Research Article
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Year 2022, Volume: 5 Issue: 2, 689 - 692, 15.03.2022
https://doi.org/10.32322/jhsm.1074776

Abstract

References

  • Aykut UE, Akyuz U, Yesil A, et al. A comparison of FibroMeter™ NAFLD Score, NAFLD fibrosis score, and transient elastography as noninvasive diagnostic tools for hepatic fibrosis in patients with biopsy-proven non-alcoholic fatty liver disease. Scand J Gastroenterol 2014; 49: 1343-8.
  • Ziol M, Handra-Luca A, Kettaneh A, et al. Noninvasive assessment of liver fibrosis by measurement of stiffness in patients with chronic hepatitis C. Hepatology 2005; 41: 48-54.
  • Sasso M, Beaugrand M, de Ledinghen V, et al. Controlled attenuation parameter (CAP): a novel VCTE™ guided ultrasonic attenuation measurement for the evaluation of hepatic steatosis: preliminary study and validation in a cohort of patients with chronic liver disease from various causes. Ultrasound Med Biol 2010; 36: 1825-35.
  • Hu X, Huang X, Hou J, Ding L, Su C, Meng F. Diagnostic accuracy of spleen stiffness to evaluate portal hypertension and esophageal varices in chronic liver disease: a systematic review and meta-analysis. Eur Radiol 2021; 31: 2392-404.
  • Reiberger T. The value of liver and spleen stiffness for evaluation of portal hypertension in compensated cirrhosis. Hepatol Commun 2021.
  • Mazur R, Celmer M, Silicki J, Hołownia D, Pozowski P, Międzybrodzki K. Clinical applications of spleen ultrasound elastography-a review. J Ultrason 2018; 18: 37-41.
  • Yilmaz Y, Ergelen R, Akin H, Imeryuz N. Noninvasive detection of hepatic steatosis in patients without ultrasonographic evidence of fatty liver using the controlled attenuation parameter evaluated with transient elastography. Eur J Gastroenterol Hepatol 2013; 25: 1330-4.
  • Yilmaz Y, Yesil A, Gerin F, et al. Detection of hepatic steatosis using the controlled attenuation parameter: a comparative study with liver biopsy. Scand J Gastroenterol 2014; 49: 611-6.
  • Bastard C, Miette V, Calès P, Stefanescu H, Festi D, Sandrin L. A novel FibroScan examination dedicated to spleen stiffness measurement. Ultrasound Med Biol 2018; 44: 1616-26.
  • Stefanescu H, Marasco G, Calès P, et al. A novel spleen-dedicated stiffness measurement by FibroScan® improves the screening of high-risk oesophageal varices. Liver Int 2020; 40: 175-85.
  • Boursier J, Zarski J-P, de Ledinghen V, et al. Determination of reliability criteria for liver stiffness evaluation by transient elastography. Hepatology 2013; 57: 1182-91.
  • Giuffrè M, Macor D, Masutti F, et al. Evaluation of spleen stiffness in healthy volunteers using point shear wave elastography. Ann Hepatol 2019; 18: 736-41.
  • Pawluś A, Inglot MS, Szymańska K, et al. Shear wave elastography of the spleen: evaluation of spleen stiffness in healthy volunteers. Abdominal Radiol 2016; 41: 2169-74.
  • Albayrak E, Server S. The relationship of spleen stiffness value measured by shear wave elastography with age, gender, and spleen size in healthy volunteers. J Med Ultrasonics 2019; 46: 195-9.
  • Fraquelli M, Giunta M, Pozzi R, et al. Feasibility and reproducibility of spleen transient elastography and its role in combination with liver transient elastography for predicting the severity of chronic viral hepatitis. J Viral Hepat 2014; 21: 90-8.
  • Rewisha E, Elsabaawy M, Alsebaey A, et al. Evaluation of the role of liver and splenic transient elastography in chronic hepatitis c related fibrosis. J Liver: Dis Transplant 2016; 5.

Evaluation of spleen stiffness in healthy population: a vibration-controlled transient elastography study

Year 2022, Volume: 5 Issue: 2, 689 - 692, 15.03.2022
https://doi.org/10.32322/jhsm.1074776

Abstract

Aim: Vibration-controlled transient elastography (VCTE) is an accurate technique that has an increasing use. In recent years, VCTE was started to use in predicting spleen stiffness (SS). Portal vein pressure and flow have an impact on SS and in previous studies it was used to predict portal hypertension, esophageal varices. In this study, our aim was to evaluate the SS measurements in healthy population and its correlation with age, sex, liver stiffness measurement (LSM), continued attenuation parameter (CAP) and body mass index (BMI).
Material and Method: We enrolled healthy volunteers who were agreed to participate to the study and collected age, sex, smoking history, alcohol consumption, body mass index before the VCTE procedure. Liver and spleen elastography were performed to all patients by VCTE.
Results: A total of 97 participants were enrolled to the study, 15 patients were excluded and 82 patients included for the final analysis. There was no significant difference in SS, liver stiffness measurement LSM, CAP and BMI between females and males. There was no correlation between age and SS. There was a weak correlation between SS and LSM, SS and CAP and no correlation was found between SS and BMI.
Conclusions: SS had a weak correlation with LSM and CAP but not with BMI, age and sex. There is no extra-large probe use in SS measurement and it was a challenge in participants with increased submucosal fat thickness. Multiple and repeatable studies needed to set an accurate cut-off point and evaluate the factors that impact on SS in healthy individuals.

References

  • Aykut UE, Akyuz U, Yesil A, et al. A comparison of FibroMeter™ NAFLD Score, NAFLD fibrosis score, and transient elastography as noninvasive diagnostic tools for hepatic fibrosis in patients with biopsy-proven non-alcoholic fatty liver disease. Scand J Gastroenterol 2014; 49: 1343-8.
  • Ziol M, Handra-Luca A, Kettaneh A, et al. Noninvasive assessment of liver fibrosis by measurement of stiffness in patients with chronic hepatitis C. Hepatology 2005; 41: 48-54.
  • Sasso M, Beaugrand M, de Ledinghen V, et al. Controlled attenuation parameter (CAP): a novel VCTE™ guided ultrasonic attenuation measurement for the evaluation of hepatic steatosis: preliminary study and validation in a cohort of patients with chronic liver disease from various causes. Ultrasound Med Biol 2010; 36: 1825-35.
  • Hu X, Huang X, Hou J, Ding L, Su C, Meng F. Diagnostic accuracy of spleen stiffness to evaluate portal hypertension and esophageal varices in chronic liver disease: a systematic review and meta-analysis. Eur Radiol 2021; 31: 2392-404.
  • Reiberger T. The value of liver and spleen stiffness for evaluation of portal hypertension in compensated cirrhosis. Hepatol Commun 2021.
  • Mazur R, Celmer M, Silicki J, Hołownia D, Pozowski P, Międzybrodzki K. Clinical applications of spleen ultrasound elastography-a review. J Ultrason 2018; 18: 37-41.
  • Yilmaz Y, Ergelen R, Akin H, Imeryuz N. Noninvasive detection of hepatic steatosis in patients without ultrasonographic evidence of fatty liver using the controlled attenuation parameter evaluated with transient elastography. Eur J Gastroenterol Hepatol 2013; 25: 1330-4.
  • Yilmaz Y, Yesil A, Gerin F, et al. Detection of hepatic steatosis using the controlled attenuation parameter: a comparative study with liver biopsy. Scand J Gastroenterol 2014; 49: 611-6.
  • Bastard C, Miette V, Calès P, Stefanescu H, Festi D, Sandrin L. A novel FibroScan examination dedicated to spleen stiffness measurement. Ultrasound Med Biol 2018; 44: 1616-26.
  • Stefanescu H, Marasco G, Calès P, et al. A novel spleen-dedicated stiffness measurement by FibroScan® improves the screening of high-risk oesophageal varices. Liver Int 2020; 40: 175-85.
  • Boursier J, Zarski J-P, de Ledinghen V, et al. Determination of reliability criteria for liver stiffness evaluation by transient elastography. Hepatology 2013; 57: 1182-91.
  • Giuffrè M, Macor D, Masutti F, et al. Evaluation of spleen stiffness in healthy volunteers using point shear wave elastography. Ann Hepatol 2019; 18: 736-41.
  • Pawluś A, Inglot MS, Szymańska K, et al. Shear wave elastography of the spleen: evaluation of spleen stiffness in healthy volunteers. Abdominal Radiol 2016; 41: 2169-74.
  • Albayrak E, Server S. The relationship of spleen stiffness value measured by shear wave elastography with age, gender, and spleen size in healthy volunteers. J Med Ultrasonics 2019; 46: 195-9.
  • Fraquelli M, Giunta M, Pozzi R, et al. Feasibility and reproducibility of spleen transient elastography and its role in combination with liver transient elastography for predicting the severity of chronic viral hepatitis. J Viral Hepat 2014; 21: 90-8.
  • Rewisha E, Elsabaawy M, Alsebaey A, et al. Evaluation of the role of liver and splenic transient elastography in chronic hepatitis c related fibrosis. J Liver: Dis Transplant 2016; 5.
There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Haluk Tarık Kani 0000-0003-0042-9256

Çağlayan Keklikkıran This is me 0000-0001-6304-5554

İlkay Ergenç This is me 0000-0003-1539-501X

Yusuf Yılmaz This is me 0000-0003-4518-5283

Publication Date March 15, 2022
Published in Issue Year 2022 Volume: 5 Issue: 2

Cite

AMA Kani HT, Keklikkıran Ç, Ergenç İ, Yılmaz Y. Evaluation of spleen stiffness in healthy population: a vibration-controlled transient elastography study. J Health Sci Med / JHSM. March 2022;5(2):689-692. doi:10.32322/jhsm.1074776

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