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Revista Uruguaya de Medicina Interna

On-line version ISSN 2393-6797

Abstract

FERRANDO, Nicolás et al. Association of liver fibrosis using 2D shear wave elastography and APRI score. Rev. Urug. Med. Int. [online]. 2023, vol.8, n.3, pp.48-58.  Epub Dec 01, 2023. ISSN 2393-6797.  https://doi.org/10.26445/08.03.5.

Introduction:

Liver diseases are a prevalent problem worldwide. To date, liver biopsy has been the gold standard for assessing the degree of fibrosis; however, with the advent of new non-invasive, cost-effective methods for the healthcare system, we are resorting to it less and less. Shear wave elastography with biplanar imaging was recently introduced in our setting, which implies a learning curve for technicians.

Objective:

To assess the association of the degrees of liver fibrosis determined by shear wave elastography with biplanar imaging (2D-SWE) and the APRI score in patients with liver disease treated in the hepatology service of the Pasteur Hospital.

Methodology:

Patients with liver disease of any etiology, attended between 01/10/21 and 08/31/22, over 15 years of age, of both sexes and who have been evaluated with shear wave elastography with biplanar image were included. (2D-SWE) and blood analysis performed by the medical team of the aforementioned service in the last 6 months.

Results:

158 patients were included. A higher prevalence of liver disease was found in women, with a predominance of the etiology of nonalcoholic fatty liver disease (NAFLD) and hepatitis C virus (HCV) infection. A positive association was evident between elastography (2D-SWE) and the APRI score for the diagnosis or exclusion of advanced liver disease, with no statistically significant difference between the two hepatologists.

Conclusions:

There is an association between SWE elastography and the APRI score for the diagnosis of advanced liver disease in the general population and by etiology.

Keywords : Advanced liver disease; APRI score; shear wave elastography with biplanar imaging; 2D-SWE; METAVIR scale.

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