Abstract:
PURPOSE:To evaluate whether changes of dynamic contrast-enhanced ultrasound (CEUS)-based liver microcirculation during chronic liver disease are correlated with the extent of impaired liver function, expressed by the indocyanine green (ICG) clearance. MATERIALS AND METHODS:19 patients underwent CEUS examinations with previous or consecutive ICG clearance test. The ICG plasma disappearance rate (ICG-PDR) was determined using the noninvasive pulse-densitometric LiMON system. Quantification of peak enhancement (PE), rise time (RT) and the wash-in rate (WiR) was performed in the liver parenchyma (ROIliver) as well as in the portal vein (ROIportal vein) using a novel quantification software (VueBoxTM). To compare quantification parameters, patients were classified in patients representing a healthy population (ICG-PDR >16, n = 8) and those representing patients with liver disease (ICG-PDR ≤16, n = 11). RESULTS:ROIportal vein showed significant differences comparing healthy patients and patients with liver disease for all perfusion parameters: PE and WiR were significantly higher in patients without liver disease (p = 0.048; p = 0.039). RT was significantly lower in healthy population (p = 0.039). Comparing perfusion parameters for ROIliver, PE was significantly higher in patients without liver disease (p = 0.039). There was no significant difference for RT (p = 0.804) and WiR (p = 0.058), respectively. CONCLUSION:Within the framework of this study CEUS derived estimation of microcirculation did not prove to be a reliable estimator of liver function. RT, PE and WiR measured in the portal vein were significant perfusion factors in predicting liver function.
journal_name
Clin Hemorheol Microcircjournal_title
Clinical hemorheology and microcirculationauthors
Haimerl M,Jung EM,Beyer LP,Pregler B,Dollinger M,Sieroń D,Niessen C,Stroszczynski C,Wiggermann Pdoi
10.3233/CH-151990subject
Has Abstractpub_date
2015-01-01 00:00:00pages
195-204issue
2eissn
1386-0291issn
1875-8622pii
CH1990journal_volume
61pub_type
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journal_title:Clinical hemorheology and microcirculation
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doi:10.3233/CH-2012-1594
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journal_title:Clinical hemorheology and microcirculation
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doi:
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journal_title:Clinical hemorheology and microcirculation
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journal_title:Clinical hemorheology and microcirculation
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更新日期:1998-10-01 00:00:00
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journal_title:Clinical hemorheology and microcirculation
pub_type: 杂志文章,评审
doi:
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journal_title:Clinical hemorheology and microcirculation
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