The cut-off value of transient elastography to the value of hepatic venous pressure gradient in alcoholic cirrhosisopen access
- Authors
- Ryu, Se Ri; Yoo, Jeong-Ju; Kang, Seong Hee; Jeong, Soung Won; Kim, Moon Young; Cho, Young Kyu; Chang, Young; Kim, Sang Gyune; Jang, Jae Young; Kim, Young Seok; Baik, Soon Koo; Kim, Yong Jae; Park, Su Yeon; Baymbajav, Baigal
- Issue Date
- Jan-2021
- Publisher
- 대한간학회
- Keywords
- Liver cirrhosis; Hypertension, Portal; Elastography
- Citation
- Clinical and Molecular Hepatology, v.27, no.1, pp 197 - 206
- Pages
- 10
- Journal Title
- Clinical and Molecular Hepatology
- Volume
- 27
- Number
- 1
- Start Page
- 197
- End Page
- 206
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/2117
- DOI
- 10.3350/cmh.2020.0171
- ISSN
- 2287-2728
2287-285X
- Abstract
- Background/Aims: The hepatic venous pressure gradient (HVPG) reflects portal hypertension, but its measurement is invasive. Transient elastography (TE) is a noninvasive method for evaluating liver stiffness (LS). We investigated the correlation between the value of LS, LS to platelet ratio (LPR), LS-spleen diameter-to-platelet ratio score (LSPS) and HVPG according to the etiology of cirrhosis, especially focused on alcoholic cirrhosis. Methods: Between January 2008 and March 2017, 556 patients who underwent HVPG and TE were consecutively enrolled. We evaluated LS, LPR, and LSPS according to the etiology of cirrhosis and analyzed their correlations with HVPG. Results: The LS value was higher in patients with alcoholic cirrhosis than viral cirrhosis based on the HVPG (43.5 vs. 32.0 kPa, P<0.001). There were no significant differences in the LPR or LSPS between alcoholic and viral cirrhosis groups, and the areas under the curves for the LPR and LSPS in subgroups according to HVPG levels were not superior to that for LS. In alcoholic cirrhosis, the LS cutoff value for predicting an HVPG >= 10 mmHg was 32.2 kPa with positive predictive value (PPV) of 94.5% and 36.6 kPa for HVPG >= 12 mmHg with PPV of 91.0%. Conclusions: The LS cutoff value should be determined separately for patients with alcoholic and viral cirrhosis. In alcoholic cirrhosis, the LS cutoff values were 32.2 and 36.6 kPa for predicting an HVPG >= 10 and >= 12 mmHg, respectively. However, there were no significant differences in the LPR or LSPS between alcoholic and viral cirrhosis groups.
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Collections - College of Medicine > Department of Radiology > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
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