14 results on '"Stefanescu, Horia"'
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2. Assessing the knowledge, attitudes and practices concerning hormonal emergency contraception among female university students from Cluj-Napoca
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Sevastre-Berghian, Alexandra, Hanganu, Daniela, Benedec, Daniela, Oniga, Ilioara, Vlase, Laurian, Baldea, Ioana, Olteanu, Diana, Clichici, Simona, Filip, Gabriela Adriana, Ciocan, Andra, Bolboacă, Sorana D., Ciocan, Răzvan A., Nadim, Al Hajjar, Urda-Cîmpean, Andrada Elena, Pop, Cristina, Horon, Bianca, Mogoşan, Emilia, Cazacu, Irina, Cristina, Anamaria, Voştinaru, Oliviu, Anca, Emilia, Lang, Camelia, Roşioru, Corina, Erhan, Sabina, Vlad, Cristina, Capraş, Roxana-Denisa, Cordoş, Ariana-Anamaria, Blebea, Cristina, Perde-Schrepler, Maria, Bindea, Mihaela, Tatomir, Corina, Ujvary, Peter, Maniu, Alma, Tudor, Diana Valentina, Bâldea, Ioana, Lupu, Mihai, Filip, Adriana Gabriela, Schiotis, Ruxandra Elena, Radu, Catalina, Goşa, Dana, Bocşan, Corina, Buzoianu, Anca Dana, Domşa, Elena-Maria, Mureşan, Adriana, David, Luminiţa, Moldovan, Bianca, Para, Ioana, Negrean, Vasile, Andreica, Vasile, Neag, Maria Adriana, Cătinean, Adrian, Muntean, Dana Maria, Pop, Maria Raluca, Bocşan, Ioana Corina, Boţan, Emil Claudiu, Todea, M., Pop-Mureşan, M., Vulpoi, A., Popa, C., Berce, P., Simon, S., Eniu, D., Pop, Raluca M., Sabin, Octavia, Chedea, Veronica S., Boca, Andreea N., Bocşan, Corina I., Buzoianu, Anca D., Lupean, Roxana-Adelina, Crişan, Maria, Şovrea, Alina Simona, Şuşman, Sergiu Valeriu, Boşca, Adina Bianca, Melincovici, Carmen Stanca, Mărginean, Mariana Viorica, Constantin, Anne-Marie, Jianu, Mihaela Elena, Coneac, Andrei, Mocan, Lavinia Patricia, Moldovan, Ioana-Maria, Sufleţel, Rada Teodora, Mihu, Carmen Mihaela, Sitar-Taut, Adela-Viviana, Cozma, Angela, Orasan, Olga, Fodor, Adriana, Coste, Sorina, Tarmure, Simina, Pop, Dana, Zdrenghea, Dumitru, Sampelean, Dorel, Grosu, Alin, Radulescu, Dan, Grosu, Laura, Buzdugan, Elena, Crisan, Sorin, Maierean, Anca Diana, Todea, Doina Adina, Budin, Corina Eugenia, Maierean, Anca, Alexescu, Teodora, Turcanu, Anca, Semenescu, Raluca, Farcas, Loredana, Rohozneanu, Emanuela, Rădulescu, Dan, Răchişan, Andreea Liana, Dubois, Valerie, Ranchin, Bruno, Leclerc, Anne Laure Sellier, Thomas, Aurelia Bertholet, Cochat, Pierre, Bacchetta, Justine, Sava, Bianca, Mocanu, Lorena, Cismaru, Gabriel, Comsa, Horatiu, Pepine, Diana, Boarescu, Paul, Wasmuth, Alexander, Rosu, Radu, Puiu, Mihai, Gusetu, Gabriel, Condor, Ariana, Crişan, Sorin, Chiorescu, R. M., Barta, A., Mocan, M., Stoia, M. A., Anton, F. P., Mocan-Hognogi, D. L., Goidescu, C. M., Farcaş, A. D., Lazea, Cecilia, Al-Khzouz, Camelia, Bucerzan, Simona, Asavoaie, Carmen, Nascu, Ioana, Grigorescu-Sido, Paula, Sirbe, Claudia, Grigore, Madalina, Negrea, Ana-Georgeta, Suroiu, Sabrina, Borodi, Mihaela, Benta, Gabriel, Delean, Dan, Pop, Tudor L., Grama, Alina, Jianu, Cristian, Itu-Muresan, Corina, Topan, Adriana, Filipescu, Irina, Jianu, Mihaela, Bolboaca, Sorana D., Radulescu, Maria L., Neamti, Lidia, Pop, V., Stoicescu, L., Grosu, A., Radulescu, D., Cîmpianu, Mircea, Blachon, Alexandre, Chiorescu, Roxana, Stoia, Mirela, McPherson, CA, Pop, Sorin, Ruskin, Jeremy, Blendea, Dan, Florian, Teodora-Larisa, Florian, Ioan-Alexandru, Frîngu, Florina, Iosip, Adriana, Tomoaia, Raluca, Gurzau, Diana, Comşa, Horatiu, Caloian, Bogdan, Guşetu, Gabriel, Benţa, Gabriel, Căinap, Simona, Sîrbe, Claudia, Miclea, Diana, Pîrvan, Alexandru, Platon, Monica, Pop, Tudor Lucian, Ciulei, George, Orăşan, Olga Hilda, Coste, Sorina-Cezara, Procopciuc, Lucia Maria, Burac, Lucia, Aldea, Cornel, Bizo, Aurel, Bulata, Bogdan, Fufezan, Otilia, Stefanescu, Horia, Hotea, Ioana, Crisan, Tania O., Pamfil, Cristina, Badii, Medeea, Gaal, Orsolya, Peca, Loredana, Mirea, Andreea, Popp, Radu, Rednic, Simona, Joosten, Leo AB, Gheorghiu, Cristina, Simu, Gelu, Haji-Hassan, Mariam, Perné, Mirela-Georgiana, Milaciu, Mircea Vasile, Sâmpelean, Dorel, Coman, Oana-Maria, Ciumărnean, Lorena, Hăşmăşanu, Monica, Matyas, Melinda, Blaga, Ligia, Bolboacă, Sorana, Zaharie, Gabriela, (Tamaş), Adela Pătcaş, Ciule, Dorina Larisa, Vele, Paulina, Silaghi, Ciprian N., Damian, Laura O., Simon, Siao-Pin, Craciun, Alexandra M., Slavescu, Kinga Cristina, Muresan, Rodica, Mititelu, Alexandra, Tomescu, Serban, Chis, Alexandra Micu, Rednic, Mihaela, Vulturar, Romana, Lazăr, Mădălina, Sas, Valentina, Chiş, Adina, Deleanu, Călin, Man, Sorin, Schnell, Cristina, Nicolescu, Alina, Vinţan, Maria, Poliac, Teodora, Damian, Laura, Romitan, M., Radulescu, Maria, Rădulescu, D., Bădărînză, Maria, Şerban, Oana, Maghea, Lavinia, Papp, Iulia, Guţiu, Roxana-Ioana, Fodor, Daniela, Pirvan, Alexandru, Andrei, Adina, Orasan, Remus Aurel, Orasan, Olga Hilda, Bocşan, Corina Delia, Micu, Mihaela Cosmina, Albu, Adriana, Slavescu, Radu Razvan, Stoicescu, Laurenţiu, Ştefan, Georgia, Bâlteanu, Valentin Adrian, Lauzier, Benjamin, Dhot, Justine, Morgovan, Claudiu, Mogoşan, Cristina, Ghibu, Steliana, Ţaranu, Ioana, Răcătăianu, Nicoleta, Vesa, Ştefan Cristian, Pop, Raluca Maria, Matei, Daniela Maria, Paşca, Sergiu, Buzoianu, Anca-Dana, Acalovschi, Monica, Borz, Mihnea Bogdan, Schitcu, Vlad Horia, Cojocaru, Ion, Marica, Nucu Alexandru, Popescu, Dan Sorin, Munteanu, Vlad Cristian, Borz, Paul Cristian, Rădeanu, D., Dragoş, D., Girbe, S., Gondor, G., Stan, C., Maniu, A., Florian, Ioan-Stefan, Olteanu, G., Radu, M., Tui, I., Andercou, O., Stancu, B., Gherman, Claudia, Constantinescu, Ioana, Mihaileanu, F., Pintea, Daniela, Muntean, V., Simon, Ioan, Capîlnean, Teodora-Valeria, Fabian, Ovidiu, RăzvanTogănel, Mureşan, Flaviu, Deceanu, Daniel, Măluţan, Andrei Mihai, Puşcaş, Mihaela, Ciortea, Răzvan, Mocan-Hognogi, Radu Florin, Bucuri, Carmen Elena, Rada, Maria, Dudea, Marina, Mihu, Dan, Rada, Maria Patricia, Fetica, Bogdan, Clim, Adelina, Roman, Andrei, Lupan-Mureşan, Eugenia-Maria, Voicescu, George Teo, Popa, Stefania-Anda, Golea, Adela, Nechita, Vlad I., Graur, Florin, Moiş, Emil, Hajjar, Nadim A., Suciu, Viorela-Elena, Ignat, Florin Laurenţiu, Boţan, Emil-Claudiu, Bucuri, Carmen, Lăcan, Sorin-Mihai, Ungur, Ovidiu-Mihai, Stan, Constantin, Rădeanu, Doinel, Ujvary, Laszlo Peter, Blebea, Cristina Maria, Bulac, Luiza, Birta, Daiana, Chirilă, Magdalena, Ciocan, Răzvan, Crişan, Doiniţa, Constantinescu, Dan, Muntean, Valentin, Cozma-Petruţ, Anamaria, Badiu-Tişa, Ioana, Filip, Lorena, Banc, Roxana, Stanciu, Oana, Gavrilaş, Laura, Ciobârcă, Daniela, Hegheş, Codruţa, Miere, Doina, Coman, Fana-Maria, Leonte, Denisa, Brém, Balázs, Tötös, Robert, Zaharia, Valentin, Toma, Alexandra, Casoni, Dorina, Gliga, Laura-Elena, Iacob, Bogdan-Cezar, Bodoki, Ede, Oprean, Radu, Hosu, Oana, Melinte, Gheorghe, Casian, Magdolna, Săndulescu, Robert, Cristea, Cecilia, Cernat, Andreea, Irimes, Maria-Bianca, Györfi, Szabolcs János, Tertiş, Mihaela, Suciu, Maria, Anicăi, Liana, Moldovan, Radu-Cristian, Petrache, Alina, Pralea, Ioana-Ecaterina, Cogălniceanu, Gina, Mitoi, Monica, Iuga, Cristina-Adela, Paşca, Denisia, Morariu, Daniel, Buse, Mihail, Ionescu, Corina, Iuga, Cristina Adela, Pricopie, Andreea-Iulia, Ionuţ, Ioana, Marc, Gabriel, Găină, Luiza Ioana, Vodnar, Dan C., Pîrnău, Adrian, Focşan, Monica, Oniga, Ovidiu, Rus, Iulia, Gug, Ioana, Paşcalău, Violeta, Melean, Bianca, Pall, Emoke, Moldovan, Cristian, Stoian, Adrian-Ioan, Dudaş, Cosmina, Moldovan, Rebeca, Toma, Valentin, Ştiufiuc, Rareş I., Stana, Anca, Moldovan, Cadmiel, Gavan, Alexandru, Dias, Maria Inês, Pereira, Carla, Barros, Lillian, Ferreira, Isabel C.F.R., Mocan, Andrei, Crişan, Gianina, Negoi, Oana-Iuliana, Ispas, Georgiana-Ileana, Muşat, Luiza-Georgiana, Muntean, Andrei-Cătălin, Casian, Tibor, Tomuţă, Ioan, Barbălată, Cristina, Porfire, Alina, Cherfan, Anca, Iurian, Sonia, Tomuta, Ioan, Crişan, Ofelia, Hegheş, Simona-Codruţa, Ardelean, Ana-Valentina, Moisescu, Cristina, Negut, Daniel, Ardelean, Ioan, Crişan, Andrea-Gabriela, Ilyés, Kinga, Rus, Lucia, Muntean, Dana-Maria, Kiss, Bela, Loghin, Felicia, Nicoară, Raul, Ilieş, Maria, Herda, Luciana Maria, Polo, Ester, Dawson, Kenneth A., Giudice, Maria Cristina Lo, (Savencu), Ioana Petruşan, Corzo, Carolina, Salar-Behzadi, Sharareh, Fizeşan, Ionel, Pop, Anca, Iacoviţă, Cristian, Topală, Tamara, Scoruş, Lavinia, Ştiufiuc, Rareş, Lucaciu, Constantin Mihai, Rus, Lucia Maria, Kacso, Irina, Pari, Sergiu, Valica, Vladimir, Uncu, Livia, Ştefan, Maria-Georgia, Kiss, Béla, Mogoşan, Cristina Ionela, Ghibu-Morgovan, Steliana Mihaela, Dinte, Elena, Muntean, Dana, Ilea, Aranka, Miclaus, Viorel, Boşca, Bianca, Rusu, Marius Emil, Fizesan, Ionel, Gheldiu, Ana-Maria, Stefan, Maria Georgia, Mates, Letitia, Georgiu, Carmen, Vostinaru, Oliviu, Popa, Daniela-Saveta, Oroian, Monica, Pop, Diana, Marcovici, Adriana, Bhardwaj, Sandeep, Chiş, Amalia-Andreea, Chiş, Mihaela, Picos, Andrei, Badea, Mîndra, Chifor, Ioana, Rotar, Alina, Picos, Alina Monica, Ciurea, Andreea, Roman, Alexandra, Soancă, Andrada, Condor, Daniela, Micu, Iulia Cristina, Kui, Andreea, Berar, Antonela, Negucioiu, Marius, Chisnoiu, Andrea, Ispas, Ana, Buduru, Smaranda, Băbţan, Anida-Maria, Vesa, Ştefan, Boşca, Bianca Adina, Petrescu, Nausica Bianca, Feurdean, Claudia Nicoleta, Uriciuc, Willi Andrei, Ionel, Anca, Buhăţel, Dan, Sava, Arin, Andrei, Vlad, Câmpian, Radu Septimiu, Breban, Ioana Georgiana, Merfea, Mihai, Delean, Ada Gabriela, Cimpean, Sanda Ileana, Tişler, Corina Elena, Picoş, Andrei, Duncea, Ioana, Picoş, Alina Monica, Festila, Dana, Lazar, Alexandra, Selegean, Oana, Ghergie, Mircea, Ostas, Daniel, Hedesiu, Mihaela, Stan, Horatiu, Florian, Alexandru, Florian, Stefan, Bran, Simion, Dinu, Cristian, Armencea, Gabriel, Manea, Avram, Onisor, Florin, Moldovan (Lazar), Madalina Anca, Vacaras, Sergiu, Muresan, Ovidiu, Roman, Rares Calin, Baciut, Mihaela, Baciut, Grigore, Rotar, Horatiu, Crasnean, Emil, Roman, Raluca, Coclici, Alina, Cristian, Dinu, Ţermure, Dragoş Alexandru, (Dascalu), Laura Rusu, Chifor, Radu, Badea, Iulia, Simu, Meda, Badea, Mindra, Lazar, Adela Cristina, Bel, Lucia, Sarpatoczi, Orsolya, Lacatus, Radu, Taulescu, Marian, Campian, Radu Septimiu, Rusnac, Mara Elena, Gasparik, Cristina, Varvara, Bianca Elena, Dudea, Diana, Aluaş, Maria, Lucaciu, Ondine, Bordea, Roxana, Meşter, Alexandru, Colceriu-Şimon, Ioana Maria, Băciuţ, Mihaela, Ştiufiuc, Rareş Ionuţ, Aghiorghiesei, Alexandra, Ţărmure, Viorica, Hedeşiu, Mihaela, Băciuţ, Grigore, Flueraşu, Mirela, Almăşan, Oana, Iacob, Simona, Zaharia, Alina, Balhuc, Silvia, Constantiniuc, Mariana, Mirica, Ioana-Codruta, Furtos, Gabriel, Fontaine, Veronique, Moldovan, Marioara, Campian, Radu-Septimiu, Cadar, Mihai, Fluerasu, Mirela, Almasan, Oana, Sbuciumelea, Ioana, Roman, Raluca A., Ioani, Cosmin-Adrian, Părăian, Alexandra-Mirela, Suciu, Raluca, Ban, Alina, Iozon, Sofia, Şoancă, Andrada, Stoia, Sebastian, Tamaş, Tiberiu, Mitre, Ileana, Rotaru, Horaţiu, Crişan, Liana, Crişan, Bogdan, Onişor, Florin, Roman, Rareş, Mureşan, Ovidiu, Moldovan, Mădălina, Ostaş, Daniel, Almăşan, Horea, Simu, Meda-Romana, Carlot, Clémentine, Ghiran, Raluca, Lupse, Irina, Cosma, Lavinia, and Muntean, Alexandrina
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physical streiss ,Medical Sciences ,subclinical atherosclerosis ,composite materials ,fetal outcome ,Pharmacy ,cortisol ,mechanical properties ,Rhodiola Rosea ,Surgical Specialties ,citrus ,smoking ,physical training ,stress ,Abstracts ,carotid intima- media thickness ,cycle ergometer ,insulin resistance ,salivary pH ,heart rate ,oxidative stress ,music ,shade system ,Dental Medicine ,flowable resin composites ,hypoxia ,visceral fat thickness ,Basic Sciences ,modulus of elasticity ,indirect aesthetic reconstruction ,PubMed filters ,anxiety ,inflammation ,cocoa ,Pharmaceutical Specialties ,Medicine ,neuroprotection ,fatigue ,memantine ,non-alcoholic steatohepatitis ,pregnancy ,Fundamental Research ,hypothermia ,physical effort - Published
- 2019
3. Trusting your gut-a new direction in multikinase inhibitors therapy in hepatocellular carcinoma
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Iuliana Nenu, Tudor, Diana, Stefanescu, Horia, Procopet, Bogdan, Sparchez, Zeno, and Filip, Gabriela Adriana
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Hepatology - Published
- 2022
4. Development and prognostic relevance of a histologic grading and staging system for alcohol-related liver disease
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Lackner, Carolin Stauber, Rudolf E. Davies, Susan Denk, Helmut Dienes, Hans Peter Gnemmi, Viviane Guido, Maria and Miquel, Rosa Paradis, Valerie Schirmacher, Peter and Terracciano, Luigi Berghold, Andrea Pregartner, Gudrun and Binder, Lukas Douschan, Philipp Rainer, Florian Sygulla, Stephan Jager, Marion Rautou, Pierre-Emmanuel Bumbu, Andreea and Horhat, Adelina Rusu, Ioana Stefanescu, Horia Detlefsen, Sonke Krag, Aleksander Thiele, Maja Cortez-Pinto, Helena and Moreno, Christophe Gouw, Annette S. H. Tiniakos, Dina G.
- Abstract
Background & Aims: The SALVE Histopathology Group (SHG) developed and validated a grading and staging system for the clinical and full histological spectrum of alcohol-related liver disease (ALD) and evaluated its prognostic utility in a multinational cohort of 445 patients. Methods: SALVE grade was described by semiquantitative scores for steatosis, activity (hepatocellular injury and lobular neutrophils) and cholestasis. The histological diagnosis of steatohepatitis due to ALD (histological ASH, hASH) was based on the presence of hepatocellular ballooning and lobular neutrophils. Fibrosis staging was adapted from the Clinical Research Network staging system for non-alcoholic fatty liver disease and the Laennec staging system and reflects the pattern and extent ALD fibrosis. There are 7 SALVE fibrosis stages (SFS) ranging from no fibrosis to severe cirrhosis. Results: Interobserver ic-value for each grading and staging parameter was >0.6. In the whole study cohort, long-term outcome was associated with activity grade and cholestasis, as well as cirrhosis with very broad septa (severe cirrhosis) (p
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- 2021
5. Including Ratio of Platelets to Liver Stiffness Improves Accuracy of Screening for Esophageal Varices That Require Treatment
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Berger, Arthur, Ravaioli, Federico, Farcau, Oana, Festi, Davide, Stefanescu, Horia, Buisson, François, Nahon, Pierre, Bureau, Christophe, Ganne-Carriè, Nathalie, Berzigotti, Annalisa, De Ledinghen, Victor, Petta, Salvatore, and Calès, Paul
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610 Medicine & health - Abstract
BACKGROUND & AIMS Based on platelets and liver stiffness measurements, the Baveno VI criteria (B6C), the expanded B6C (EB6C), and the ANTICIPATE score can be used to rule out varices needing treatment (VNT) in patients with compensated chronic liver disease. We aimed to improve these tests by including data on the ratio of platelets to liver stiffness. METHODS In a retrospective analysis of data from 10 study populations, collected from 2004 through 2018, we randomly assigned data from 2368 patients with chronic liver disease of different etiologies to a derivation population (n = 1579; 15.1% with VNT, 50.2% with viral hepatitis, 28.9% with nonalcoholic fatty liver disease, 28.9% with alcohol-associated liver disease, 20.8% with model for end-stage liver disease scores of 9.5 ± 3.0, and 93.0% with liver stiffness measurements ≥10 kPa) or a validation population (n = 789). Test results were compared with results from a sequential algorithm (VariScreen). VariScreen incorporated data on platelets or liver stiffness measurements and then the ratio of platelets to liver stiffness measurement, adjusted for etiology, patient sex, and international normalized ratio. RESULTS In the derivation population, endoscopies were spared for 23.9% of patients using the B6C (VNT missed in 2.9%), 24.3% of patients using the ANTICIPATE score (VNT missed in 4.6%), 34.5% of patients using VariScreen (VNT missed in 2.9%), and 41.9% of patients using the EB6C (VNT missed in 10.9%). Differences in spared endoscopy rates were significant (P ≤ .001), except for B6C vs ANTICIPATE and in missed VNT only for EB6C vs the others (P ≤ .009). VariScreen was the only safe test regardless of sex or etiology (missed VNT, ≤5%). Moreover, VariScreen secured screening without missed VNT in patients with model for end-stage liver disease scores higher than 10. This overall strategy performed better than a selective strategy restricted to patients with compensated liver disease. Test performance and safety did not differ significantly among populations. CONCLUSIONS In a retrospective study of data from 2368 patients with chronic liver disease, we found that the B6C are safe whereas the EB6C are unsafe, based on missed VNT. The VariScreen algorithm performed well in patients with chronic liver disease of any etiology or severity-it is the only test that safely rules out VNT and can be used in clinical practice.
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- 2020
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6. Spleen to liver stiffness ratio significantly differs between ALD and HCV and predicts disease specific complications
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Elshaarawy, Omar, Mueller, Johannes, Guha, Indra Neil, Chalmers, Jane, Harris, Rebecca, Thiele, Maja, Madsen, Bjorn Staehr, Krag, Aleksander, Stefanescu, Horia, Stancu, Oana, Ardelean, Andreea, and Mueller, Sebastian
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- 2019
7. Expanding the Baveno VI criteria for the screening of varices in patients with compensated advanced chronic liver disease
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Augustin, Salvador, Pons, Mònica, Maurice, James B, Bureau, Christophe, Stefanescu, Horia, Ney, Michel, Blasco, Hélène, Procopet, Bogdan, Tsochatzis, Emmanuel, Westbrook, Rachel H, Bosch, Jaime, Berzigotti, Annalisa, Abraldes, Juan G, and Genescà, Joan
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610 Medicine & health - Abstract
Patients with compensated advanced chronic liver disease (cACLD) can safely avoid screening endoscopy with a platelet count >150 × 109 cells/L and a liver stiffness measurement (LSM) 110 × 109 cells/L and LSM
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- 2017
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8. IMPULSIONAL, POINT AND BIDIMENSIONAL SHEAR WAVE ELASTOMETRY FOR PORTAL HYPERTENSION: SAME STIFFNESS THRESHOLDS?
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STEFANESCU, HORIA OCTAVIAN, ALLEGRETTI, GIULIA, SERRA, CARLA, MARASCO, GIOVANNI, CONTI, FABIO, COLECCHIA, ANTONIO, FESTI, DAVIDE, ANDREONE, PIETRO, BOLONDI, LUIGI, PISCAGLIA, FABIO, Gamal, N., Stefanescu, H., Allegretti, G., Serra, C., Marasco, G., Gamal, N., Conti, F., Colecchia, A., Festi, D., Andreone, P., Bolondi, L., and Piscaglia, F.
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elastometry ,portal hypertension - Published
- 2015
9. Ultrasound non-invasive methods for assessing liver cirrhosis in chronic hepatitis C patients
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Stefanescu, Horia
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Purpose Methods and Materials Results Conclusion, Purpose: Liver lobes diameters, platelets to spleen size index (PSI) and liver stiffness measurement (LSM) were validated as non-invasive liver cirrhosis (LC) predictors in chronic hepatitis C (CHC) patients.The aim of this study was to compare their...
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- 2009
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10. 2D shear wave liver elastography by Aixplorer to detect portal hypertension in cirrhosis: An individual patient data meta-analysis
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Thiele, Maja, Hugger, Mie B, Kim, Yongsoo, Rautou, Pierre-Emmanuel, Elkrief, Laure, Jansen, Christian, Verlinden, Wim, Allegretti, Giulia, Israelsen, Mads, Stefanescu, Horia, Piscaglia, Fabio, García-Pagán, Juan C, Franque, Sven, Berzigotti, Annalisa, Castera, Laurent, Jeong, Woo K, Trebicka, Jonel, and Krag, Aleksander
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610 Medicine & health ,3. Good health - Abstract
BACKGROUND & AIMS Liver stiffness measured with 2-dimensional shear wave elastography by Supersonic Imagine (2DSWE-SSI) is well-established for fibrosis diagnostics, but non-conclusive for portal hypertension. METHODS We performed an individual patient data meta-analysis of 2DSWE-SSI to identify clinically significant portal hypertension (CSPH), severe portal hypertension and large varices in cirrhosis patients, using hepatic venous pressure gradient and upper endoscopy as reference. We used meta-analytical integration of diagnostic accuracies with optimized rule-out (sensitivity-90%) and rule-in (specificity-90%) cut-offs. RESULTS Five studies from seven centres shared data on 519 patients. After exclusion, we included 328 patients. Eighty-nine (27%) were compensated and 286 (87%) had CSPH. 2DSWE-SSI
11. Anticoagulation improves overall survival through portal vein recanalization in patients with cirrhosis and portal vein thrombosis: Individual patient data meta-analysis (IMPORTAL study)
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Guerrero, Antonio, Del Campo, Laura, Piscaglia, Fabio, Reiberger, Thomas, Han, Guohong, Violi, Francesco, Costa Noronha Ferreira, Carlos Alberto, Luis, Tellez, Garcia Pagan, Juan Carlos, Artaza Varasa, Tomas, Valla, Dominique, VINCENZO LA MURA, Luca, Angelo, Stanciu, Carol, Senzolo, Marco, Amitrano, Lucio, Durand, Francois, Stefanescu, Horia, Scheiner, Bernhard, Basili, Stefania, Magaz, Marta, Castro Nery, Filipe Gaio, Chevret, Sylvie, Primignani, Massimo, Girleanu, Irina, Zamora, Javier, and Albillos, Agustin
12. Comparison of screening strategies with two new tests to score and diagnose varices needing treatment
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Paul Calès, Federico Ravaioli, Arthur Berger, Oana Farcau, Davide Festi, Horia Stefanescu, Carole Vitellius, Pierre Nahon, Christophe Bureau, Nathalie Ganne-Carriè, Annalisa Berzigotti, Victor de Ledinghen, Salvatore Petta, Calès, Paul, Ravaioli, Federico, Berger, Arthur, Farcau, Oana, Festi, Davide, Stefanescu, Horia, Vitellius, Carole, Nahon, Pierre, Bureau, Christophe, Ganne-Carriè, Nathalie, Berzigotti, Annalisa, de Ledinghen, Victor, and Petta, Salvatore
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Liver Cirrhosis ,Hepatology ,Non-invasive test ,Platelet Count ,Gastroenterology ,Esophageal and Gastric Varices ,Varicose Veins ,Elastometry ,Non-alcoholic Fatty Liver Disease ,Oesophageal varice ,Screening ,Elasticity Imaging Techniques ,Humans ,Portal hypertension ,Retrospective Studies - Abstract
Background and aims: We aimed to improve non-invasive screening of varices needing treatment (VNT) and compare different screening strategies. Methods: 2,290 patients with chronic liver disease were included in a retrospective study. Etiologies were: virus: 50.0%, NAFLD: 29.5%, alcohol: 20.5%, VNT: 14.9%. Test descriptors were performance (spared endoscopy) and safety (missed VNT). VNT tests were evaluated according to their safety levels either for individual screening (95% negative predictive value (NPV)), population screening (95% sensitivity) or undifferentiated screening (100% sensitivity/NPV) without missed VNT. The tests provided three categories: missed VNT
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- 2022
13. Point quantification elastography in the evaluation of liver elasticity in healthy volunteers: a reliability study based on operator expertise
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Chiara De Molo, Elena Nardi, Fabio Conti, Pietro Andreone, Horia Stefanescu, Carla Serra, Antonio Maria Morselli-Labate, Cristina Felicani, Veronica Gabusi, Elena Mazzotta, Felicani, Cristina, De Molo, Chiara, Stefanescu, Horia, Conti, Fabio, Mazzotta, Elena, Gabusi, Veronica, Nardi, Elena, Morselli-Labate, Antonio Maria, Andreone, Pietro, and Serra, Carla
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Adult ,Male ,Intraclass correlation ,Body Mass Index ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Operator (computer programming) ,Liver stiffness ,Healthy volunteers ,Internal Medicine ,Elastography ,Elastosonography ,Point shear wave ,Reproducibility ,Radiology ,Nuclear Medicine and Imaging ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Prospective Studies ,Aged ,Observer Variation ,medicine.diagnostic_test ,business.industry ,Liver stiffne ,Reproducibility of Results ,General Medicine ,Middle Aged ,Overweight ,Liver ,Liver biopsy ,Elasticity Imaging Techniques ,Female ,Original Article ,030211 gastroenterology & hepatology ,business ,Transient elastography ,Nuclear medicine - Abstract
PURPOSE: The assessment of liver fibrosis is essential in the management of patients with chronic liver diseases. Liver biopsy is considered the gold standard procedure for this purpose, though the recent development of new elastosonographic techniques to measure liver stiffness (LS) noninvasively is promising. Point quantification elastography (PQE) showed good results but less is known about the level of skill needed to obtain reliable results. The aim of the study was to evaluate the reproducibility of PQE in assessing LS in healthy subjects comparing three operators with different expertise. METHODS: Between December 2012 and April 2013, 50 consecutive healthy volunteers (18 males, 32 females), median age 30 years (range 25–66) and BMI 22.4 (range 16.7–33.6) were submitted to PQE (iU22 Philips, Bothell, WA, USA) by three operators: two US and elastography providers (one expert and one with intermediate skill) and a skilled transient elastography (Fibroscan) operator with no expertise in US. Intra- and inter-observer agreements were assessed by intraclass correlation coefficient (ICC). RESULTS: PQE measurement was obtained in all subjects by all evaluators. No significant differences of mean liver stiffness were found among operators (P = 0.980). Intra-observer agreement was excellent 0.918 (0.941 for expert, 0.917 for intermediate and 0.888 for novice). The ICC of the inter-observer agreement among the three ratters was excellent (0.882) and was higher in normal than overweight patients (0.923 vs. 0.603; P = 0.011). CONCLUSION: PQE is a reliable and reproducible non-invasive method for the assessment of LE, and can be performed also by a non-experienced operator.
- Published
- 2018
14. Bidimensional shear wave ultrasound elastography with supersonic imaging to predict presence of oesophageal varices in cirrhosis
- Author
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Veronica Salvatore, Giulia Allegretti, Fabio Piscaglia, Horia Stefanescu, Stefanescu, Horia, Allegretti, Giulia, Salvatore, Veronica, and Piscaglia, Fabio
- Subjects
Liver Cirrhosis ,medicine.medical_specialty ,Cirrhosis ,Hepatology ,business.industry ,medicine.disease ,Esophageal and Gastric Varices ,Fibrosis ,03 medical and health sciences ,0302 clinical medicine ,Shear (geology) ,030220 oncology & carcinogenesis ,medicine ,Ultrasound elastography ,Elasticity Imaging Techniques ,Humans ,030211 gastroenterology & hepatology ,Supersonic speed ,Radiology ,Varices ,business ,Ultrasonography - Abstract
Not available
- Published
- 2017
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