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Diagnosis of liver fibrosis in patients with hepatitis B-related liver disease using ultrasound with wave-number domain attenuation coefficient
The importance of identifying the stage of liver fibrosis has motivated the development of non-invasive methods. This study aimed to evaluate the applicability of ultrasound analysis involving the wave-number domain attenuation coefficient (W-Ac) in the non-invasive quantitative differentiation of l...
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Published in: | The Turkish journal of gastroenterology 2020-12, Vol.31 (12), p.923-929 |
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creator | He, Danqing Zhang, Chaoxue Qiu, Wenqian Xie, Qinxiu |
description | The importance of identifying the stage of liver fibrosis has motivated the development of non-invasive methods. This study aimed to evaluate the applicability of ultrasound analysis involving the wave-number domain attenuation coefficient (W-Ac) in the non-invasive quantitative differentiation of liver fibrosis.
This was a prospective study of inpatients with hepatitis B-related liver disease treated between October 2016 and January 2018. In ultrasound, the echo from the near-field liver tissue was selected as the reference signal. The W-Ac of liver tissues was based on the fast Fourier transform of the acquired post-beamforming radio frequency signals. These values were compared with fibrosis from biopsy METAVIR score results. A receiver operating characteristic (ROC) curve tested the W-Ac method.
A total of 46 patients were enrolled, including 27 males and 19 females. Fibrosis was stage F0 in 12 patients, F1 in 13 patients, F2 in 10 patients, F3 in 7 patients, and F4 in 4 patients. W-Ac increased with the progression of liver fibrosis up to stage F3. There were differences between F0 and F4 stages (p |
doi_str_mv | 10.5152/tjg.2020.20139 |
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This was a prospective study of inpatients with hepatitis B-related liver disease treated between October 2016 and January 2018. In ultrasound, the echo from the near-field liver tissue was selected as the reference signal. The W-Ac of liver tissues was based on the fast Fourier transform of the acquired post-beamforming radio frequency signals. These values were compared with fibrosis from biopsy METAVIR score results. A receiver operating characteristic (ROC) curve tested the W-Ac method.
A total of 46 patients were enrolled, including 27 males and 19 females. Fibrosis was stage F0 in 12 patients, F1 in 13 patients, F2 in 10 patients, F3 in 7 patients, and F4 in 4 patients. W-Ac increased with the progression of liver fibrosis up to stage F3. There were differences between F0 and F4 stages (p<0.001) and between any 2 stages of fibrosis (p<0.05), except for stages F3 and F4. There was a significant correlation between W-Ac and METAVIR score (r=0.795, p<0.001). W-Ac differed between non-fibrosis (F0) and fibrosis (F1-F4) groups (p<0.001) and in the normal (F0), early fibrosis (F1-2), and late fibrosis groups (F3-4) (p<0.001). ROC area under the curve was 0.890, and at a cut-off of 0.12153, sensitivity was 0.706 and specificity was 0.830.
W-Ac allowed assessment of liver fibrosis in clinical practice.</description><identifier>ISSN: 2148-5607</identifier><identifier>ISSN: 1300-4948</identifier><identifier>EISSN: 2148-5607</identifier><identifier>DOI: 10.5152/tjg.2020.20139</identifier><identifier>PMID: 33626006</identifier><language>eng</language><publisher>Turkey: AVES</publisher><subject>Complications and side effects ; Diagnosis ; Diagnosis, Ultrasonic ; Fibrosis ; Hepatitis B ; Methods ; Original : Liver</subject><ispartof>The Turkish journal of gastroenterology, 2020-12, Vol.31 (12), p.923-929</ispartof><rights>COPYRIGHT 2020 AVES</rights><rights>Copyright 2020 by Turkish Society of Gastroenterology 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c524t-fb1346f7ed9e7be9b728316d8c01d212e093f2fc20d4241bf5ee87da0fd121363</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7928246/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7928246/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33626006$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>He, Danqing</creatorcontrib><creatorcontrib>Zhang, Chaoxue</creatorcontrib><creatorcontrib>Qiu, Wenqian</creatorcontrib><creatorcontrib>Xie, Qinxiu</creatorcontrib><creatorcontrib>Department of Infectious Disease, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China</creatorcontrib><creatorcontrib>Department of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China</creatorcontrib><title>Diagnosis of liver fibrosis in patients with hepatitis B-related liver disease using ultrasound with wave-number domain attenuation coefficient</title><title>The Turkish journal of gastroenterology</title><addtitle>Turk J Gastroenterol</addtitle><description>The importance of identifying the stage of liver fibrosis has motivated the development of non-invasive methods. This study aimed to evaluate the applicability of ultrasound analysis involving the wave-number domain attenuation coefficient (W-Ac) in the non-invasive quantitative differentiation of liver fibrosis.
This was a prospective study of inpatients with hepatitis B-related liver disease treated between October 2016 and January 2018. In ultrasound, the echo from the near-field liver tissue was selected as the reference signal. The W-Ac of liver tissues was based on the fast Fourier transform of the acquired post-beamforming radio frequency signals. These values were compared with fibrosis from biopsy METAVIR score results. A receiver operating characteristic (ROC) curve tested the W-Ac method.
A total of 46 patients were enrolled, including 27 males and 19 females. Fibrosis was stage F0 in 12 patients, F1 in 13 patients, F2 in 10 patients, F3 in 7 patients, and F4 in 4 patients. W-Ac increased with the progression of liver fibrosis up to stage F3. There were differences between F0 and F4 stages (p<0.001) and between any 2 stages of fibrosis (p<0.05), except for stages F3 and F4. There was a significant correlation between W-Ac and METAVIR score (r=0.795, p<0.001). W-Ac differed between non-fibrosis (F0) and fibrosis (F1-F4) groups (p<0.001) and in the normal (F0), early fibrosis (F1-2), and late fibrosis groups (F3-4) (p<0.001). ROC area under the curve was 0.890, and at a cut-off of 0.12153, sensitivity was 0.706 and specificity was 0.830.
W-Ac allowed assessment of liver fibrosis in clinical practice.</description><subject>Complications and side effects</subject><subject>Diagnosis</subject><subject>Diagnosis, Ultrasonic</subject><subject>Fibrosis</subject><subject>Hepatitis B</subject><subject>Methods</subject><subject>Original : Liver</subject><issn>2148-5607</issn><issn>1300-4948</issn><issn>2148-5607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNptkstu1DAUhiMEoqWwZYkssWGTwbc4yQapNy5SJTawthz7OOMqsQfbmYqn4JVxOkNVpMqSL-d85z-2_FfVW4I3DWnox3w7biimuEyE9c-qU0p4VzcCt88f7U-qVyndYsw6IujL6oQxQQXG4rT6c-XU6ENyCQWLJreHiKwb4n3EebRT2YHPCd25vEVbWM-5pC7qCJPKYI41xiVQCdCSnB_RMuWoUli8OdTdqT3UfpmHlQyzKsIqZ_BLUQse6QDWOr02el29sGpK8Oa4nlU_P1__uPxa33z_8u3y_KbWDeW5tgNhXNgWTA_tAP3Q0o4RYTqNiaGEAu6ZpVZTbDjlZLANQNcaha0hlDDBzqpPB93dMsxgdGkd1SR30c0q_pZBOfl_xrutHMNetj3tKF8FPhwFYvi1QMpydknDNCkPYUmS8p7xhvSYF_T9AR3VBNJ5G4qiXnF5LhraiZa3pFCbJ6gyDMxOBw_WlfhTBbr8VopgH25PsFzNIYs55GoOeW-OUvDu8Zsf8H9uYH8BKYO5CQ</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>He, Danqing</creator><creator>Zhang, Chaoxue</creator><creator>Qiu, Wenqian</creator><creator>Xie, Qinxiu</creator><general>AVES</general><general>Turkish Society of Gastroenterology</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201201</creationdate><title>Diagnosis of liver fibrosis in patients with hepatitis B-related liver disease using ultrasound with wave-number domain attenuation coefficient</title><author>He, Danqing ; Zhang, Chaoxue ; Qiu, Wenqian ; Xie, Qinxiu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c524t-fb1346f7ed9e7be9b728316d8c01d212e093f2fc20d4241bf5ee87da0fd121363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Complications and side effects</topic><topic>Diagnosis</topic><topic>Diagnosis, Ultrasonic</topic><topic>Fibrosis</topic><topic>Hepatitis B</topic><topic>Methods</topic><topic>Original : Liver</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>He, Danqing</creatorcontrib><creatorcontrib>Zhang, Chaoxue</creatorcontrib><creatorcontrib>Qiu, Wenqian</creatorcontrib><creatorcontrib>Xie, Qinxiu</creatorcontrib><creatorcontrib>Department of Infectious Disease, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China</creatorcontrib><creatorcontrib>Department of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Turkish journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>He, Danqing</au><au>Zhang, Chaoxue</au><au>Qiu, Wenqian</au><au>Xie, Qinxiu</au><aucorp>Department of Infectious Disease, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China</aucorp><aucorp>Department of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis of liver fibrosis in patients with hepatitis B-related liver disease using ultrasound with wave-number domain attenuation coefficient</atitle><jtitle>The Turkish journal of gastroenterology</jtitle><addtitle>Turk J Gastroenterol</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>31</volume><issue>12</issue><spage>923</spage><epage>929</epage><pages>923-929</pages><issn>2148-5607</issn><issn>1300-4948</issn><eissn>2148-5607</eissn><abstract>The importance of identifying the stage of liver fibrosis has motivated the development of non-invasive methods. This study aimed to evaluate the applicability of ultrasound analysis involving the wave-number domain attenuation coefficient (W-Ac) in the non-invasive quantitative differentiation of liver fibrosis.
This was a prospective study of inpatients with hepatitis B-related liver disease treated between October 2016 and January 2018. In ultrasound, the echo from the near-field liver tissue was selected as the reference signal. The W-Ac of liver tissues was based on the fast Fourier transform of the acquired post-beamforming radio frequency signals. These values were compared with fibrosis from biopsy METAVIR score results. A receiver operating characteristic (ROC) curve tested the W-Ac method.
A total of 46 patients were enrolled, including 27 males and 19 females. Fibrosis was stage F0 in 12 patients, F1 in 13 patients, F2 in 10 patients, F3 in 7 patients, and F4 in 4 patients. W-Ac increased with the progression of liver fibrosis up to stage F3. There were differences between F0 and F4 stages (p<0.001) and between any 2 stages of fibrosis (p<0.05), except for stages F3 and F4. There was a significant correlation between W-Ac and METAVIR score (r=0.795, p<0.001). W-Ac differed between non-fibrosis (F0) and fibrosis (F1-F4) groups (p<0.001) and in the normal (F0), early fibrosis (F1-2), and late fibrosis groups (F3-4) (p<0.001). ROC area under the curve was 0.890, and at a cut-off of 0.12153, sensitivity was 0.706 and specificity was 0.830.
W-Ac allowed assessment of liver fibrosis in clinical practice.</abstract><cop>Turkey</cop><pub>AVES</pub><pmid>33626006</pmid><doi>10.5152/tjg.2020.20139</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Complications and side effects Diagnosis Diagnosis, Ultrasonic Fibrosis Hepatitis B Methods Original : Liver |
title | Diagnosis of liver fibrosis in patients with hepatitis B-related liver disease using ultrasound with wave-number domain attenuation coefficient |
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