Value of liver elastography and abdominal ultrasound for detection of complications of allogeneic hemopoietic SCT

Hepatic complications contribute to morbidity and mortality after allogeneic hemopoietic SCT. Liver Doppler ultrasound and elastography represent promising methods for pretransplant risk assessment and early detection of complications. Ultrasound (liver and spleen size, liver perfusion) and elastogr...

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Veröffentlicht in:Bone marrow transplantation (Basingstoke) 2014-06, Vol.49 (6), p.806-811
Hauptverfasser: Karlas, T, Weber, J, Nehring, C, Kronenberger, R, Tenckhoff, H, Mössner, J, Niederwieser, D, Tröltzsch, M, Lange, T, Keim, V
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container_issue 6
container_start_page 806
container_title Bone marrow transplantation (Basingstoke)
container_volume 49
creator Karlas, T
Weber, J
Nehring, C
Kronenberger, R
Tenckhoff, H
Mössner, J
Niederwieser, D
Tröltzsch, M
Lange, T
Keim, V
description Hepatic complications contribute to morbidity and mortality after allogeneic hemopoietic SCT. Liver Doppler ultrasound and elastography represent promising methods for pretransplant risk assessment and early detection of complications. Ultrasound (liver and spleen size, liver perfusion) and elastography (transient elastography (TE); right liver lobe acoustic radiation force impulse imaging (r-ARFI); left liver lobe ARFI (l-ARFI)) were prospectively evaluated in patients with indications for allo-SCT. Measurements were performed before and repeatedly after SCT. Results were compared with the incidence of life-threatening complications and death during the first 150 days after SCT. Of 59 included patients, 16 suffered from major complications and 9 of them died within the follow-up period. At baseline, liver and spleen size, liver perfusion, TE and r-ARFI did not differ significantly between patients with and without severe complications. In contrast, l-ARFI was significantly elevated in patients who later developed severe complications (1.58±0.30 m/s vs 1.37±0.27 m/s, P =0.030). After SCT, l-ARFI values remained elevated and TE showed increasing liver stiffness in patients with complications. The value of conventional liver ultrasound for prediction of severe SCT complications is limited. Increased values for TE and l-ARFI are associated with severe SCT complications and demand further evaluation.
doi_str_mv 10.1038/bmt.2014.61
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Liver Doppler ultrasound and elastography represent promising methods for pretransplant risk assessment and early detection of complications. Ultrasound (liver and spleen size, liver perfusion) and elastography (transient elastography (TE); right liver lobe acoustic radiation force impulse imaging (r-ARFI); left liver lobe ARFI (l-ARFI)) were prospectively evaluated in patients with indications for allo-SCT. Measurements were performed before and repeatedly after SCT. Results were compared with the incidence of life-threatening complications and death during the first 150 days after SCT. Of 59 included patients, 16 suffered from major complications and 9 of them died within the follow-up period. At baseline, liver and spleen size, liver perfusion, TE and r-ARFI did not differ significantly between patients with and without severe complications. 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Cell therapy and gene therapy ; Biological and medical sciences ; Bone marrow ; Bone marrow, stem cells transplantation. Graft versus host reaction ; Cell Biology ; Cohort Studies ; Complications ; Doppler effect ; Elasticity Imaging Techniques - methods ; Evaluation ; Female ; Graft vs Host Disease - diagnostic imaging ; Hematology ; Hematopoietic Stem Cell Transplantation - adverse effects ; Hematopoietic stem cells ; Humans ; Internal Medicine ; Liver ; Liver - diagnostic imaging ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Morbidity ; original-article ; Perfusion ; Physiological aspects ; Public Health ; Radiation ; Risk Assessment ; Sound waves ; Spleen ; Spleen - diagnostic imaging ; Stem cell research ; Stem cell transplantation ; Stem Cells ; Stiffness ; Transfusions. Complications. Transfusion reactions. 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ispartof Bone marrow transplantation (Basingstoke), 2014-06, Vol.49 (6), p.806-811
issn 0268-3369
1476-5365
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source MEDLINE; Nature; EZB-FREE-00999 freely available EZB journals; SpringerLink Journals - AutoHoldings
subjects 631/250/1904
692/699/1503/1607
692/700/1421
692/700/565/2194
Abdomen - diagnostic imaging
Adult
Aged
Allografts
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Bone marrow
Bone marrow, stem cells transplantation. Graft versus host reaction
Cell Biology
Cohort Studies
Complications
Doppler effect
Elasticity Imaging Techniques - methods
Evaluation
Female
Graft vs Host Disease - diagnostic imaging
Hematology
Hematopoietic Stem Cell Transplantation - adverse effects
Hematopoietic stem cells
Humans
Internal Medicine
Liver
Liver - diagnostic imaging
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Morbidity
original-article
Perfusion
Physiological aspects
Public Health
Radiation
Risk Assessment
Sound waves
Spleen
Spleen - diagnostic imaging
Stem cell research
Stem cell transplantation
Stem Cells
Stiffness
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
Transplantation
Ultrasonic imaging
Ultrasonics in medicine
Ultrasonography, Doppler
Ultrasound
title Value of liver elastography and abdominal ultrasound for detection of complications of allogeneic hemopoietic SCT
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