Outstanding feasibility of spleen stiffness measurement by 100‐Hz vibration‐controlled transient elastography
This novel spleen‐dedicated FibroScan has high success rate and is easy to operate. The spleen stiffness is correlated with liver stiffness, which reflects the liver fibrosis stage. However, whether SSM is able to reflect the severity of liver disease warrants further observation.
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| Published in | JGH open Vol. 7; no. 5; pp. 387 - 392 |
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| Main Authors | , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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Melbourne
Wiley Publishing Asia Pty Ltd
01.05.2023
John Wiley & Sons, Inc Wiley |
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| Abstract | This novel spleen‐dedicated FibroScan has high success rate and is easy to operate. The spleen stiffness is correlated with liver stiffness, which reflects the liver fibrosis stage. However, whether SSM is able to reflect the severity of liver disease warrants further observation. |
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| AbstractList | This novel spleen-dedicated FibroScan has high success rate and is easy to operate. The spleen stiffness is correlated with liver stiffness, which reflects the liver fibrosis stage. However, whether SSM is able to reflect the severity of liver disease warrants further observation. This novel spleen-dedicated FibroScan has high success rate and is easy to operate. The spleen stiffness is correlated with liver stiffness, which reflects the liver fibrosis stage. However, whether SSM is able to reflect the severity of liver disease warrants further observation.This novel spleen-dedicated FibroScan has high success rate and is easy to operate. The spleen stiffness is correlated with liver stiffness, which reflects the liver fibrosis stage. However, whether SSM is able to reflect the severity of liver disease warrants further observation. Introduction Spleen stiffness measurement (SSM) using ultrasound-based elastography has emerged as a valid, non-invasive tool to assess portal hypertension. 1 In patients with hepatitis C-virus-related cirrhosis, spleen stiffness (SS) was found to be positively correlated with hepatic venous pressure gradient (HVPG), 2 which is capable of predicting the occurrence of clinical decompensation in compensated cirrhotic patients combined with model for end-stage liver disease (MELD) score. 3 Among the existing ultrasound-based elastography techniques, vibration-controlled transient elastrography (VCTE) (FibroScan, Echosens, Paris, France) is the most commonly used and validated. [...]315 healthy volunteers and 1517 patients with liver disease were included for analysis (Fig. 1). Table 1 Characteristics of subjects with successful spleen stiffness and liver stiffness measurement Subjects' characteristics (n = 1763) Patients with chronic liver disease (n = 1448) Age, years 40.1 ± 11.0 Male, n (%) 1076 (74.3) Etiology of liver disease, n (%) Hepatitis B 948 (65.5) Hepatitis C 18 (1.2) Alcohol 34 (2.4) Non-alcoholic fatty liver disease 333 (23.0) Miscellaneous 14 (1.0) Others 55 (3.8) Cryptogenic 46 (3.2) Body mass index, kg/m2 23.8 ± 3.7 Liver stiffness, kPa 7.9 ± 6.9 Liver stiffness, n (%) <7 kPa 967 (66.8) 7–15 kPa 354 (24.4) >15 kPa 127 (8.8) Controlled attenuation parameter, dB/m 234.6 ± 56.9 Spleen stiffness, kPa 22.0 ± 10.4 Spleen stiffness, IQR/med (%) 18.0 ± 10.6 Healthy volunteers (n = 315) Age, years 38.9 ± 18.2 Male, n (%) 156 (49.5) Body mass index, kg/m2 21.8 ± 2.8 Liver stiffness, kPa 4.7 ± 1.1 Controlled attenuation parameter, dB/m 201 ± 32 Spleen stiffness, kPa 17.1 ± 4.7 Spleen stiffness, IQR/med (%) 20.0 ± 11.0 IQR/med, ratio of interquartile range to median. For patients with chronic liver disease (n = 1448), the main etiologies were hepatitis B virus infection (n = 948, 65.5%), followed by NAFLD (n = 333, 23.0%) (Table 1). |
| Author | Zhang, Yuanjian Zhang, Xiaofeng Zhou, Damei Wang, Haiyu Song, Jiankang Chen, Jinjun Huang, Jing Xie, Xinpeng Cheng, Xiao Gu, Yixiu Wu, Qiaoping Li, Junying Tai, Jiaoyu |
| AuthorAffiliation | 1 Hepatology Unit, Department of Infectious Diseases, Nanfang Hospital Southern Medical University Guangzhou China 2 Department of Hepatology, Zengcheng Branch, Nanfang Hospital Southern Medical University Guangzhou China 3 Department of Equipment information, Zengcheng Branch, Nanfang Hospital Southern Medical University Guangzhou China |
| AuthorAffiliation_xml | – name: 2 Department of Hepatology, Zengcheng Branch, Nanfang Hospital Southern Medical University Guangzhou China – name: 1 Hepatology Unit, Department of Infectious Diseases, Nanfang Hospital Southern Medical University Guangzhou China – name: 3 Department of Equipment information, Zengcheng Branch, Nanfang Hospital Southern Medical University Guangzhou China |
| Author_xml | – sequence: 1 givenname: Xiaofeng orcidid: 0000-0002-6871-075X surname: Zhang fullname: Zhang, Xiaofeng organization: Southern Medical University – sequence: 2 givenname: Haiyu surname: Wang fullname: Wang, Haiyu organization: Southern Medical University – sequence: 3 givenname: Xinpeng surname: Xie fullname: Xie, Xinpeng organization: Southern Medical University – sequence: 4 givenname: Jiankang surname: Song fullname: Song, Jiankang organization: Southern Medical University – sequence: 5 givenname: Yuanjian surname: Zhang fullname: Zhang, Yuanjian organization: Southern Medical University – sequence: 6 givenname: Damei surname: Zhou fullname: Zhou, Damei organization: Southern Medical University – sequence: 7 givenname: Qiaoping surname: Wu fullname: Wu, Qiaoping organization: Southern Medical University – sequence: 8 givenname: Jiaoyu surname: Tai fullname: Tai, Jiaoyu organization: Southern Medical University – sequence: 9 givenname: Jing surname: Huang fullname: Huang, Jing organization: Southern Medical University – sequence: 10 givenname: Xiao surname: Cheng fullname: Cheng, Xiao organization: Southern Medical University – sequence: 11 givenname: Junying surname: Li fullname: Li, Junying organization: Southern Medical University – sequence: 12 givenname: Yixiu surname: Gu fullname: Gu, Yixiu organization: Southern Medical University – sequence: 13 givenname: Jinjun orcidid: 0000-0003-4275-9149 surname: Chen fullname: Chen, Jinjun email: chjj@smu.edu.cn organization: Southern Medical University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37265926$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.ultrasmedbio.2018.03.028 10.1016/j.jhep.2020.09.034 10.1111/jvh.12114 10.1016/j.jhep.2014.02.024 10.1002/hep.21665 10.1111/liv.12003 10.1016/j.cgh.2013.09.013 10.1002/hep.25993 10.1016/j.jhep.2021.12.022 10.1111/j.1440-1746.2010.06325.x 10.1016/j.jhep.2021.06.003 10.1111/j.1572-0241.2006.00880.x 10.1016/j.jhep.2020.11.050 10.1053/j.gastro.2012.05.035 10.1016/j.jhep.2018.04.023 |
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| DOI | 10.1002/jgh3.12904 |
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| Keywords | chronic liver disease vibration‐controlled transient elastography ratio of interquartile range to median spleen stiffness measurement SSM@100 Hz |
| Language | English |
| License | Attribution-NonCommercial-NoDerivs 2023 The Authors. JGH Open published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
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| Notes | The authors declare no conflict of interest that pertains to this work. Author contribution Xiaofeng Zhang and Haiyu Wang contributed equally to this study. This work was supported by the National Science and Technology Major Project (2018ZX10723203, 2018ZX10302206), the National Natural Science Foundation of China (82070650), the National Key Research and Development Program of China (2017YFC0908100), Local Innovative and Research Teams Project of Guangdong Pearl River Talents Program (2017BT01S131), Clinical Research Program of Nanfang Hospital, Southern Medical University (2020CR026), Clinical Research Startup Program of Southern Medical University by High‐level University Construction Funding of Guangdong Provincial Department of Education (LC2019ZD006), President Foundation of Nanfang Hospital, Southern Medical University (2019Z003), and the Key‐Area Research and Development Program of Guangdong Province (2019B020227004). Xiaofeng Zhang drafted the manuscript. Haiyu Wang participated in revising the manuscript. Damei Zhou, JiaoyuTai, and Qiaoping Wu operated the device to measure spleen stiffness and liver stiffness. Jinjun Chen supervised the study and secured finical support. All the other authors collected the data. Declaration of conflict of interest Financial support ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Declaration of conflict of interest: The authors declare no conflict of interest that pertains to this work. Financial support: This work was supported by the National Science and Technology Major Project (2018ZX10723203, 2018ZX10302206), the National Natural Science Foundation of China (82070650), the National Key Research and Development Program of China (2017YFC0908100), Local Innovative and Research Teams Project of Guangdong Pearl River Talents Program (2017BT01S131), Clinical Research Program of Nanfang Hospital, Southern Medical University (2020CR026), Clinical Research Startup Program of Southern Medical University by High‐level University Construction Funding of Guangdong Provincial Department of Education (LC2019ZD006), President Foundation of Nanfang Hospital, Southern Medical University (2019Z003), and the Key‐Area Research and Development Program of Guangdong Province (2019B020227004). Author contribution: Xiaofeng Zhang drafted the manuscript. Haiyu Wang participated in revising the manuscript. Damei Zhou, JiaoyuTai, and Qiaoping Wu operated the device to measure spleen stiffness and liver stiffness. Jinjun Chen supervised the study and secured finical support. All the other authors collected the data. |
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| Snippet | This novel spleen‐dedicated FibroScan has high success rate and is easy to operate. The spleen stiffness is correlated with liver stiffness, which reflects the... This novel spleen-dedicated FibroScan has high success rate and is easy to operate. The spleen stiffness is correlated with liver stiffness, which reflects the... Introduction Spleen stiffness measurement (SSM) using ultrasound-based elastography has emerged as a valid, non-invasive tool to assess portal hypertension. 1... |
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| SubjectTerms | Alcohol Body mass index Brief Report Brief Reports chronic liver disease Embolization Fatty liver Hepatitis Hypertension Liver cancer Liver cirrhosis Liver diseases Observational studies Patients ratio of interquartile range to median Spleen spleen stiffness measurement SSM@100 Hz Success Ultrasonic imaging vibration‐controlled transient elastography |
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| Title | Outstanding feasibility of spleen stiffness measurement by 100‐Hz vibration‐controlled transient elastography |
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