P- 73 ULTRASOUND VISUALIZATION OF THE LIVER

Introduction and Objectives: Screening patients with liver cirrhosis for the detection of hepatocarcinoma is a daily challenge. Abdominal Doppler ultrasound has moderate sensitivity, as observed so far in published studies. The characterization of the liver visualization obtained can play an importa...

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Main Authors: Ezequiel Demirdjian, Diego Arufe, Mariana Moreyra, Guillermo Troiani, Analia Cellerino, Diego Costa, Maria Pia Raffa
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Annals of Hepatology
Online Access:http://www.sciencedirect.com/science/article/pii/S166526812300073X
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author Ezequiel Demirdjian
Diego Arufe
Mariana Moreyra
Guillermo Troiani
Analia Cellerino
Diego Costa
Maria Pia Raffa
author_facet Ezequiel Demirdjian
Diego Arufe
Mariana Moreyra
Guillermo Troiani
Analia Cellerino
Diego Costa
Maria Pia Raffa
author_sort Ezequiel Demirdjian
collection DOAJ
description Introduction and Objectives: Screening patients with liver cirrhosis for the detection of hepatocarcinoma is a daily challenge. Abdominal Doppler ultrasound has moderate sensitivity, as observed so far in published studies. The characterization of the liver visualization obtained can play an important role in determining its diagnostic capacity. This study aimed to evaluate the degree of liver visualization according to the US-LiRads system in patients with liver cirrhosis. Materials and Methods: Prospective descriptive study of patients in the Hepatology service of the Holy Heart Sanatory from October 2018 to May 2022. One hundred-one patients with liver cirrhosis were evaluated by ultrasound during the usual follow-up of the service, collecting and characterizing laboratory data, body mass index (BMI), cause of cirrhosis and ultrasound (Ascites). Liver visualization was characterized according to the US-LiRads system. It classifies into Visualization A (no or minimal limitations), Visualization B (moderate limitations), and Visualization C (severe limitations. A statistical analysis was carried out to determine if these factors influence the degree of visualization, comparing the continuous variables with the Student's t test and the categorical ones with the chi-square test. A p value less than 0.05 was considered statistically significant. Results: 101 patients evaluated, we have documented that 68.3% present Visualization A, 28.7% Visualization B and the remaining 3% Visualization C (figure 1). We were unable to detect an association between age, cause of cirrhosis, sex, BMI, or presence of ascites with the degree of visualization (Table 1). Conclusions: We can assert that liver Doppler ultrasound continues to be an acceptable method of screening since most patients present acceptable liver visualization. It was not observed that the patient's own factors affect liver Visualization. It would be necessary to carry out future studies to determine how less liver visualization affects screening.
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spelling doaj.art-2b67ac7bdcbe49f9aa4fa58ffc98f6032023-03-23T04:34:13ZengElsevierAnnals of Hepatology1665-26812023-03-0128100969P- 73 ULTRASOUND VISUALIZATION OF THE LIVEREzequiel Demirdjian0Diego Arufe1Mariana Moreyra2Guillermo Troiani3Analia Cellerino4Diego Costa5Maria Pia Raffa6Department of Liver Transplantation, Holy Heart Sanatory, CABA, ArgentinaDepartment of Liver Transplantation, Holy Heart Sanatory, CABA, ArgentinaDepartment of Liver Transplantation, Holy Heart Sanatory, CABA, ArgentinaDepartment of Radiology, Holy Heart Sanatory, CABA, ArgentinaDepartment of Radiology, Holy Heart Sanatory, CABA, ArgentinaDepartment of Cardiology, Holy Heart Sanatory, CABA, ArgentinaDepartment of Liver Transplantation, Holy Heart Sanatory, CABA, ArgentinaIntroduction and Objectives: Screening patients with liver cirrhosis for the detection of hepatocarcinoma is a daily challenge. Abdominal Doppler ultrasound has moderate sensitivity, as observed so far in published studies. The characterization of the liver visualization obtained can play an important role in determining its diagnostic capacity. This study aimed to evaluate the degree of liver visualization according to the US-LiRads system in patients with liver cirrhosis. Materials and Methods: Prospective descriptive study of patients in the Hepatology service of the Holy Heart Sanatory from October 2018 to May 2022. One hundred-one patients with liver cirrhosis were evaluated by ultrasound during the usual follow-up of the service, collecting and characterizing laboratory data, body mass index (BMI), cause of cirrhosis and ultrasound (Ascites). Liver visualization was characterized according to the US-LiRads system. It classifies into Visualization A (no or minimal limitations), Visualization B (moderate limitations), and Visualization C (severe limitations. A statistical analysis was carried out to determine if these factors influence the degree of visualization, comparing the continuous variables with the Student's t test and the categorical ones with the chi-square test. A p value less than 0.05 was considered statistically significant. Results: 101 patients evaluated, we have documented that 68.3% present Visualization A, 28.7% Visualization B and the remaining 3% Visualization C (figure 1). We were unable to detect an association between age, cause of cirrhosis, sex, BMI, or presence of ascites with the degree of visualization (Table 1). Conclusions: We can assert that liver Doppler ultrasound continues to be an acceptable method of screening since most patients present acceptable liver visualization. It was not observed that the patient's own factors affect liver Visualization. It would be necessary to carry out future studies to determine how less liver visualization affects screening.http://www.sciencedirect.com/science/article/pii/S166526812300073X
spellingShingle Ezequiel Demirdjian
Diego Arufe
Mariana Moreyra
Guillermo Troiani
Analia Cellerino
Diego Costa
Maria Pia Raffa
P- 73 ULTRASOUND VISUALIZATION OF THE LIVER
Annals of Hepatology
title P- 73 ULTRASOUND VISUALIZATION OF THE LIVER
title_full P- 73 ULTRASOUND VISUALIZATION OF THE LIVER
title_fullStr P- 73 ULTRASOUND VISUALIZATION OF THE LIVER
title_full_unstemmed P- 73 ULTRASOUND VISUALIZATION OF THE LIVER
title_short P- 73 ULTRASOUND VISUALIZATION OF THE LIVER
title_sort p 73 ultrasound visualization of the liver
url http://www.sciencedirect.com/science/article/pii/S166526812300073X
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