methods had similar diagnostic performances to predict liver cirrhosis [78,79,80,81] and that spleen stiffness had showed the promising results to assess the portal hypertension from more recent investigations [82,83,84], further studies are required to find whether they have the better predictive performances to predict postoperative outcomes.…”

Section: Limitations Of Te and Future Perspectivesmentioning

confidence: 99%

Clinical Application of Liver Stiffness Measurement Using Transient Elastography: A Surgical Perspective

Kim¹,

Han²

2013

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Liver biopsy (LB) remains the gold standard for assessing the severity of liver fibrosis; however, LB is often limited by its invasiveness, sampling error, and intra-/inter-observer variability in histological interpretation. Furthermore, repeated LB examinations within a short time interval are ineligible in real clinical practice. Thus, due to the pressing need for non-invasive surrogates, over the past decade, significant progress has been made in non-invasively assessing liver fibrosis. Of the methods now available, transient elastography (TE) appears to be an excellent tool for assessing liver fibrosis and also has some prognostic value in surgical settings. Recent studies have proposed the extended role of TE in the surgical field, based on the concept that TE values show significant correlations with portal hypertension and hepatocellular carcinoma development. TE appears promising in predicting postoperative short-term outcomes such as hepatic insufficiency or complications and long-term outcomes such as recurrence or liver-related death. Furthermore, TE may be useful in predicting the severity of liver fibrosis progression due to recurrence of hepatitis C virus infection or other underlying liver diseases after transplantation. TE cannot completely replace other tests accompanied with hepatic surgical treatments, including LB, endoscopic examination, hepatic venous pressure gradient evaluation, or the indocyanine green retention test. However, TE represents an important non-invasive tool that enables more efficient and tailored management strategies for patients who were treated with liver resection or transplantation. This review discusses extended TE applications in the surgical setting, such as hepatic resection or transplantation.

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Section: Limitations Of Te and Future Perspectivesmentioning

confidence: 99%

Clinical Application of Liver Stiffness Measurement Using Transient Elastography: A Surgical Perspective

Kim¹,

Han²

2013

Digestion

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“…It is also highly dependent on the examiners' skills and experiences and thus, should have high reproducibility with excellent intra-observer agreement for using in clinical setting. Other new noninvasive method which has been reported to be more precise than transient elastography for measuring liver and spleen stiffness is acoustic radiation force impulse (ARFI) elastography [5]. Results of a meta-analysis showed that AFRI have higher rate of reliable measurement of liver stiffness than transient elastography and is a good method for assessing liver fibrosis [6].…”

Section: To the Editormentioning

confidence: 99%

Ultrasound based techniques and transient elastography may not be precise methods for the detection of esophageal varices in liver cirrhosis

et al. 2014

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“…A few studies have used only 5 [99,100] or 6 [101] valid measurements. Another study [102] calculated the mean and standard deviation (SD) of 10 valid measurements.…”

Section: How Many Measurements?mentioning

confidence: 99%

Untitled

2017

Ultraschall in Med

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Comparison of Transient Elastography and Acoustic Radiation Force Impulse for Non-Invasive Staging of Liver Fibrosis in Patients With Chronic Hepatitis C

Abstract: In a cohort of patients with CHC, ARFI imaging was more accurate than TE for the non-invasive staging of both significant and severe classes of liver fibrosis.

Cited by 189 publications

References 26 publications

Clinical Application of Liver Stiffness Measurement Using Transient Elastography: A Surgical Perspective

Clinical Application of Liver Stiffness Measurement Using Transient Elastography: A Surgical Perspective

Ultrasound based techniques and transient elastography may not be precise methods for the detection of esophageal varices in liver cirrhosis

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