Piscaglia F, Salvatore V, Mulazzani L, Cantisani V, Colecchia A, Di Donato R, Felicani C, Ferrarini A, Gamal N, Grasso V, Marasco G, Mazzotta E, Ravaioli F, Ruggieri G, Serio I, Sitouok Nkamgho JF, Serra C, Festi D, Schiavone C, Bolondi L. Differences in liver stiffness values obtained with new ultrasound elastography machines and Fibroscan: A comparative study.
Dig Liver Dis 2017;
49:802-808. [PMID:
28365330 DOI:
10.1016/j.dld.2017.03.001]
[Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/26/2016] [Revised: 02/17/2017] [Accepted: 03/02/2017] [Indexed: 12/11/2022]
Abstract
BACKGROUND AND AIMS
Whether Fibroscan thresholds can be immediately adopted for none, some or all other shear wave elastography techniques has not been tested. The aim of the present study was to test the concordance of the findings obtained from 7 of the most recent ultrasound elastography machines with respect to Fibroscan.
METHODS
Sixteen hepatitis C virus-related patients with fibrosis ≥2 and having reliable results at Fibroscan were investigated in two intercostal spaces using 7 different elastography machines. Coefficients of both precision (an index of data dispersion) and accuracy (an index of bias correction factors expressing different magnitudes of changes in comparison to the reference) were calculated.
RESULTS
Median stiffness values differed among the different machines as did coefficients of both precision (range 0.54-0.72) and accuracy (range 0.28-0.87). When the average of the measurements of two intercostal spaces was considered, coefficients of precision significantly increased with all machines (range 0.72-0.90) whereas of accuracy improved more scatteredly and by a smaller degree (range 0.40-0.99).
CONCLUSIONS
The present results showed only moderate concordance of the majority of elastography machines with the Fibroscan results, preventing the possibility of the immediate universal adoption of Fibroscan thresholds for defining liver fibrosis staging for all new machines.
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