Abstract：
AIM:To evaluate the utility of the elastic ratio calculated using real-time tissue elastography for assessing liver fibrosis in patients with chronic hepatitis B (CHB). MATERIALS AND METHODS:Ninety-six patients with CHB were enrolled between September 2012 and August 2013. The elastic ratio of the liver for the intrahepatic venous small vessel was calculated to measure liver stiffness. Diagnostic performance of the elastic ratio and aminotransferase-to-platelet ratio index (APRI) were compared with histological fibrosis stage at liver biopsy. In addition, 45 healthy adult volunteers were participated in intra- and interobserver reliability studies. RESULTS:There was no significant influence of hepatitis B e antigen (HBeAg) status or hepatitis B virus DNA levels on the elastic ratio measurements in CHB patients. The elastic ratio was significantly correlated with histological fibrosis stage (r = 0.873, p < 0.001). Cut-off values were 2.62 for stage 2 and over (S ≥ 2), 3.20 for state 3 and over, and 3.86 for stage 4, respectively. The areas under the receiver operating characteristic (ROC) curves for elastic ratio and APRI diagnosis of significant fibrosis (S ≥ 2) was 0.91 (95% CI: 0.84-0.98) and 0.71 (95% CI: 0.57-0.86), and 0.94 (95% CI: 0.89-0.99) and 0.81 (95% CI: 0.71-0.91) for cirrhosis (S = 4), respectively. The elastic ratio measurements had good reproducibility: 0.838 for intra-observer reliability and 0.805 for inter-observer reliability, respectively (p < 0.001). CONCLUSION:Elastic ratio determined using real-time tissue elastography was an accurate and reproducible method for evaluating liver fibrosis in patients with CHB.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Hu Q,Zhu SY,Kang LK,Wang XY,Lun HM,Xu CMdoi
10.1016/j.crad.2013.10.003subject
Has Abstractpub_date
2014-02-01 00:00:00pages
194-9issue
2eissn
0009-9260issn
1365-229Xpii
S0009-9260(13)00489-3journal_volume
69pub_type
杂志文章abstract：:The lymphatic system of the abdomen comprises of the cisterna chyli, its major and minor lymphatic tributaries, and lymph nodes. Disorders of the lymphatic system of the abdomen are rarely encountered and consist of primary and secondary types. Abdominal lymphangiomas constitute the majority and have characteristic im...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2016.06.116
更新日期：2016-10-01 00:00:00
abstract：:Thirty-five cases of 'Q' fever have been admitted and confirmed serologically over the past 20 years. Thirty-two of these cases had chest films on admission, and lung changes were present in 87%. The lung changes were: 1. Multiple round segmental consolidations, 5--10 cm in diameter, of ground glass density and usuall...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(78)80092-0
更新日期：1978-07-01 00:00:00
abstract：:Skull-base cephalocoeles and cerebrospinal fluid (CSF) leaks may be congenital, spontaneous, or secondary. A classification of congenital lesions is formulated and the imaging features are illustrated. The concept of spontaneous skull-base CSF leaks and the significance of aberrant arachnoid granulations in imaging th...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2010.05.002
更新日期：2010-10-01 00:00:00
abstract：:Twenty-nine patients with peripheral vascular disease had the popliteal artery segment assessed by xeroangiography and nuclear magnetic resonance (NMR) scanning. The result of each test was compared with conventional contrast arteriography. Nuclear magnetic resonance and xeroangiography correctly predicted popliteal a...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(84)80205-6
更新日期：1984-09-01 00:00:00
abstract：AIM:To evaluate the image quality of contrast-enhanced chest computed tomography (CT) with low tube voltage settings using an iterative reconstruction algorithm (iDose4) and standard dose filtered back projection (FBP) CT in patients with normal body mass index (BMI). MATERIALS AND METHODS:Eighty patients with normal ...
journal_title：Clinical radiology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.crad.2012.12.009
更新日期：2013-05-01 00:00:00
abstract：:The aortic valve may be affected by a wide range of congenital and acquired diseases. Echocardiography is the main non-invasive imaging technique for assessing patho-anatomical alterations of the aortic valve and adjacent structures and in many cases is sufficient to establish a diagnosis and/or guide treatment decisi...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2013.07.014
更新日期：2013-12-01 00:00:00
abstract：:Mycobacterial infection is re-emerging as a major health care concern. Although Mycobacterium tuberculosis(MTB) is still the most important pathogen, atypical mycobacterium (AMB) infections are becoming increasingly common. We present a pictorial review of the imaging features of these infections in the chest, abdomen...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1053/crad.2001.0755
更新日期：2001-07-01 00:00:00
abstract：:Haematological malignancies are relatively uncommon neoplasms of kidneys. Nevertheless, the incidence of these neoplasms is increasing, partly due to more widespread use of computed tomography and magnetic resonance imaging. This article discusses the clinical and imaging features of renal lymphoma, leukaemia, extra-o...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2015.11.007
更新日期：2016-03-01 00:00:00
abstract：AIM:To present the neuroradiological and clinical findings of fourth-ventricular meningiomas to increase awareness of this entity. MATERIALS AND METHODS:The computed tomography (CT; n=5), magnetic resonance imaging (MRI; n=9) features and clinical presentations of 10 patients with pathologically documented fourth-vent...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2011.10.017
更新日期：2012-05-01 00:00:00
abstract：:The common femoral artery is commonly used as arterial access for a wide range of radiological and cardiological procedures. Pseudoaneurysm formation is the most common arterial complication of femoral artery catheterization, and is diagnosed using colour Doppler ultrasound. Ultrasound-guided thrombin injection has re...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2008.07.001
更新日期：2008-12-01 00:00:00
abstract：AIM:To validate the role of nuclear medicine (NM) imaging in hip periprosthetic joint infection (PJI) of hip arthroplasties. MATERIALS AND METHODS:This was a retrospective study of 235 consecutive patients referred to NM for investigation of a symptomatic hip prosthesis. Imaging comprised Tc-99m bone scintigraphy, In-...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2015.10.026
更新日期：2016-03-01 00:00:00
abstract：:The modern management of urolithiasis requires a multi-disciplinary approach. Imaging plays a central role in both diagnosis and planning therapy of renal and ureteric calculi. This article reviews the current status of diagnosis and management of stone disease, and the contribution of radiological imaging in accurate...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/s0009-9260(03)00103-x
更新日期：2003-06-01 00:00:00
abstract：:The absorption of vitamin B12 and of a synthetic bile acid analogue 75SeHCAT was measured simultaneously in 26 patients presenting with persistent diarrhoea following pelvic irradiation for treatment of carcinoma of the cervix. Four groups were identified, namely patients with isolated bile acid malabsorption, patient...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(85)80059-3
更新日期：1985-05-01 00:00:00
abstract：:Gastrointestinal bleeding following abdominal aortic bypass surgery is not uncommon, as approximately 20% of patients with abdominal aortic aneurysms have peptic ulcer disease. We have recently seen three patients who presented with gastrointestinal bleeding secondary to the complications of their surgery. The cause o...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(76)80160-2
更新日期：1976-04-01 00:00:00
abstract：:The creation of an intrahepatic portosystemic shunt via a transjugular approach (TIPS) is an interventional radiological procedure used to treat the complications of portal hypertension. TIPS insertion is principally indicated to prevent or arrest variceal bleeding when medical or endoscopic treatments fail, and in th...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2008.09.017
更新日期：2009-07-01 00:00:00
abstract：AIM:To review the literature on the use of prophylactic balloon occlusion alone and in conjunction with arterial embolization of the internal iliac arteries in women with placenta accreta. MATERIALS AND METHODS:The PubMed, MEDLINE, CINAHL, EMBASE, and Cochrane Library databases were searched for keywords related to th...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2011.10.031
更新日期：2012-06-01 00:00:00
abstract：AIMS:To describe the optimum conditions for successful free-hand ultrasound guided intervention using an in-vitro experiment. MATERIALS AND METHODS:Optimal free-hand biopsy conditions were determined using targets buried in a purpose-built interventional phantom. The needle/probe distance and probe/phantom surface ang...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.2000.0579
更新日期：2001-06-01 00:00:00
abstract：:The clinical and radiological presentation of four cases of spontaneous aorto-caval fistula is described. This is an unusual complication of an abdominal aortic aneurysm and presents with abdominal pain, a pulsatile abdominal mass and an abdominal bruit. Our cases illustrate the variable clinical presentation, outline...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(83)80432-2
更新日期：1983-11-01 00:00:00
abstract：:Implant rupture is a common late complication of breast implant procedures. Ruptures are often silent and difficult to diagnose clinically. This review demonstrates normal appearances and sonographic signs of implant rupture. Breast sonologists should be aware of these signs and pitfalls in interpretation when imaging...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2013.03.014
更新日期：2013-08-01 00:00:00
abstract：AIM:To evaluate the clinical impact of combined 2-[18F]-fluoro-2-deoxy-d-glucose (FDG) positron-emission tomography/computed tomography (PET/CT) brain imaging performed in selected patients with cognitive impairment at a tertiary referral centre in the UK, and to assess the accuracy of FDG PET/CT to correctly establish...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2016.08.003
更新日期：2017-01-01 00:00:00
abstract：:Clinical guidelines for the selection of patients with head injuries for skull radiography, based on those formulated by the Royal College of Radiologists, were introduced into the Accident and Emergency department at the Manchester Royal Infirmary. Before the guidelines were implemented 94 skull X-rays were obtained ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80957-2
更新日期：1990-03-01 00:00:00
abstract：:The experience of the British National Lymphoma Investigation in the treatment of 68 children with Hodgkin's disease is reported over a 14 year period from 1970. The presenting histology was reviewed by a single histopathologist; 87% of the cases were classified as nodular sclerosis (NS) and further subdivided into NS...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(87)80382-3
更新日期：1987-01-01 00:00:00
abstract：:This study was undertaken to determine whether three commonly used combinations of CT display window settings permit accurate measurement of pulmonary nodule size during thoracic CT examination. Forty-five rounded nodules of synthetic material of approximate soft tissue density (+70 Hounsfield units; HU), varying in s...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(05)81130-4
更新日期：1993-04-01 00:00:00
abstract：:Sudden athlete death (SAD) is a widely publicized and increasingly reported phenomenon. For many, the athlete population epitomize human physical endeavour and achievement and their unexpected death comes with a significant emotional impact on the public. Sudden deaths within this group are often without prior warning...
journal_title：Clinical radiology
pub_type： 杂志文章,评审
doi：10.1016/j.crad.2010.10.011
更新日期：2011-03-01 00:00:00
abstract：AIM:To compare percutaneous endoscopic gastrostomy (PEG) with radiologically inserted gastrostomy (RIG) and assess a hybrid gastrostomy technique (per-oral image-guided gastrostomy, PIG). MATERIALS AND METHODS:Fifty PEGs and 50 RIGs performed in three centres were prospectively compared and the endoscopic findings of ...
journal_title：Clinical radiology
pub_type： 杂志文章,多中心研究
doi：10.1016/s0009-9260(03)00058-8
更新日期：2003-05-01 00:00:00
abstract：AIM:To evaluate the feasibility of using air as intraluminal contrast medium in magnetic resonance (MR) colonography. MATERIALS AND METHODS:Twenty-two patients underwent MR colonography (MRC) using air before colonoscopy. All patients were imaged in prone and supine positions. Each colon was divided into five segments...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(03)00126-0
更新日期：2003-07-01 00:00:00
abstract：:A review of 200 cases in which routine oral cholecystography was supplemented by tomography is presented. In 69 out of 82 non-visualised gallbladders (NVGB) definite confirmation of gallbladder apthology was obtained. In the poorly functioning gallbladder and the gallbladder obscured by bowel, further information was ...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(80)80154-1
更新日期：1980-03-01 00:00:00
abstract：AIM:To demonstrate the magnetic resonance imaging (MRI) appearances of intact and ruptured Trilucent TM implants with imaging and surgical correlation. The appearances of the implant transponder artefact are also described MATERIALS AND METHODS:A retrospective review of the MRI findings in 34 patients with bilateral s...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1053/crad.2001.0767
更新日期：2002-04-01 00:00:00
abstract：AIMS:To report the magnetic resonance imaging (MRI) findings of osteomalacic insufficiency fractures of the pelvis. MATERIALS AND METHODS:In all, 12 persons presenting with chronic pelvic pain and with a definitive diagnosis of osteomalacia (OM) were enrolled in this study. Radiological work-up included direct radiogr...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/j.crad.2004.04.021
更新日期：2005-01-01 00:00:00
abstract：:Fourteen cases of plasmacytoma arising in the head and neck are described. Good local tumour control was achieved with minimal surgery and moderate doses of radiation. Subsequent myelomatosis did occur but this was unusual and no more frequent with tumours arising in the maxilla and mandible than at extramedullary sit...
journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(87)80231-3
更新日期：1987-07-01 00:00:00
