In:
PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 10 ( 2021-10-15), p. e0254892-
Abstract:
In a recent study, attenuation imaging (ATI) with ultrasound was used as a new approach for detecting liver steatosis. However, although there are many studies on ATI and controlled attenuation parameter (CAP) that prove their practicability, there are few studies comparing these two methods. As such, this study compared CAP and ATI for the detection and evaluation of liver steatosis. Methods A prospective analysis of 28 chronic liver disease patients who underwent liver biopsy, FibroScan® imaging, and ATI with ultrasound was conducted. The presence and degree of steatosis, as measured with the FibroScan® device and ATI, were compared with the pathological results obtained using liver biopsy. Results The areas under the receiver operating characteristic curve (AUROC) of ATI and CAP for differentiating between normal and hepatic steatosis were 0.97 (95% confidence interval [CI] 0.83–1.00) and 0.96 (95% CI 0.81–0.99), respectively. ATI has a higher AUROC than CAP does in liver steatosis, at 0.99 (95% CI, 0.86–1.00) versus 0.91 (95% CI, 0.74–0.98) in grade ≥ 2 and 0.97 (95% CI, 0.82–1.00) versus 0.88 (95% CI, 0.70–0.97) in grade = 3, respectively. Conclusion The ATI and CAP results showed good consistency and accuracy for the steatosis grading when compared with the liver biopsy results. Moreover, ATI is even better than CAP in patients with moderate or severe steatosis. Therefore, ATI represents a non-invasive and novel diagnostic tool with which to support the diagnosis of liver steatosis in clinical practice.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0254892
DOI:
10.1371/journal.pone.0254892.g001
DOI:
10.1371/journal.pone.0254892.g002
DOI:
10.1371/journal.pone.0254892.g003
DOI:
10.1371/journal.pone.0254892.g004
DOI:
10.1371/journal.pone.0254892.g005
DOI:
10.1371/journal.pone.0254892.t001
DOI:
10.1371/journal.pone.0254892.t002
DOI:
10.1371/journal.pone.0254892.s001
DOI:
10.1371/journal.pone.0254892.s002
DOI:
10.1371/journal.pone.0254892.s003
DOI:
10.1371/journal.pone.0254892.r001
DOI:
10.1371/journal.pone.0254892.r002
DOI:
10.1371/journal.pone.0254892.r003
DOI:
10.1371/journal.pone.0254892.r004
DOI:
10.1371/journal.pone.0254892.r005
DOI:
10.1371/journal.pone.0254892.r006
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2021
detail.hit.zdb_id:
2267670-3
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