Informativity of shear wave elastography with elasthometry during nonalcoholic fatty liver disease
V.N. DIOMIDOVA1, 2, L.V. TARASOVA1, D.I. TRUKHAN3, Yu.V. TSYGANOVA1, V.S. VINOGRADOVA1
1Ulyanov Chuvash State University, 15 Moskovskiy prospekt, Cheboksary, Russian Federation, 428015
2City Clinical Hospital No. 1, 46 Traktorostroiteley prospekt, Cheboksary, Russian Federation, 428028
3Omsk State Medical University, 12 Lenin Str., Omsk, Russian Federation, 644099
Diomidova V.N. — D. Med. Sc., Head of Propedeutics of the Department of Internal Diseases with a course of Radiation Diagnostics, tel. (8352) 45-26-17, e-mail: diomidovavn@rambler.ru
Tarasova L.V. — D. Med. Sc., Head of the Department of Faculty and Hospital Therapy, tel. (8352) 45-26-17, e-mail: tlarisagast18@mail.ru
Trukhan D.I. — D. Med. Sc., Professor of the Department of Internal Medicine and Outpatient Therapy, tel. (3812) 74-44-27, e-mail: dmitry_trukhan@mail.ru.
Tsyganova Yu.V. — post-graduate student of the Department of Faculty and Hospital Therapy, tel. (8352) 45-26-17
Vinogradova V.S. — post-graduate student of the Department of Propedeutics of Internal Diseases with a course of Radiation Diagnostics, tel. (8352) 45-26-17
In order to establish the elastometric values of the hepatic parenchyma stiffness during nonalcoholic fatty liver disease (NAFLD), according to elastometry and elastography data, 30 patients (mean age 41.1±2.7 y.o.) with NAFLD were examined with a shear wave. One-dimensional (transient) elastometry of the liver (Fibroscane, Echo-Sens, France) and two-dimensional shear wave elastography with elastometry (Aixplorer, Supersonic Imagine, France) were performed. The liver stiffness with steatosis in NAFLD patients, according to the values of the median Emean was 11.2 kPa (2.5-97.5thpercentile — 8.3–12.6 kPa), Emax — 27.8 (23.2-33.1) kPa, and SD — 3.0 (1.8–3.5) kPa. It was found that the informative value of one-dimensional and two-dimensional elastography by shear wave in determining the liver stiffness under NAFLD was higher in case of their combined use (sensitivity, specificity and accuracy reached 94.0%, 97.8%, 94.9%, respectively).
Key words: shear wave elastography, ultrasound examination, liver, nonalcoholic fatty liver disease.
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