|
|
Preliminary research on the elastic changes in the liver of biliary atresia measured by#br# ultrasonic real time shear wave elasticity |
Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang 110004, China |
|
|
Abstract Objective: To investigate the elastic changes of liver in children with biliary atresia(BA) with ultrasonic real time shear wave elasticity(SWE). Method: Twenty-five cases of children with BA, 30 cases of infantile hepatitis syndrome(IHS) and 23 cases of infants with normal liver function were examined with SWE. The liver stiffness by Young’s modulus value was measured from the liver tissue locating about 2 cm from the liver border, and then compared among different groups. Result: The Young’s modulus values of BA group, IHS group and the normal group were (18.10±10.70) kPa, (6.68±1.98) kPa and (5.69±0.70) kPa, respectively, with a significant difference among the group(P<0.05). The Young’s modulus values were significantly different between group BA and IHS, and between group HIS and normal group. The Young’s modulus value in group BA showed a positive linear relationship with the age. Conclusion: SWE may assess liver fibrosis in children with BA indirectly, and can provide information of liver stiffness for the diagnosis of biliary atresia. It can also provide important evidence for clinicians to select the operation time and determine prognosis of biliary atresia in children.
|
Received: 23 November 2015
|
|
Corresponding Authors:
LI Shi-xing
|
|
|
|
[1]Hartley JL, Davenport M, Kelly DA. Biliary atresia[J]. Lancet, 2009, 374(9702): 1704-1713.
[2]Mieli-Vergani G, Vergani D. Biliary atresia[J]. Semin Immunopathol, 2009, 31(2): 371-381.
[3]Besshok K, Bezerra JA. Biliary atresia: will blocking inflammation tame the disease?[J]. Annu Rev Med, 2001, 62(2): 171-185.
[4]Okazaki T, Miyano G, Yamataka A, et al. Diagnostic laparoscopy assisted cholangiography in infants with prolonged jaundice[J]. Pediatr Surg Int, 2006, 22(2): 140-143.
[5]Narkewicz MR. Biliary atresia: an update on our understanding of the disorder[J]. Curr Opin Pediatr, 2001, 13(5): 435-440.
[6]Perlmutter DH, Shepherd RW. Extrahepatic biliary atresia: a disease or a phenotype[J]. Hepatology, 2002, 35(6): 1297-1304.
[7]李士星,鞠浩,冯舒,等. 超声检查胆囊及其收缩功能鉴别胆汁淤积性肝炎和胆道闭锁[J]. 中国介入影像与治疗学,2011,8(4):316-318.
[8]Ophir J. Elastography: a quantitative method for imaging the elasticity of biological tissues[J]. Ultrasound Imaging, 1991, 13(2): 111-134.
[9]Bercoff J, Tanter M, Fink M, et al. Supersonic shear imaging: a new technique for soft tissue elasticity mapping[J]. IEEE Trans Ultrasound Ferroelectr Freq Control, 2004, 51(4): 396-409.
[10]Sarvazyan AP, Rudenko OV, Swanson SD, et al. Shear wave elasticity imaging: a new ultrasonic technology of medical diagnostics[J]. Ultrasound Med Biol, 1998, 24(9): 1419-1435.
[11]Tanter M, Bercoff J, Athanasiou A, et al. Quantitative assessment of breast lesion viscoelasticity: initial clinical results using supersonic shear imaging[J]. Ultrasound Med Biol, 2008, 34(9): 1373-1386.
[12]Monpeyssen H, Correas JM, Tramalloni J, et al. Cohelations between shear wave elastography of thyroid nodules and cytological data study about 157 patients[J]. Eur Congre Radiol, 201l, 26(12): 1051-1056.
[13]詹嘉,陈悦,柴启亮,等. 剪切波弹性成像技术定量鉴别诊断甲状腺结节良恶性的初步探讨[J]. 中国超声医学杂志,2012,8(3):274-277.
[14]黄炎,李俊来,王知力,等. 实时剪切波弹性成像定量评价乳腺良恶性病变[J]. 中国医学影像技术,201l,27(3):561-564.
[15]张倩倩,王学梅,李银燕,等. 剪切波弹性成像在乳腺良恶性病变鉴别诊断中的价值[J]. 中国临床医学影像杂志,2012,23(6):385-388.
[16]曾婕,黄泽萍,郑荣琴,等. 剪切波弹性成像检测正常人及慢性肝病患者肝弹性模量[J]. 中华超声影像学杂志,2012,21(6):481-483.
[17]曾婕,吴莉莉,郑荣琴,等. 实时剪切波弹性成像检测肝脏弹性模量与肝纤维化分期的相关性研究[J]. 中华医学超声杂志,2012,9(8):781-784.
[18]Bavu E, Gennisson JL, Osmanski BE, et al. Liver fibrosis staging using supersonic shear imaging: a clinical study on 142 patients[J]. J Hepatology, 2012, 49(3): 1167-1169.
[19]姜爽爽,李士星. 胆道闭锁和婴儿肝炎综合征肝脏超声实时组织弹性成像改变探讨[J]. 中国超声医学杂志,2015,31(3):228-231.
[20]沈秋龙,陈亚军. 瞬时弹性成像应用于胆道闭锁肝纤维化评估的研究[J]. 中华小儿外科杂志,2014,35(4):275-279. |
|
|
|