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ultrasonographic images in cirrhosis

Takahiro Sato
A 52-year-old asymptomatic female was admitted to our hospital in January 2008 with enlarged esophageal varices due to alcoholic liver cirrhosis. Color Doppler ultrasonographic examination showed images of vessels on the small intestinal wall around the umbilical area and the anterior wall of the bladder. Images of the vessels were obtained for the small intestinal wall and the anterior wall of the bladder with computed tomography. Percutaneous transhepatic portography was performed, and hepatofugal blood flow was observed in the inferior epigastric vein connected to the superior mesenteric vein and the contrast medium passed into the small intestinal varices and the vesical varices, which drained into the right ovarian vein...
August 2010: Clinical Journal of Gastroenterology
Laura Iliescu, Simona Ioanitiescu, Letitia Toma, Carmen Orban
We aimed to describe the imaging findings of a spontaneous portohepatic venous shunt. This is a rare entity, especially when it is not associated with risk factors such as portal hypertension or liver trauma. We report the case of a 67-year-old woman admitted to our clinic for progressive asthenia, loss of appetite, and progressive upper abdominal pain. We performed several blood tests, abdominal ultrasonography, contrast-enhanced abdominal ultrasonography, and abdominal computed tomographic scan to establish and confirm the diagnosis...
June 2015: Ultrasound Quarterly
Anna Darnell, Alejandro Forner, Jordi Rimola, María Reig, Ángeles García-Criado, Carmen Ayuso, Jordi Bruix
PURPOSE: To evaluate the diagnostic accuracy of the Liver Imaging Reporting and Data System (LI-RADS) with magnetic resonance (MR) imaging for hepatic nodules 20 mm or smaller detected during ultrasonographic (US) surveillance in patients with cirrhosis. MATERIALS AND METHODS: Between November 2003 and January 2010, patients with cirrhosis with a newly US-detected solitary hepatic nodule 20 mm or smaller were included in this institutional ethics committee-approved study...
June 2015: Radiology
Nora Frulio, Hervé Trillaud, Paul Perez, Julien Asselineau, Marianne Vandenhende, Mojgan Hessamfar, Fabrice Bonnet, Florent Maire, Jean Delaune, Victor De Ledinghen, Philippe Morlat
BACKGROUND: Transient elastography (TE) is widely used for non-invasive assessment of liver fibrosis in HIV-HCV co-infected patients. TE, however, cannot determine liver morphology. Acoustic radiation force impulse (ARFI) imaging is a novel procedure enabling assessment of liver fibrosis during a conventional ultrasonographic examination. This study evaluated the correlation between liver fibrosis measurements by TE and ARFI. METHODS: Each of 46 HIV-HCV patients underwent both ARFI and TE within 6 months...
2014: BMC Infectious Diseases
Jeong Hee Yoon, Jeong Min Lee, Ijin Joo, Eun Sun Lee, Ji Young Sohn, Suk Ki Jang, Kyung Bun Lee, Joon Koo Han, Byung Ihn Choi
PURPOSE: To compare magnetic resonance (MR) elastography and ultrasonographic shear-wave elastography ( SWE shear-wave elastography ) for the staging of hepatic fibrosis ( HF hepatic fibrosis ) in the same individuals. MATERIALS AND METHODS: This prospective study was approved by the institutional review board, and informed consent was obtained from all patients. The technical success of and reliable liver stiffness ( LS liver stiffness ) measurement rates at MR elastography and SWE shear-wave elastography were compared in 129 patients who underwent both examinations...
December 2014: Radiology
P Gallo, U Vespasiani Gentilucci, C Taffon, G Galati, A De Vincentis, A Onetti Muda, A Picardi
A 57-year-old Italian man was admitted to our Hospital for investigation of a progressively raising alfa-fetoprotein (AFP) on the background of chronic hepatitis B infection. At abdominal imaging,liver morphology was suspected for advanced fibrosis but without any focal lesion. Clinical and ultrasonographic examinations were negative for testicular masses. When the patient was screened for gastroesophageal varices, upper intestinal endoscopy did not show signs of portal hypertension, while it revealed a gastric lesion which was histologically characterized as hepatoid adenocarcinoma of the stomach (HAS), with strong immunohistochemical positivity for AFP...
March 2014: Acta Gastro-enterologica Belgica
Gabriella Pár, Andrea Trosits, Ferenc Pakodi, Imre Szabó, József Czimmer, Anita Illés, Szilárd Gódi, Judit Bajor, Patrícia Sarlós, Péter Kenyeres, Attila Miseta, Aron Vincze, Alajos Pár
INTRODUCTION: One of the most serious complications of liver cirrhosis is variceal bleeding. Early recognition of the oesophageal varices is of primary importance in the prevention of variceal bleeding. Endoscopy is the only means to directly visualize varices and measure their size, as one of the most important predictor of the risk of bleeding. During the course of cirrhosis repeated oesophago-gastro-bulboscopic examinations are recommended. As these interventions are expensive and often poorly accepted by patients who may refuse further follow-up, there is a need for non-invasive methods to predict the progression of portal hypertension as well as the presence and the size of oesophageal varices...
February 16, 2014: Orvosi Hetilap
Kyoung Min Moon, Gaeun Kim, Soon Koo Baik, Eunhee Choi, Moon Young Kim, Hyoun A Kim, Mee Yon Cho, Seung Yong Shin, Jung Min Kim, Hong Jun Park, Sang Ok Kwon, Young Woo Eom
BACKGROUND/AIMS: We compared the cirrhosis-prediction accuracy of an ultrasonographic scoring system (USSS) combining six representative sonographic indices with that of liver stiffness measurement (LSM) by transient elastography, and prospectively investigated the correlation between the USSS score and LSM in predicting cirrhosis. METHODS: Two hundred and thirty patients with chronic liver diseases (187 men, 43 women; age, 50.4±9.5 y, mean±SD) were enrolled in this prospective study...
December 2013: Clinical and Molecular Hepatology
Sinead H McEvoy, Colin J McCarthy, Lisa P Lavelle, Deirdre E Moran, Colin P Cantwell, Stephen J Skehan, Robert G Gibney, Dermot E Malone
Hepatocellular carcinoma is a malignancy that predominantly occurs in the setting of cirrhosis. Its incidence is rising worldwide. Hepatocellular carcinoma differs from most malignancies because it is commonly diagnosed on the basis of imaging features alone, without histologic confirmation. The guidelines from the American Association for the Study of Liver Diseases (AASLD) are a leading statement for the diagnosis and staging of hepatocellular carcinoma, and they have recently been updated, incorporating several important changes...
October 2013: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Kemal Arda, Nazan Ciledag, Bilgin Kadri Aribas, Elif Aktas, Kenan Köse
BACKGROUND & OBJECTIVES: Tissue stiffness in liver is related to tissue composition, which is changed by cirrhosis, hepatocellular carcinoma or metastases. Shear wave ultrasonographic elastography is a new imaging technique by which the elasticity of soft tissue can be measured quantitatively. The aim of this study was to measure the elasticity values of liver segments in healthy volunteers. METHODS: One hundred twenty seven healthy volunteers (89 women, 38 men; mean age 37, 72 ± 9...
May 2013: Indian Journal of Medical Research
Marie de Swarte, Jill Bryan, Micaela Zarelli, Vihelmiina Huuskonen, Wilfried Schneeweiss, Hester McAllister
An immature gray seal was presented with lethargy, weight loss, vomiting and hematuria. Hepatic disease and urinary tract infection were suspected. Abdominal ultrasound showed hyperechoic structures with marked acoustic shadowing spread throughout both kidneys, but incomplete visualization of the liver. Abdominal CT showed mineral densities scattered throughout both kidneys and poor delineation of the liver. Due to the poor quality of life, the seal was euthanized. Postmortem examination showed ammonium urate nephroliths, pyelonephritis, and hepatic cirrhosis...
September 2013: Veterinary Radiology & Ultrasound
Shigao Chen, William Sanchez, Matthew R Callstrom, Brian Gorman, Jason T Lewis, Schuyler O Sanderson, James F Greenleaf, Hua Xie, Yan Shi, Michael Pashley, Vijay Shamdasani, Michael Lachman, Stephen Metz
PURPOSE: To investigate the value of viscosity measured with ultrasonographic (US) elastography in liver fibrosis staging and to determine whether the use of a viscoelastic model to estimate liver elasticity can improve its accuracy in fibrosis staging. MATERIALS AND METHODS: The study, which was performed from February 2010 to March 2011, was compliant with HIPAA and approved by the institutional review board. Written informed consent was obtained from each subject...
March 2013: Radiology
Pietro Vajro, Selvaggia Lenta, Piotr Socha, Anil Dhawan, Patrick McKiernan, Ulrich Baumann, Ozlem Durmaz, Florence Lacaille, Valerie McLin, Valerio Nobili
Nonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in children and adolescents in the United States, and most probably also in the rest of the industrialized world.As the prevalence of NAFLD in childhood increases with the worldwide obesity epidemic, there is an urgent need for diagnostic standards that can be commonly used by pediatricians and hepatologists. To this end, we performed a PubMed search of the adult and pediatric literature on NAFLD diagnosis through May 2011 using Topics and/or relevant Authors as search words...
May 2012: Journal of Pediatric Gastroenterology and Nutrition
Mohamed Tharwat
The purpose of this study was to characterize the ultrasonographic findings in cattle and buffaloes with chronic hepatic fascioliosis. To the best of the author's knowledge, this report is the first to document ultrasonographic findings in buffaloes with chronic hepatic fascioliosis. Ultrasonographic findings included distended gallbladders with either homogenous or heterogeneous contents, edema of the gallbladder walls, which ranged from mild or moderate to severe and bile duct mineralization. In 78% of the buffaloes, there was an ultrasonographic picture of hepatic fibrosis in which heterogeneous and hyperechogenic hepatic parenchymas with multiple echogenic foci were imaged...
October 2012: Tropical Animal Health and Production
Zhang Ming-bo, Qu En-ze, Liu Ji-Bin, Wang Jin-rui
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 (Qp/Qa) 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...
December 2011: Chinese Medical Sciences Journal, Chung-kuo i Hsüeh K'o Hsüeh Tsa Chih
Mona A Abu El Makarem, Mohamed E Shatat, Yehya Shaker, Ahmad A Abdel Aleem, Ali M El Sherif, Maysa Abdel Moaty, Hosny S Abdel Ghany, Atef Elakad, Amal M Kamal Eldeen
BACKGROUND: Esophageal variceal hemorrhage is a devastating complication of portal hypertension that occurs in approximately one-third of cirrhotic patients. OBJECTIVES: We assessed the value of the platelet count/ bipolar spleen diameter ratio as a noninvasive parameter for the prediction of esophageal varices (EVs) in Egyptian cirrhotic patients. PATIENTS AND METHODS: Laboratory and ultrasonographic and imaging variables were prospectively evaluated in 175 patients with liver cirrhosis...
April 2011: Hepatitis Monthly
Yoshinori Takizawa, Kazutomo Suzuki, Kenya Kawamura, Mitsuei Shibazaki, Kosuke Haruki
In transabdominal ultrasonography, the production of gas in the gastro-intestinal tract and contraction of the gallbladder have to be prevented to obtain clear observation images of any lesions. Therefore, patients avoid food and drink for many hours from the night before the examination. However, long-term fasting exacerbates energy homeostasis in patients with cirrhosis. Thus, it is necessary to develop a method of transabdominal ultrasonography allowing the shortening of the fasting time. In this study, subjects ingested Calorie Mate Jelly three hours before transabdominal ultrasonography...
March 2011: Rinsho Byori. the Japanese Journal of Clinical Pathology
Shigeo Nakanishi, Katsuya Shiraki, Kazushi Sugimoto, Masahiko Tameda, Kouji Yamamoto, Chiaki Masuda, Makoto Iwata, Mutsumi Koyama
In chronic liver diseases, the size of the portal lymph node and the common hepatic arterial lymph node (No. 8a LN) is often altered. The objective of this study was to investigate the relationship between the pathology of chronic liver diseases and the common hepatic arterial lymph nodes using an ultrasonographic diagnostic system. The subjects included 115 patients with hepatitis C (chronic hepatitis C, 75; liver cirrhosis C, 40), 31 patients with hepatitis B (chronic hepatitis B, 17; liver cirrhosis B, 14), 16 patients with primary biliary cirrhosis (PBC), 11 patients with autoimmune hepatitis (AIH), 29 patients with alcoholic hepatitis (Alc...
July 2010: Molecular Medicine Reports
Kinan Rifai, Janet Cornberg, Ingmar Mederacke, Matthias J Bahr, Heiner Wedemeyer, Philipp Malinski, Heike Bantel, Bita Boozari, Andrej Potthoff, Michael P Manns, Michael Gebel
BACKGROUND: Transient elastography is increasingly used for assessment of liver fibrosis. Acoustic radiation force impulse imaging (ARFI) is a new technology to perform liver elastography. AIMS: We evaluated the clinical feasibility, validity and accuracy of the ARFI method and compared it to Fibroscan(®) and liver histology. METHODS: Ultrasonographic elastography of the liver using ARFI was performed in 29 patients with liver cirrhosis, 70 patients with liver disease and 23 healthy controls...
June 2011: Digestive and Liver Disease
Oana Arhip, Cristina Cijevschi-Prelipcean, Alina Manole, Mioara Matei
MATERIAL AND METHODS: The retrospective study included 126 patients with hepatic cirrhosis (HC) CHILD A class, assisted in Botoşani Hospital, during 2007 and 2008. Patients were clinic, biochemical, hematological, etiological, ultrasonographic, endoscopical examined. Statistical analysis carried out with EXCEL soft and SPSS 16.0 soft, calculating chi2, p, ROC curve, SPRI and ASPRI values. RESULTS: We assessed the sample characteristics using the univariate analysis: age, the presence/absence of esophageal varices, SPRI score (limit value > or = 15...
July 2010: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
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