
FOLLOWUS
1. Department of Ultrasound, Peking University Third Hospital,Beijing,China,100191
2. ,China
3. Inner Mongolia Institute of Ultrasound, Erdos,China,017000
网络出版日期:2011-12-30,
纸质出版日期:2011
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Ming-bo Zhang, En-ze Qu, Ji-Bin Liu, 等. Quantitative Assessment of Hepatic Fibrosis by Contrast-enhanced Ultrasonography[J]. 中国医学科学杂志(英文版), 2011,(4):208-215.
Ming-bo Zhang, En-ze Qu, Ji-Bin Liu, et al. Quantitative Assessment of Hepatic Fibrosis by Contrast-enhanced Ultrasonography[J]. Chinese medical sciences journal, 2011, (4): 208-215.
Ming-bo Zhang, En-ze Qu, Ji-Bin Liu, 等. Quantitative Assessment of Hepatic Fibrosis by Contrast-enhanced Ultrasonography[J]. 中国医学科学杂志(英文版), 2011,(4):208-215. DOI:
Ming-bo Zhang, En-ze Qu, Ji-Bin Liu, et al. Quantitative Assessment of Hepatic Fibrosis by Contrast-enhanced Ultrasonography[J]. Chinese medical sciences journal, 2011, (4): 208-215. DOI:
Objective To explore the contrast-enhanced ultrasonographic features for quantitative assessment of hepatic fibrosis. Methods 86 patients with chronic viral hepatitis B were enrolled in this study from March 2007 to August 2009. The patients were classified into 5 groups (S
0
-S
4
) according to fibrosis stage evaluated with ultrasound guided liver biopsy. New contrast-enhanced ultrasonography (CEUS) features including area under the time-intensity curve (TIC) of portal venous phase/hepatic arterial phase (Q
p
/Q
a
) and intensity of portal venous phase/hepatic arterial phase (Ip/Ia) were used to detect the blood supply ratio (portal vein/hepatic artery) in each group. Arrival time of portal vein trunk (T
p
) and decreasing rate of TIC (β) were also analyzed. Results Q
p
/Q
a
and I
p
/I
a
decreased from S
0
to S
4
while T
p
and β increased. These 4 features were significantly correlated with the degree of fibrosis (P
<
0.001) and were significantly different among the five groups (P
<
0.001). Sensitivity and specificity of Ip/Ia were 80% and 86% for groups ≥S1
75% and 86% for groups ≥ S
2
71% and 84% for groups ≥ S
3
and 76% and 80% for group S
4
respectively. Sensitivity and specificity of Q
p
/Q
a
were 70% and 88% for groups ≥ S
1
80% and 76% for groups ≥ S
2
74% and 70% for groups ≥ S
3
and 81% and 95% for group S
4
respectively. Conclusion I
p
/I
a
and Q
p
/Q
a
could be adopted as reliable
non-invasive features for quantitative assessment of hepatic fibrosis.
Objective To explore the contrast-enhanced ultrasonographic features for quantitative assessment of hepatic fibrosis. Methods 86 patients with chronic viral hepatitis B were enrolled in this study from March 2007 to August 2009. The patients were classified into 5 groups (S
0
-S
4
) according to fibrosis stage evaluated with ultrasound guided liver biopsy. New contrast-enhanced ultrasonography (CEUS) features including area under the time-intensity curve (TIC) of portal venous phase/hepatic arterial phase (Q
p
/Q
a
) and intensity of portal venous phase/hepatic arterial phase (Ip/Ia) were used to detect the blood supply ratio (portal vein/hepatic artery) in each group. Arrival time of portal vein trunk (T
p
) and decreasing rate of TIC (β) were also analyzed. Results Q
p
/Q
a
and I
p
/I
a
decreased from S
0
to S
4
while T
p
and β increased. These 4 features were significantly correlated with the degree of fibrosis (P
<
0.001) and were significantly different among the five groups (P
<
0.001). Sensitivity and specificity of Ip/Ia were 80% and 86% for groups ≥S1
75% and 86% for groups ≥ S
2
71% and 84% for groups ≥ S
3
and 76% and 80% for group S
4
respectively. Sensitivity and specificity of Q
p
/Q
a
were 70% and 88% for groups ≥ S
1
80% and 76% for groups ≥ S
2
74% and 70% for groups ≥ S
3
and 81% and 95% for group S
4
respectively. Conclusion I
p
/I
a
and Q
p
/Q
a
could be adopted as reliable
non-invasive features for quantitative assessment of hepatic fibrosis.
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