Comparison of the Reliability of Acoustic Radiation Force Impulse Imaging and Supersonic Shear Imaging in Measurement of Liver Stiffness.

Abstract:

PURPOSE:To compare the reliability of acoustic radiation force impulse (ARFI) imaging and supersonic shear imaging (SSI) in measurement of liver stiffness. MATERIALS AND METHODS:This study was approved by the institutional review board, and written informed consent was obtained for all patients. Seventy-nine patients (25 healthy patients, 26 with Child-Pugh class A, and 28 with Child-Pugh class B or C) were enrolled and analyzed from April 2012 to April 2013. In each patient, three abdominal radiologists performed nine measurements of hepatic shear-wave speed with both ARFI imaging and SSI on the same day. Four weeks later, a second session was performed with the same protocol. Interobserver and intraobserver agreements were calculated by using intraclass correlation coefficients. Technical failures and measurement time were evaluated. RESULTS:There were four technical failures in the SSI group and one in the ARFI group (P = .375). The overall interobserver agreement of ARFI imaging was significantly higher than that of SSI (0.941 vs 0.828, P < .001). The overall intraobserver agreement of ARFI imaging was significantly higher than that of SSI (0.915 vs 0.829, P < .001). The overall shear-wave speed measured with SSI was higher than that measured with ARFI imaging (2.04 m/sec ± 0.88 vs 1.80 m/sec ± 0.81, P < .001). The measurement time of SSI was longer than that of ARFI imaging (310.8 seconds ± 88.5 vs 84.5 seconds ± 15.4, P < .001). CONCLUSION:ARFI imaging was more reliable than SSI in measurement of liver stiffness. The hepatic shear-wave speed measured with SSI was higher than that measured with ARFI imaging, which means that the shear-wave speeds measured with ARFI imaging and SSI cannot be used interchangeably.

journal_name

Radiology

journal_title

Radiology

authors

Woo H,Lee JY,Yoon JH,Kim W,Cho B,Choi BI

doi

10.1148/radiol.2015141975

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

881-6

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

277

pub_type

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