دورية أكاديمية
Evaluation of liver steatosis, measured by controlled attenuation parameter, in patients with hepatitis C-induced advanced liver fibrosis and hepatocellular carcinoma.
| العنوان: | Evaluation of liver steatosis, measured by controlled attenuation parameter, in patients with hepatitis C-induced advanced liver fibrosis and hepatocellular carcinoma. |
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| المؤلفون: | Abdelaziz AO; Departments of Endemic Medicine., Shousha HI; Departments of Endemic Medicine., Said EM; Department of Hepatology, Gastroenterology and Infectious Diseases, Faculty of Medicine, Benha University, Benha, Egypt., Soliman ZA; Departments of Endemic Medicine., Shehata AA; Department of Hepatology, Gastroenterology and Infectious Diseases, Faculty of Medicine, Benha University, Benha, Egypt., Nabil MM; Departments of Endemic Medicine., Abdelmaksoud AH; Diagnostic and Interventional Radiology, Faculty of Medicine, Cairo University, Cairo., Elbaz TM; Departments of Endemic Medicine., Abdelsalam FM; Department of Hepatology, Gastroenterology and Infectious Diseases, Faculty of Medicine, Benha University, Benha, Egypt. |
| المصدر: | European journal of gastroenterology & hepatology [Eur J Gastroenterol Hepatol] 2018 Nov; Vol. 30 (11), pp. 1384-1388. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams And Wilkins Country of Publication: England NLM ID: 9000874 Publication Model: Print Cited Medium: Internet ISSN: 1473-5687 (Electronic) Linking ISSN: 0954691X NLM ISO Abbreviation: Eur J Gastroenterol Hepatol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Lippincott Williams And Wilkins Original Publication: [London, UK ; Philadelphia, PA, USA] : Current Science, c1989- |
| مواضيع طبية MeSH: | Elasticity Imaging Techniques*, Carcinoma, Hepatocellular/*virology , Hepatitis C, Chronic/*complications , Liver Cirrhosis/*virology , Liver Neoplasms/*virology , Non-alcoholic Fatty Liver Disease/*diagnostic imaging, Aged ; Carcinoma, Hepatocellular/diagnosis ; Cross-Sectional Studies ; Disease Progression ; Egypt ; Female ; Genotype ; Hepacivirus/genetics ; Hepatitis C, Chronic/diagnosis ; Humans ; Liver Cirrhosis/diagnosis ; Liver Neoplasms/diagnosis ; Male ; Middle Aged ; Non-alcoholic Fatty Liver Disease/virology ; Predictive Value of Tests ; Prognosis ; Risk Factors |
| مستخلص: | Introduction: Steatosis is a documented feature of chronic hepatitis C (CHC). There is an association between steatosis decrease and fibrosis progression. The association between steatosis and advanced fibrosis versus hepatocellular carcinoma (HCC) development has not been precisely evaluated. The controlled attenuation parameter (CAP) was applied as an immediate and efficient process to detect and quantify hepatic steatosis with adequate accuracy. Aims: The aim of this study was to assess the difference in liver steatosis between patients with hepatitis C virus-related advanced hepatic fibrosis versus HCC. Patients and Methods: This cross-sectional study included 130 patients with HCC, attending the multidisciplinary HCC clinic, Cairo University, and 54 patients with CHC between October 2015 and June 2016. Clinical and laboratory characteristics were recorded. Liver stiffness and CAP were obtained by using the FibroScan 502, touch. Results: All included patients had genotype 4. The mean CAP value was significantly lower in HCC (209.5±57.1 dB/m) versus CHC (259.9±54.9 dB/m). Receiver operating characteristic curve revealed an area under the curve of 0.75 for the differentiation between groups. At a cutoff value of 237 dB/m, sensitivity was 72.3%, specificity was 70.7%, positive likelihood ratio was 2.5, and negative likelihood ratio was 0.4 in the differentiation between CHC versus HCC. Logistic regression analysis revealed an odds ratio of 6.4 for the diagnosis of HCC with CAP of less than 237 dB/m. Multivariate analysis, controlling for age, sex, BMI, triglycerides, and cholesterol levels, revealed a significantly increased odds for HCC diagnosis (odds ratio: 4.3, P=0.006). Conclusion: The progression of CHC is associated with a decrease in steatosis, particularly toward advanced fibrosis and HCC. Steatosis reduction less than 237 dB/m is likely to be associated with HCC. |
| تواريخ الأحداث: | Date Created: 20180905 Date Completed: 20190128 Latest Revision: 20190128 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1097/MEG.0000000000001196 |
| PMID: | 30179227 |
| قاعدة البيانات: | MEDLINE |
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