1. The Value of Shear-wave Ultrasonography in Calculating Elastographic Values in Liver Pathologies.
- Author
-
Nalbant, Mustafa Orhan and İnci, Ercan
- Subjects
- *
FATTY liver , *HEPATIC fibrosis , *MAGNETIC resonance imaging , *ULTRASONIC imaging , *COMPUTED tomography , *SHEAR waves - Abstract
Objective: Liver pathologies consist of multiple benign and malignant diseases; shear-wave elastography values vary according to the lesions. In our study, we tried to figure out how to measure the mean shear-wave elastography values in different liver lesions. Methods: Seventeen focal nodular hyperplasia (FNH), 41 hemangiomas, 25 cysts, and 45 malignant lesions were evaluated in 112 patients who had liver pathology. Twenty patients had hepatosteatosis, and fibrosis was present in 26 patients. B-mode and shear wave ultrasonography examinations were performed on defined pathologies. Malignant lesions were histopathologically diagnosed and benign lesions were evaluated according to cross-sectional examination (computerized tomography and magnetic resonance imaging) methods. Results: In our study, the average elastography values were determined as 50.38 kilopascals (kPa) and 3.69 meters per second (m/s) in FNH; 12.54 kPa and 1.97 m/s in hemangiomas; 116.47 kPa and 6.34 m/s in malignant lesions; 8.97 kPa and 1.57 m/s in cysts; 16.54 kPa and 2.30 m/s in cases with hepatosteatosis; and 90.98 kPa and 5.44 m/s in cases with liver fibrosis. Mean values in cysts, hepatosteatosis, and hemangiomas were close to normal; in liver fibrosis, malignant lesions, and FNH, they were higher than normal. Conclusion: We think that shear wave elastography is a promising method for distinguishing benign from malign liver lesions by calculating quantitative values where a biopsy-free diagnosis is preferred in the present day. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF