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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Ultrasound+Med
2014 ; 33
(9
): 1597-604
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Noninvasive assessment of liver fibrosis using ultrasound-based shear wave
measurement and comparison to magnetic resonance elastography
#MMPMID25154941
Zhao H
; Chen J
; Meixner DD
; Xie H
; Shamdasani V
; Zhou S
; Robert JL
; Urban MW
; Sanchez W
; Callstrom MR
; Ehman RL
; Greenleaf JF
; Chen S
J Ultrasound Med
2014[Sep]; 33
(9
): 1597-604
PMID25154941
show ga
OBJECTIVES: Magnetic resonance elastography (MRE) has excellent performance in
detecting liver fibrosis and is becoming an alternative to liver biopsy in
clinical practice. Ultrasound techniques based on measuring the propagation speed
of the shear waves induced by acoustic radiation force also have shown promising
results for liver fibrosis staging. The objective of this study was to compare
ultrasound-based shear wave measurement to MRE. METHODS: In this study, 50
patients (28 female and 22 male; age range, 19-81 years) undergoing liver MRE
examinations were studied with an ultrasound scanner modified with shear wave
measurement functionality. For each patient, 27 shear wave speed measurements
were obtained at various locations in the liver parenchyma away from major
vessels. The median shear wave speed from all measurements was used to calculate
a representative shear modulus (?) for each patient. Magnetic resonance
elastographic data processing was done by a single analyst blinded to the
ultrasound measurement results. RESULTS: Ultrasound and MRE measurements were
correlated (r = 0.86; P < .001). Receiver operating characteristic (ROC) analysis
was applied to the ultrasound measurement results with the MRE diagnosis as the
"ground truth." The area under the ROC curve for separating patients with minimum
fibrosis (defined as ?(MRE) ?2.9 kPa) was 0.89 (95% confidence interval,
0.77-0.95), and the area under the ROC curve for separating patients with
advanced fibrosis (defined as ?(MRE) ?5.0 kPa) was 0.96 (95% confidence interval,
0.87-0.99). CONCLUSIONS: Results indicate that the ultrasound-based shear wave
measurement correlates with MRE and is a promising method for liver fibrosis
staging.