Confounding factors in ultrasound liver elastography. Part 1. General provisions and methodological errors

The aim of the study is a systematic analysis of literature data on the effect of methodological factors, artifacts, as well as external influences and features of the state of the organism on the results of ultrasonic elastography of the liver. Two-dimensional shear wave elastography is a highly ac...

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Main Authors: V.S. Kaportseva, N.A. Mikhailova, E.V. Vergasova, S.I. Pimanov
Format: Article
Language:English
Published: Vitebsk State Order of Peoples’ Friendship Medical University 2023-02-01
Series:Вестник Витебского государственного медицинского университета
Subjects:
Online Access:https://vestnik.vsmu.by/downloads/2023/1/2023_22_1_9-18.pdf
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author V.S. Kaportseva
N.A. Mikhailova
E.V. Vergasova
S.I. Pimanov
author_facet V.S. Kaportseva
N.A. Mikhailova
E.V. Vergasova
S.I. Pimanov
author_sort V.S. Kaportseva
collection DOAJ
description The aim of the study is a systematic analysis of literature data on the effect of methodological factors, artifacts, as well as external influences and features of the state of the organism on the results of ultrasonic elastography of the liver. Two-dimensional shear wave elastography is a highly accurate method for assessing the degree of liver fibrosis, provided that the study methodology is strictly followed, however, the influence of measurement disturbances should be taken into account. Confounding factors lead to an erroneous change in the liver stiffness from insignificant, within 5-10%, to considerable, catastrophically distorting the assessment of the degree of liver fibrosis. Confounding factors include three main groups: 1) methodologically determined, as well as physical artifacts and equipment features; 2) internal (endogenous) and 3) external (exogenous). The first group of confounding factors includes: non-observance by the operator of the standard rules for manipulating the probe, positional features of the patient, insufficient size of the window area of the area of interest, incorrect location of the area of interest, lack of adequate breath holding by the patient or the performing of his/her movements, insufficient number of measurements, large spread of recorded values, transmission pulsations from the heart and large vessels, features of the equipment used, physical essence of the elastographic method and artifacts.
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spelling doaj.art-a09b3c299091492a9f431413eb7136fb2024-02-01T12:36:06ZengVitebsk State Order of Peoples’ Friendship Medical UniversityВестник Витебского государственного медицинского университета1607-99062312-41562023-02-0122191810.22263/2312-4156.2023.1.9Confounding factors in ultrasound liver elastography. Part 1. General provisions and methodological errorsV.S. Kaportseva0N.A. Mikhailova1E.V. Vergasova2S.I. Pimanov3Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of BelarusLLC «LODE», Minsk, Republic of BelarusLLC «LODE», Minsk, Republic of BelarusVitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of BelarusThe aim of the study is a systematic analysis of literature data on the effect of methodological factors, artifacts, as well as external influences and features of the state of the organism on the results of ultrasonic elastography of the liver. Two-dimensional shear wave elastography is a highly accurate method for assessing the degree of liver fibrosis, provided that the study methodology is strictly followed, however, the influence of measurement disturbances should be taken into account. Confounding factors lead to an erroneous change in the liver stiffness from insignificant, within 5-10%, to considerable, catastrophically distorting the assessment of the degree of liver fibrosis. Confounding factors include three main groups: 1) methodologically determined, as well as physical artifacts and equipment features; 2) internal (endogenous) and 3) external (exogenous). The first group of confounding factors includes: non-observance by the operator of the standard rules for manipulating the probe, positional features of the patient, insufficient size of the window area of the area of interest, incorrect location of the area of interest, lack of adequate breath holding by the patient or the performing of his/her movements, insufficient number of measurements, large spread of recorded values, transmission pulsations from the heart and large vessels, features of the equipment used, physical essence of the elastographic method and artifacts. https://vestnik.vsmu.by/downloads/2023/1/2023_22_1_9-18.pdfultrasoundshear wave elastographyliver fibrosisstiffnessyoung’s modulusliver
spellingShingle V.S. Kaportseva
N.A. Mikhailova
E.V. Vergasova
S.I. Pimanov
Confounding factors in ultrasound liver elastography. Part 1. General provisions and methodological errors
Вестник Витебского государственного медицинского университета
ultrasound
shear wave elastography
liver fibrosis
stiffness
young’s modulus
liver
title Confounding factors in ultrasound liver elastography. Part 1. General provisions and methodological errors
title_full Confounding factors in ultrasound liver elastography. Part 1. General provisions and methodological errors
title_fullStr Confounding factors in ultrasound liver elastography. Part 1. General provisions and methodological errors
title_full_unstemmed Confounding factors in ultrasound liver elastography. Part 1. General provisions and methodological errors
title_short Confounding factors in ultrasound liver elastography. Part 1. General provisions and methodological errors
title_sort confounding factors in ultrasound liver elastography part 1 general provisions and methodological errors
topic ultrasound
shear wave elastography
liver fibrosis
stiffness
young’s modulus
liver
url https://vestnik.vsmu.by/downloads/2023/1/2023_22_1_9-18.pdf
work_keys_str_mv AT vskaportseva confoundingfactorsinultrasoundliverelastographypart1generalprovisionsandmethodologicalerrors
AT namikhailova confoundingfactorsinultrasoundliverelastographypart1generalprovisionsandmethodologicalerrors
AT evvergasova confoundingfactorsinultrasoundliverelastographypart1generalprovisionsandmethodologicalerrors
AT sipimanov confoundingfactorsinultrasoundliverelastographypart1generalprovisionsandmethodologicalerrors