Acoustic Radiation Force Impulse and Supersonic Shear Imaging Versus Transient Elastography for Liver Fibrosis Assessment
Abstract Our study compared three elastographic methods—transient elastography (TE), acoustic radiation force impulse (ARFI) imaging and supersonic shear imaging (SSI)—with respect to the feasibility of their use in liver fibrosis evaluation. We also compared the performance of ARFI imaging and SSI,...
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| Veröffentlicht in: | Ultrasound in medicine & biology 2013-11, Vol.39 (11), p.1933-1941 |
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| container_issue | 11 |
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| container_title | Ultrasound in medicine & biology |
| container_volume | 39 |
| creator | Sporea, Ioan Bota, Simona Jurchis, Ana Sirli, Roxana Grădinaru-Tascău, Oana Popescu, Alina Ratiu, Iulia Szilaski, Milana |
| description | Abstract Our study compared three elastographic methods—transient elastography (TE), acoustic radiation force impulse (ARFI) imaging and supersonic shear imaging (SSI)—with respect to the feasibility of their use in liver fibrosis evaluation. We also compared the performance of ARFI imaging and SSI, with TE as the reference method. The study included 332 patients, with or without hepatopathies, in which liver stiffness was evaluated using TE, ARFI and SSI. Reliable measurements were defined as a median value of 10 (TE, ARFI imaging) or 5 (SSI) liver stiffness measurements with a success rate ≥60% and an interquartile range interval |
| doi_str_mv | 10.1016/j.ultrasmedbio.2013.05.003 |
| format | Article |
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We also compared the performance of ARFI imaging and SSI, with TE as the reference method. The study included 332 patients, with or without hepatopathies, in which liver stiffness was evaluated using TE, ARFI and SSI. Reliable measurements were defined as a median value of 10 (TE, ARFI imaging) or 5 (SSI) liver stiffness measurements with a success rate ≥60% and an interquartile range interval <30%. A significantly higher percentage of reliable measurements were obtained using ARFI than by using TE and SSI: 92.1% versus 72.2% ( p < 0.0001) and 92.1% versus 71.3% ( p < 0.0001). Higher body mass index and older age were significantly associated with inability to obtain reliable measurements of liver stiffness using TE and SSI. In 55.4% of patients, reliable liver stiffness measurements were obtained using all three elastographic methods, and ARFI imaging and TE were similarly accurate in diagnosing significant fibrosis and cirrhosis, with TE as the reference method.</description><identifier>ISSN: 0301-5629</identifier><identifier>EISSN: 1879-291X</identifier><identifier>DOI: 10.1016/j.ultrasmedbio.2013.05.003</identifier><identifier>PMID: 23932281</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Acoustic radiation force impulse elastography ; Acoustics ; Adolescent ; Adult ; Aged ; Elastic Modulus ; Elasticity Imaging Techniques - methods ; Feasibility Studies ; Female ; Humans ; Image Interpretation, Computer-Assisted - methods ; Liver - diagnostic imaging ; Liver - physiopathology ; Liver Cirrhosis - diagnostic imaging ; Liver Cirrhosis - physiopathology ; Liver fibrosis ; Liver stiffness ; Male ; Middle Aged ; Radiology ; Reproducibility of Results ; Sensitivity and Specificity ; Supersonic shear imaging ; Transient elastography ; Young Adult</subject><ispartof>Ultrasound in medicine & biology, 2013-11, Vol.39 (11), p.1933-1941</ispartof><rights>World Federation for Ultrasound in Medicine & Biology</rights><rights>2013 World Federation for Ultrasound in Medicine & Biology</rights><rights>Copyright © 2013 World Federation for Ultrasound in Medicine & Biology. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c586t-df55760e9a81e83f0b4896fb331693cec5e20ea87c40c1676f953529459721573</citedby><cites>FETCH-LOGICAL-c586t-df55760e9a81e83f0b4896fb331693cec5e20ea87c40c1676f953529459721573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ultrasmedbio.2013.05.003$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23932281$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sporea, Ioan</creatorcontrib><creatorcontrib>Bota, Simona</creatorcontrib><creatorcontrib>Jurchis, Ana</creatorcontrib><creatorcontrib>Sirli, Roxana</creatorcontrib><creatorcontrib>Grădinaru-Tascău, Oana</creatorcontrib><creatorcontrib>Popescu, Alina</creatorcontrib><creatorcontrib>Ratiu, Iulia</creatorcontrib><creatorcontrib>Szilaski, Milana</creatorcontrib><title>Acoustic Radiation Force Impulse and Supersonic Shear Imaging Versus Transient Elastography for Liver Fibrosis Assessment</title><title>Ultrasound in medicine & biology</title><addtitle>Ultrasound Med Biol</addtitle><description>Abstract Our study compared three elastographic methods—transient elastography (TE), acoustic radiation force impulse (ARFI) imaging and supersonic shear imaging (SSI)—with respect to the feasibility of their use in liver fibrosis evaluation. We also compared the performance of ARFI imaging and SSI, with TE as the reference method. The study included 332 patients, with or without hepatopathies, in which liver stiffness was evaluated using TE, ARFI and SSI. Reliable measurements were defined as a median value of 10 (TE, ARFI imaging) or 5 (SSI) liver stiffness measurements with a success rate ≥60% and an interquartile range interval <30%. A significantly higher percentage of reliable measurements were obtained using ARFI than by using TE and SSI: 92.1% versus 72.2% ( p < 0.0001) and 92.1% versus 71.3% ( p < 0.0001). Higher body mass index and older age were significantly associated with inability to obtain reliable measurements of liver stiffness using TE and SSI. In 55.4% of patients, reliable liver stiffness measurements were obtained using all three elastographic methods, and ARFI imaging and TE were similarly accurate in diagnosing significant fibrosis and cirrhosis, with TE as the reference method.</description><subject>Acoustic radiation force impulse elastography</subject><subject>Acoustics</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Elastic Modulus</subject><subject>Elasticity Imaging Techniques - methods</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Image Interpretation, Computer-Assisted - methods</subject><subject>Liver - diagnostic imaging</subject><subject>Liver - physiopathology</subject><subject>Liver Cirrhosis - diagnostic imaging</subject><subject>Liver Cirrhosis - physiopathology</subject><subject>Liver fibrosis</subject><subject>Liver stiffness</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Supersonic shear imaging</subject><subject>Transient elastography</subject><subject>Young Adult</subject><issn>0301-5629</issn><issn>1879-291X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk2P0zAQhi0EYsvCX0AWJy4JYzuOYw5I1bKFlSoh0QVxsxxn0nVJ42InK_Xf46oLQlzgZMnzzNf7DiGvGJQMWP1mV87DFG3aY9f6UHJgogRZAohHZMEapQuu2bfHZAECWCFrri_Is5R2AKBqoZ6SCy604LxhC3JcujCnyTv62XbeTj6MdBWiQ3qzP8xDQmrHjm7mA8YUxoxt7tDGHLRbP27p1_w9J3ob7Zg8jhO9Hmyawjbaw92R9iHStb_HSFe-jSH5RJcpYcqTj9Nz8qS3ucGLh_eSfFld3159LNafPtxcLdeFk009FV0vpaoBtW0YNqKHtmp03bdCsFoLh04iB7SNchU4Vqu611JIriupFWdSiUvy-lz3EMOPGdNk9j45HAY7Yl7dMJllUUyB_DdaCSUbEDVk9O0ZdXmvFLE3h-j3Nh4NA3NyyezMny6Zk0sGpMku5eSXD33mNod_p_6yJQPvzwBmYe49RpNcltdh5yO6yXTB_1-fd3-VcYPPJtrhOx4x7cIcxyy9YSZxA2ZzupfTuTCRJZEViJ_jR7_X</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Sporea, Ioan</creator><creator>Bota, Simona</creator><creator>Jurchis, Ana</creator><creator>Sirli, Roxana</creator><creator>Grădinaru-Tascău, Oana</creator><creator>Popescu, Alina</creator><creator>Ratiu, Iulia</creator><creator>Szilaski, Milana</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20131101</creationdate><title>Acoustic Radiation Force Impulse and Supersonic Shear Imaging Versus Transient Elastography for Liver Fibrosis Assessment</title><author>Sporea, Ioan ; Bota, Simona ; Jurchis, Ana ; Sirli, Roxana ; Grădinaru-Tascău, Oana ; Popescu, Alina ; Ratiu, Iulia ; Szilaski, Milana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c586t-df55760e9a81e83f0b4896fb331693cec5e20ea87c40c1676f953529459721573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Acoustic radiation force impulse elastography</topic><topic>Acoustics</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Elastic Modulus</topic><topic>Elasticity Imaging Techniques - methods</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted - methods</topic><topic>Liver - diagnostic imaging</topic><topic>Liver - physiopathology</topic><topic>Liver Cirrhosis - diagnostic imaging</topic><topic>Liver Cirrhosis - physiopathology</topic><topic>Liver fibrosis</topic><topic>Liver stiffness</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Supersonic shear imaging</topic><topic>Transient elastography</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sporea, Ioan</creatorcontrib><creatorcontrib>Bota, Simona</creatorcontrib><creatorcontrib>Jurchis, Ana</creatorcontrib><creatorcontrib>Sirli, Roxana</creatorcontrib><creatorcontrib>Grădinaru-Tascău, Oana</creatorcontrib><creatorcontrib>Popescu, Alina</creatorcontrib><creatorcontrib>Ratiu, Iulia</creatorcontrib><creatorcontrib>Szilaski, Milana</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Ultrasound in medicine & biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sporea, Ioan</au><au>Bota, Simona</au><au>Jurchis, Ana</au><au>Sirli, Roxana</au><au>Grădinaru-Tascău, Oana</au><au>Popescu, Alina</au><au>Ratiu, Iulia</au><au>Szilaski, Milana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acoustic Radiation Force Impulse and Supersonic Shear Imaging Versus Transient Elastography for Liver Fibrosis Assessment</atitle><jtitle>Ultrasound in medicine & biology</jtitle><addtitle>Ultrasound Med Biol</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>39</volume><issue>11</issue><spage>1933</spage><epage>1941</epage><pages>1933-1941</pages><issn>0301-5629</issn><eissn>1879-291X</eissn><abstract>Abstract Our study compared three elastographic methods—transient elastography (TE), acoustic radiation force impulse (ARFI) imaging and supersonic shear imaging (SSI)—with respect to the feasibility of their use in liver fibrosis evaluation. We also compared the performance of ARFI imaging and SSI, with TE as the reference method. The study included 332 patients, with or without hepatopathies, in which liver stiffness was evaluated using TE, ARFI and SSI. Reliable measurements were defined as a median value of 10 (TE, ARFI imaging) or 5 (SSI) liver stiffness measurements with a success rate ≥60% and an interquartile range interval <30%. A significantly higher percentage of reliable measurements were obtained using ARFI than by using TE and SSI: 92.1% versus 72.2% ( p < 0.0001) and 92.1% versus 71.3% ( p < 0.0001). Higher body mass index and older age were significantly associated with inability to obtain reliable measurements of liver stiffness using TE and SSI. In 55.4% of patients, reliable liver stiffness measurements were obtained using all three elastographic methods, and ARFI imaging and TE were similarly accurate in diagnosing significant fibrosis and cirrhosis, with TE as the reference method.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>23932281</pmid><doi>10.1016/j.ultrasmedbio.2013.05.003</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acoustic radiation force impulse elastography Acoustics Adolescent Adult Aged Elastic Modulus Elasticity Imaging Techniques - methods Feasibility Studies Female Humans Image Interpretation, Computer-Assisted - methods Liver - diagnostic imaging Liver - physiopathology Liver Cirrhosis - diagnostic imaging Liver Cirrhosis - physiopathology Liver fibrosis Liver stiffness Male Middle Aged Radiology Reproducibility of Results Sensitivity and Specificity Supersonic shear imaging Transient elastography Young Adult |
| title | Acoustic Radiation Force Impulse and Supersonic Shear Imaging Versus Transient Elastography for Liver Fibrosis Assessment |
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