Association of advanced hepatic fibrosis and sonographic visualization score: a dual-center study using ACR US LI-RADS

Purpose To evaluate the association between imaging and clinical features and visualization scores, as specified by American College of Radiology (ACR) Ultrasound Liver Imaging Reporting and Data System (LI-RADS), on hepatocellular carcinoma (HCC) screening ultrasound examinations. Methods In this d...

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Bibliographic Details
Published in:Abdominal imaging 2019-04, Vol.44 (4), p.1415-1422
Main Authors: Choi, Hailey H., Perez, Marcelina G., Millet, John D., Liang, Tie, Wasnik, Ashish P., Maturen, Katherine E., Kamaya, Aya
Format: Article
Language:English
Subjects:
Age
Cirrhosis
Data processing
DIAGNOSIS
Diagnostic systems
FIBROSIS
Gastroenterology
Hepatobiliary
Hepatocellular carcinoma
Hepatology
HEPATOMAS
Imaging
LIVER
Liver cancer
Liver cirrhosis
Medical imaging
Medicine
Medicine & Public Health
PATIENTS
RADIOLOGY
RADIOLOGY AND NUCLEAR MEDICINE
Screening
Sex
Shear
SPLEEN
Stiffness
Ultrasonic imaging
Ultrasonic testing
Ultrasound
Visualization
Wave velocity
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Summary:Purpose To evaluate the association between imaging and clinical features and visualization scores, as specified by American College of Radiology (ACR) Ultrasound Liver Imaging Reporting and Data System (LI-RADS), on hepatocellular carcinoma (HCC) screening ultrasound examinations. Methods In this dual-center retrospective study, HCC screening ultrasound reports containing ultrasound elastography measurements (January to September, 2017) were reviewed. Ultrasound point shear wave elastography and 2-dimensional shear wave elastography were used to assess liver stiffness; median shear wave velocity was translated to METAVIR fibrosis scoring, per previously published data. Reports were analyzed for subject age, sex, reason for HCC screening, spleen size, fibrosis scores, and assigned ultrasound visualization scores. Jonckheere–Terpstra trend and Kendall’s tau- b coefficient analyses were performed. Results 714 subjects (mean age 55; 51% male, 49% female) were included. 308 (43%) subjects had clinically declared cirrhosis; 406 (57%) did not. Majority (535, 75%) of exams were adequate (Visualization Score A), 156 (22%) moderately limited (Visualization Score B), and 23 (3%) severely limited (Visualization Score C). Increasing spleen size and patient age were associated with worsening visualization scores ( p  
ISSN:2366-004X
2366-0058
2366-0058
DOI:10.1007/s00261-018-1862-z