Shear Wave Liver Elastography with a Propagation Map: Diagnostic Performance and Inter-Observer Correlation for Hepatic Fibrosis in Chronic Hepatitis
Abstract The aim of this study was to determine the performance of shear wave elastography (SWE) with a propagation map in the diagnosis of hepatic fibrosis, and to assess its reliability with transient elastography (TE) as the reference standard. Our prospective study included 115 consecutive patie...
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| Veröffentlicht in: | Ultrasound in medicine & biology 2017-07, Vol.43 (7), p.1355-1363 |
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| container_title | Ultrasound in medicine & biology |
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| creator | Lee, Eun Sun Lee, Jong Beum Park, Hwi Ryong Yoo, Jeongin Choi, Ji In Lee, Hyun Woong Kim, Hyung Joon Choi, Byung Ihn Park, Hyun Jeong Park, Sung Bin |
| description | Abstract The aim of this study was to determine the performance of shear wave elastography (SWE) with a propagation map in the diagnosis of hepatic fibrosis, and to assess its reliability with transient elastography (TE) as the reference standard. Our prospective study included 115 consecutive patients with suspected or alleged chronic hepatitis. Patients underwent SWE by two different operators and TE by sonographers on the same day. The correlation coefficient of the intra-class correlation test between an experienced radiologist and a third-year radiology resident was 0.878. There was a moderate correlation between SWE and TE ( r = 0.511) in the diagnosis of hepatic fibrosis. The best cutoff values predicting significant hepatic fibrosis and liver cirrhosis by SWE were >1.78 m/s (area under the receiver operating characteristic curve [AUROC] = 0.777) and >2.24 m/s (AUROC = 0.935), respectively. SWE with a propagation map is a reliable method for predicting hepatic fibrosis regardless of operator experience. |
| doi_str_mv | 10.1016/j.ultrasmedbio.2017.02.010 |
| format | Article |
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Our prospective study included 115 consecutive patients with suspected or alleged chronic hepatitis. Patients underwent SWE by two different operators and TE by sonographers on the same day. The correlation coefficient of the intra-class correlation test between an experienced radiologist and a third-year radiology resident was 0.878. There was a moderate correlation between SWE and TE ( r = 0.511) in the diagnosis of hepatic fibrosis. The best cutoff values predicting significant hepatic fibrosis and liver cirrhosis by SWE were >1.78 m/s (area under the receiver operating characteristic curve [AUROC] = 0.777) and >2.24 m/s (AUROC = 0.935), respectively. SWE with a propagation map is a reliable method for predicting hepatic fibrosis regardless of operator experience.</description><identifier>ISSN: 0301-5629</identifier><identifier>EISSN: 1879-291X</identifier><identifier>DOI: 10.1016/j.ultrasmedbio.2017.02.010</identifier><identifier>PMID: 28431795</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adult ; Aged ; Chronic hepatitis ; Diagnosis, Differential ; Diagnostic performance ; Elastic Modulus ; Elasticity Imaging Techniques - methods ; Female ; Hepatic fibrosis ; Hepatitis, Chronic - diagnostic imaging ; Hepatitis, Chronic - physiopathology ; Humans ; Liver - diagnostic imaging ; Liver - physiopathology ; Liver Cirrhosis - diagnostic imaging ; Liver Cirrhosis - physiopathology ; Male ; Middle Aged ; Observer Variation ; Operator experience ; Propagation map ; Radiology ; Shear Strength ; Shear wave elastography ; Statistics as Topic ; Stress, Mechanical</subject><ispartof>Ultrasound in medicine & biology, 2017-07, Vol.43 (7), p.1355-1363</ispartof><rights>World Federation for Ultrasound in Medicine & Biology</rights><rights>2017 World Federation for Ultrasound in Medicine & Biology</rights><rights>Copyright © 2017 World Federation for Ultrasound in Medicine & Biology. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-7abc64a11a71ce55fa1e0527ec94f363cd1370220284c97772cfab12a82e86763</citedby><cites>FETCH-LOGICAL-c435t-7abc64a11a71ce55fa1e0527ec94f363cd1370220284c97772cfab12a82e86763</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.2017.02.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28431795$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Eun Sun</creatorcontrib><creatorcontrib>Lee, Jong Beum</creatorcontrib><creatorcontrib>Park, Hwi Ryong</creatorcontrib><creatorcontrib>Yoo, Jeongin</creatorcontrib><creatorcontrib>Choi, Ji In</creatorcontrib><creatorcontrib>Lee, Hyun Woong</creatorcontrib><creatorcontrib>Kim, Hyung Joon</creatorcontrib><creatorcontrib>Choi, Byung Ihn</creatorcontrib><creatorcontrib>Park, Hyun Jeong</creatorcontrib><creatorcontrib>Park, Sung Bin</creatorcontrib><title>Shear Wave Liver Elastography with a Propagation Map: Diagnostic Performance and Inter-Observer Correlation for Hepatic Fibrosis in Chronic Hepatitis</title><title>Ultrasound in medicine & biology</title><addtitle>Ultrasound Med Biol</addtitle><description>Abstract The aim of this study was to determine the performance of shear wave elastography (SWE) with a propagation map in the diagnosis of hepatic fibrosis, and to assess its reliability with transient elastography (TE) as the reference standard. Our prospective study included 115 consecutive patients with suspected or alleged chronic hepatitis. Patients underwent SWE by two different operators and TE by sonographers on the same day. The correlation coefficient of the intra-class correlation test between an experienced radiologist and a third-year radiology resident was 0.878. There was a moderate correlation between SWE and TE ( r = 0.511) in the diagnosis of hepatic fibrosis. The best cutoff values predicting significant hepatic fibrosis and liver cirrhosis by SWE were >1.78 m/s (area under the receiver operating characteristic curve [AUROC] = 0.777) and >2.24 m/s (AUROC = 0.935), respectively. SWE with a propagation map is a reliable method for predicting hepatic fibrosis regardless of operator experience.</description><subject>Adult</subject><subject>Aged</subject><subject>Chronic hepatitis</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic performance</subject><subject>Elastic Modulus</subject><subject>Elasticity Imaging Techniques - methods</subject><subject>Female</subject><subject>Hepatic fibrosis</subject><subject>Hepatitis, Chronic - diagnostic imaging</subject><subject>Hepatitis, Chronic - physiopathology</subject><subject>Humans</subject><subject>Liver - diagnostic imaging</subject><subject>Liver - physiopathology</subject><subject>Liver Cirrhosis - diagnostic imaging</subject><subject>Liver Cirrhosis - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observer Variation</subject><subject>Operator experience</subject><subject>Propagation map</subject><subject>Radiology</subject><subject>Shear Strength</subject><subject>Shear wave elastography</subject><subject>Statistics as Topic</subject><subject>Stress, Mechanical</subject><issn>0301-5629</issn><issn>1879-291X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUsuO1DAQjBCIHRZ-AVmcuCS4nYeTPSCh2ac0aFdaENysjtOZ8ZCJs3Zm0HzI_i-OsiDEiZMld1V1d1VH0TvgCXAoPmyTfTc69DtqamMTwUEmXCQc-LNoAaWsYlHB9-fRgqcc4rwQ1Un0yvst51wWqXwZnYgyS0FW-SJ6vN8QOvYND8RW5kCOXXToR7t2OGyO7KcZNwzZnbMDrnE0tmefcThj5wbXvfWj0eyOXGvdDntNDPuG3fQjufi29uQmuaV1jrqZGnDsmgacaJemdtYbz0zPlhtn-_A310bjX0cvWuw8vXl6T6Ovlxdfltfx6vbqZvlpFesszcdYYq2LDAFQgqY8bxGI50KSrrI2LVLdQCq5EDzsqysppdAt1iCwFFQWwYvT6P2sOzj7sCc_qp3xmroOe7J7r6CsALKClxP0bIbqMLZ31KrBmR26owKupljUVv0di5piUVyoEEsgv33qs69D-Q_1dw4BcD4DKGx7MOSU14aCpY1xpEfVWPN_fT7-I6M7E5zF7gcdyW_t3vXBTwXKB4K6nw5kug-QKeeFzNJfOKS8eg</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Lee, Eun Sun</creator><creator>Lee, Jong Beum</creator><creator>Park, Hwi Ryong</creator><creator>Yoo, Jeongin</creator><creator>Choi, Ji In</creator><creator>Lee, Hyun Woong</creator><creator>Kim, Hyung Joon</creator><creator>Choi, Byung Ihn</creator><creator>Park, Hyun Jeong</creator><creator>Park, Sung Bin</creator><general>Elsevier Inc</general><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></search><sort><creationdate>20170701</creationdate><title>Shear Wave Liver Elastography with a Propagation Map: Diagnostic Performance and Inter-Observer Correlation for Hepatic Fibrosis in Chronic Hepatitis</title><author>Lee, Eun Sun ; Lee, Jong Beum ; Park, Hwi Ryong ; Yoo, Jeongin ; Choi, Ji In ; Lee, Hyun Woong ; Kim, Hyung Joon ; Choi, Byung Ihn ; Park, Hyun Jeong ; Park, Sung Bin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-7abc64a11a71ce55fa1e0527ec94f363cd1370220284c97772cfab12a82e86763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Chronic hepatitis</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic performance</topic><topic>Elastic Modulus</topic><topic>Elasticity Imaging Techniques - methods</topic><topic>Female</topic><topic>Hepatic fibrosis</topic><topic>Hepatitis, Chronic - diagnostic imaging</topic><topic>Hepatitis, Chronic - physiopathology</topic><topic>Humans</topic><topic>Liver - diagnostic imaging</topic><topic>Liver - physiopathology</topic><topic>Liver Cirrhosis - diagnostic imaging</topic><topic>Liver Cirrhosis - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Observer Variation</topic><topic>Operator experience</topic><topic>Propagation map</topic><topic>Radiology</topic><topic>Shear Strength</topic><topic>Shear wave elastography</topic><topic>Statistics as Topic</topic><topic>Stress, Mechanical</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Eun Sun</creatorcontrib><creatorcontrib>Lee, Jong Beum</creatorcontrib><creatorcontrib>Park, Hwi Ryong</creatorcontrib><creatorcontrib>Yoo, Jeongin</creatorcontrib><creatorcontrib>Choi, Ji In</creatorcontrib><creatorcontrib>Lee, Hyun Woong</creatorcontrib><creatorcontrib>Kim, Hyung Joon</creatorcontrib><creatorcontrib>Choi, Byung Ihn</creatorcontrib><creatorcontrib>Park, Hyun Jeong</creatorcontrib><creatorcontrib>Park, Sung Bin</creatorcontrib><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><jtitle>Ultrasound in medicine & biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Eun Sun</au><au>Lee, Jong Beum</au><au>Park, Hwi Ryong</au><au>Yoo, Jeongin</au><au>Choi, Ji In</au><au>Lee, Hyun Woong</au><au>Kim, Hyung Joon</au><au>Choi, Byung Ihn</au><au>Park, Hyun Jeong</au><au>Park, Sung Bin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Shear Wave Liver Elastography with a Propagation Map: Diagnostic Performance and Inter-Observer Correlation for Hepatic Fibrosis in Chronic Hepatitis</atitle><jtitle>Ultrasound in medicine & biology</jtitle><addtitle>Ultrasound Med Biol</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>43</volume><issue>7</issue><spage>1355</spage><epage>1363</epage><pages>1355-1363</pages><issn>0301-5629</issn><eissn>1879-291X</eissn><abstract>Abstract The aim of this study was to determine the performance of shear wave elastography (SWE) with a propagation map in the diagnosis of hepatic fibrosis, and to assess its reliability with transient elastography (TE) as the reference standard. Our prospective study included 115 consecutive patients with suspected or alleged chronic hepatitis. Patients underwent SWE by two different operators and TE by sonographers on the same day. The correlation coefficient of the intra-class correlation test between an experienced radiologist and a third-year radiology resident was 0.878. There was a moderate correlation between SWE and TE ( r = 0.511) in the diagnosis of hepatic fibrosis. The best cutoff values predicting significant hepatic fibrosis and liver cirrhosis by SWE were >1.78 m/s (area under the receiver operating characteristic curve [AUROC] = 0.777) and >2.24 m/s (AUROC = 0.935), respectively. SWE with a propagation map is a reliable method for predicting hepatic fibrosis regardless of operator experience.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>28431795</pmid><doi>10.1016/j.ultrasmedbio.2017.02.010</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult Aged Chronic hepatitis Diagnosis, Differential Diagnostic performance Elastic Modulus Elasticity Imaging Techniques - methods Female Hepatic fibrosis Hepatitis, Chronic - diagnostic imaging Hepatitis, Chronic - physiopathology Humans Liver - diagnostic imaging Liver - physiopathology Liver Cirrhosis - diagnostic imaging Liver Cirrhosis - physiopathology Male Middle Aged Observer Variation Operator experience Propagation map Radiology Shear Strength Shear wave elastography Statistics as Topic Stress, Mechanical |
| title | Shear Wave Liver Elastography with a Propagation Map: Diagnostic Performance and Inter-Observer Correlation for Hepatic Fibrosis in Chronic Hepatitis |
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