Our experience with liver and spleen elastography in the prediction of oesophageal varices

SA Journal of Radiology

Field Value
Title Our experience with liver and spleen elastography in the prediction of oesophageal varices
Creator Arya, Shivali Dixit, Rashmi Harish C, Sneha Prakash, Anjali Puri, Amarender S.
Subject Radiology; Abdominal imaging; Ultrasound elastography oesophageal varices; acoustic radiation force imaging; chronic liver disease; shear wave velocity; splenic stiffness; hepatic stiffness
Description Background: Variceal bleeding is an important cause of mortality in patients with chronic liver disease (CLD). The gold standard for detection and grading of oesophageal varices (EV) is upper gastrointestinal endoscopy. However, it is expensive, time-consuming and invasive.Objectives: This study aimed to find any association between splenic shear wave velocity (SWV) measured by acoustic radiation force imaging (ARFI) and the presence of EV.Method: The quasi-experimental study included 50 patients with CLD and 50 subjects without CLD as the control group. Both underwent upper abdominal ultrasonography followed by elastographic assessment on a Siemens Acuson S2000TM ultrasound system. A comparison of the findings was made between the control and patient groups.Results: Both groups had similar hepatic size while patients with CLD had larger splenic size and area (p  0.05). The CLD patients had higher mean hepatic and splenic SWV compared with the control group (p  0.05). The mean splenic size and splenic SWV were higher in patients with varices than in those without varices (p  0.05).Conclusion: Chronic liver disease causes significant increase in liver and splenic stiffness with splenic SWV values being higher for patients with varices emphasising the role of elastography as a non-invasive predictor for the presence of EVs. Splenic SWV had the highest sensitivity and specificity, which was augmented by a combination of hepatic and splenic SWV. Thus, splenic SWV alone or in combination with hepatic SWV is a useful technique for prediction of the presence of EVs.Contribution: This study aims to find an alternative non-invasive and cost-effective technique for screening of EV.
Publisher AOSIS
Date 2024-01-25
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajr.v28i1.2724
Source South African Journal of Radiology; Vol 28, No 1 (2024); 7 pages 2078-6778 1027-202X
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajr.org.za/index.php/sajr/article/view/2724/3531 https://sajr.org.za/index.php/sajr/article/view/2724/3532 https://sajr.org.za/index.php/sajr/article/view/2724/3533 https://sajr.org.za/index.php/sajr/article/view/2724/3534
Coverage India November 2018 to November 2019 50 volunteers with a mean age of 32.56 ± 12.74 years; 50 patients aged 41.36 ± 13.39 years.
Rights Copyright (c) 2024 Shivali Arya, Rashmi Dixit, Sneha Harish C, Anjali Prakash, Amarender S. Puri https://creativecommons.org/licenses/by/4.0