scholarly journals Platelet Count/Spleen Diameter Ratio and Shear-Wave Elastography for Non-Invasive Prediction of High-Risk Varices: Can We Delay Screening Endoscopy for Compensated Cirrhosis?

2017 ◽  
Vol 17 (12) ◽  
Author(s):  
Ender Gunes Yegin ◽  
Emrah Karatay ◽  
Gulce Celik ◽  
Belgin Aldag ◽  
Davut Tuney ◽  
...  
Keyword(s):  
Platelet Count ◽  
High Risk ◽  
Shear Wave ◽  
Shear Wave Elastography ◽  
Diameter Ratio ◽  
Non Invasive ◽  
Compensated Cirrhosis ◽  
Screening Endoscopy

scholarly journals Non-Endoscopic Parameters for Predicton of Esophageal Varices

2017 ◽  
Vol 6 (2) ◽  
pp. 21-26
Author(s):  
Rahul Pathak ◽  
Roshan Jha ◽  
Prem Khadga ◽  
Shashi Sharma
Keyword(s):  
Platelet Count ◽  
Diagnostic Accuracy ◽  
Esophageal Varices ◽  
Rural Areas ◽  
Financial Burden ◽  
Tertiary Care ◽  
Diameter Ratio ◽  
Spleen Size ◽  
Non Invasive ◽  
Screening Endoscopy

Introduction: Non invasive assessment of esophageal varices may improve the management and lower the medical and financial burden related to the screening. In this study, Our aim was to validate the prediction of varices using platelet count/spleen diameter ratio and Alanine transaminase/platelet ratio index (APRI).Methods: Fifty patients with newly diagnosed and treatment naive cirrhosis underwent screening endoscopy along with hematological and ultrsonographic studies. Platelet count/spleen diameter ratio and APRI index were assessed and their diagnostic accuracy calculated. Based on previous studies, a cutoff of 909 was applied for platelet count/spleen diameter ratio and cutoff of > 1.3 for APRI. The diagnostic accuracy of both the indices were further evaluated for severity and size of varices.Results: Prevalence of varices was 36% out of which 24% were large varices. Platelet count/spleen size diameter, portal vein diameter and APRI index had significant association for prediction of presence of varices and strongly correlated with size of varices. Platelet count/spleen size diameter of 909 had diagnostic accuracy of 80.5% for prediction of varices with diagnostic accuracy being 95.8 for predicting large varices. APRI index of more than 1.3 had accuracy of 75% for predicting varices and 87.5% for accurately predicting them as large varices.Conclusions: In a resource limited country like ours, where access to specialized and tertiary care hospitals and availability of endoscopy facilities in rural areas is an issue, these non invasive parameters platelet count/spleen diameter and APRI can be taken as a safe and reliable predictor for esophageal varices.Journal of Advances in Internal Medicine 2017;06(02):21-26.

scholarly journals Platelet count/spleen diameter ratio for non-invasive prediction of high risk esophageal varices in cirrhotic patients

2009 ◽  
Vol 8 (4) ◽  
pp. 325-330 ◽  
Author(s):  
Francisco Barrera ◽  
Arnoldo Riquelme ◽  
Alejandro Soza ◽  
Álvaro Contreras ◽  
Gerty Barrios ◽  
...  
Keyword(s):  
Platelet Count ◽  
High Risk ◽  
Esophageal Varices ◽  
Diameter Ratio ◽  
Non Invasive ◽  
Cirrhotic Patients

SAT-414-Baveno VI principle for non-invasive assessment of high risk varices is also applicable with shear wave elastography

2019 ◽  
Vol 70 (1) ◽  
pp. e816-e817
Author(s):  
Oana Farcau ◽  
Felix Bende ◽  
Andreea Ardelean ◽  
Fischer Petra ◽  
Monica Lupsor-Platon ◽  
...  
Keyword(s):  
High Risk ◽  
Shear Wave ◽  
Shear Wave Elastography ◽  
Non Invasive

Platelet count/spleen diameter ratio for non-invasive diagnosis of oesophageal varices: Is it useful in compensated cirrhosis?

2012 ◽  
Vol 44 (6) ◽  
pp. 504-507 ◽  
Author(s):  
Manuela Mangone ◽  
Alessandra Moretti ◽  
Federica Alivernini ◽  
Claudio Papi ◽  
Ruggero Orefice ◽  
...  
Keyword(s):  
Platelet Count ◽  
Diameter Ratio ◽  
Oesophageal Varices ◽  
Non Invasive ◽  
Compensated Cirrhosis

Noninvasive Assessment of Liver Diseases using 2D Shear Wave Elastography

2016 ◽  
Vol 25 (4) ◽  
pp. 525-532 ◽  
Author(s):  
Monica Lupșor-Platon ◽  
Radu Badea ◽  
Mirela Gersak ◽  
Anca Maniu ◽  
Ioana Rusu ◽  
...  
Keyword(s):  
Shear Wave ◽  
Predictive Value ◽  
Liver Diseases ◽  
Venous Pressure ◽  
Liver Stiffness ◽  
Shear Wave Elastography ◽  
Acoustic Radiation Force Impulse ◽  
Two Dimensional ◽  
Non Invasive ◽  
Examination Technique

There has been great interest in the development of non-invasive techniques for the diagnosis of liver fibrosis in chronic liver diseases, including ultrasound elastographic methods. Some of these methods have already been adequately studied for the non-invasive assessment of diffuse liver diseases. Others, however, such as two-dimensional Shear Wave Elastography (SWE), of more recent appearance, have yet to be validated and some aspects are for the moment incompletely elucidated. This review discusses some of the aspects related to two-dimensional SWE: the examination technique, the examination performance indicators, intra and interobserver agreement and clinical applications. Recommendations for a high-quality examination technique are formulated. Key words:  –  –  – Two-dimensional Shear Wave Elastography. Abbreviations: 2D- SWE: Two-dimensional Shear Wave Elastography; 3D- SWE: Three-dimensional Shear Wave Elastography; AUROC: area under the receiver operating characteristic curves; ARFI Acoustic Radiation Force Impulse Elastography; EFSUMB: European Federation of Societies for Ultrasound in Medicine and Biology; HVPG: hepatic venous pressure gradient; LS: liver stiffness; LR: likelihood ratio; NPV: negative predictive value; PPV: positive predictive value; ROI: region of interest; RT-E: Real Time-Elastography; Se: sensitivity; Sp: specificity; TE: Transient Elastography; US: ultrasound; VM: valid measurement; E: Young’s modulus

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