Ultrasound, shear-wave elastography, and magnetic resonance imaging in native liver survivor patients with biliary atresia after Kasai portoenterostomy: correlation with medical outcome after treatment.
Kasai portoenterostomy
Ultrasound
biliary atresia
magnetic resonance imaging
shear-wave elastography
Journal
Acta radiologica (Stockholm, Sweden : 1987)
ISSN: 1600-0455
Titre abrégé: Acta Radiol
Pays: England
ID NLM: 8706123
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
pubmed:
6
2
2020
medline:
27
10
2020
entrez:
4
2
2020
Statut:
ppublish
Résumé
Biliary atresia (BA) is a rare obliterative cholangiopathy and Kasai portoenterostomy (KP) represents its first-line treatment; clinical and laboratory parameters together with abdominal ultrasound (US) are usually performed during the follow-up. Shear-wave elastography (SWE) is able to evaluate liver parenchyma stiffness; magnetic resonance imaging (MRI) has also been proposed to study these patients. To correlate US, SWE, and MRI imaging findings with medical outcome in patients with BA who are native liver survivors after KP. We retrospectively enrolled 24 patients. They were divided in two groups based on "ideal" (n = 15) or "non-ideal" (n = 9) medical outcome. US, SWE, and MRI exams were analyzed qualitatively and quantitatively for imaging signs suggestive of chronic liver disease (CLD). Significant differences were found in terms of liver surface ( US, SWE, and MRI findings correlate with the medical outcome in native liver survivor patients with BA treated with KP.
Sections du résumé
BACKGROUND
BACKGROUND
Biliary atresia (BA) is a rare obliterative cholangiopathy and Kasai portoenterostomy (KP) represents its first-line treatment; clinical and laboratory parameters together with abdominal ultrasound (US) are usually performed during the follow-up. Shear-wave elastography (SWE) is able to evaluate liver parenchyma stiffness; magnetic resonance imaging (MRI) has also been proposed to study these patients.
PURPOSE
OBJECTIVE
To correlate US, SWE, and MRI imaging findings with medical outcome in patients with BA who are native liver survivors after KP.
MATERIAL AND METHODS
METHODS
We retrospectively enrolled 24 patients. They were divided in two groups based on "ideal" (n = 15) or "non-ideal" (n = 9) medical outcome. US, SWE, and MRI exams were analyzed qualitatively and quantitatively for imaging signs suggestive of chronic liver disease (CLD).
RESULTS
RESULTS
Significant differences were found in terms of liver surface (
CONCLUSION
CONCLUSIONS
US, SWE, and MRI findings correlate with the medical outcome in native liver survivor patients with BA treated with KP.
Identifiants
pubmed: 32008344
doi: 10.1177/0284185120902379
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM