2024 Volume 30 Issue 2 Pages 159-165
Shear wave elastography is one of the non-invasive method for diagnosing the degree of hepatic fibrosis. The aim of this study is to clarify the usefulness of liver or spleen shear wave elastography (L-SWE, S-SWE) and liver or spleen shear wave dispersion (L-SWD, S-SWD) for diagnosing esophageal varices (EVs), high-risk EVs (HR-EVs), ascites (AS) and hepatic encephalopathy (HE). The 86 liver cirrhosis patients performed L-SWE, S-SWE, L-SWD and S-SWD were enrolled. The values of L/S-SWE and L/S-SWD were the median values measured six times. L/S-SWE in patients with EVs were significantly higher than that in patients without EVs. S-SWE in patients with HR-EVs were significantly higher than that in patients without HR-EVs. L/S-SWE and L-SWD in patients with AS were significantly higher than those in patients without AS. L-SWE/SWD in patients with HE were significantly higher than that in patients without HE. In diagnosing EVs, HR-EVs and AS, AUROCs of S-SWE were the highest values (0.772, 0.700, 0.767, respectively). In diagnosing HE, AUROC of L-SWE was the highest value (0.649). L/S-SWE might be able to be the useful non-invasive method for the prediction of EVs, HR-EVs, AS and HE.
