Jusufi Arzana Hasani, Trajkovska Meri
1Clinic of Gastroenterohepatology, Ss. Cyril and Methodius University of Skopje, Republic of North Macedonia.
Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2024 Dec 12;45(3):85-106. doi: 10.2478/prilozi-2024-0026. Print 2024 Nov 1.
: Non-invasive methods aim to predict the stage of liver fibrosis in line with histological findings via biopsy. Shear wave elastography and serum markers are proven as accurate non-invasive methods for determining liver fibrosis as a modern non-invasive methods compared to liver biopsy in staging hepatic fibrosis. : This study aims to determine the correlation between Shear Wave Elastography and indirect and direct serum markers of fibrosis when staging liver fibrosis. : The study was conducted in the Clinic of Gastroenterohepatology, the Institute of Immunology and Human Genetics, and the Institute of Pathology between 2021 and 2023. The study comprises 70 patients with liver lesions, diagnosed based on clinical results, laboratory tests, and ultra-sound imaging. All patients underwent liver biopsy, classified according to Ishak and Metavir score as a reference method for diagnosing liver fibrosis. Real-time shear wave elastography was also performed as a non-invasive method and serum markers were checked for liver fibrosis. : The statistical analysis indicated a positive correlation between the values of direct and indirect liver fibrosis markers and Shear Wave Elastography results. : Our study has demonstrated that shear wave elastography has a significant positive correlation with biochemical markers of liver lesions and serum markers of liver fibrosis, whereas it has a negative correlation with platelets.
非侵入性方法旨在通过活检来预测与组织学结果相符的肝纤维化阶段。与肝活检在肝纤维化分期中相比,剪切波弹性成像和血清标志物作为确定肝纤维化的准确非侵入性方法已得到证实,是现代非侵入性方法。:本研究旨在确定肝纤维化分期时剪切波弹性成像与间接和直接血清纤维化标志物之间的相关性。:该研究于2021年至2023年在胃肠肝病诊所、免疫学和人类遗传学研究所及病理学研究所进行。该研究包括70例肝脏病变患者,根据临床结果、实验室检查和超声成像进行诊断。所有患者均接受肝活检,根据Ishak和Metavir评分进行分类,作为诊断肝纤维化的参考方法。还进行了实时剪切波弹性成像作为非侵入性方法,并检查了肝纤维化的血清标志物。:统计分析表明,直接和间接肝纤维化标志物的值与剪切波弹性成像结果之间存在正相关。:我们的研究表明,剪切波弹性成像与肝脏病变的生化标志物和肝纤维化的血清标志物具有显著正相关,而与血小板具有负相关。