Reliability of an ultrasonographical scoring system for diagnosis of sinusoidal obstruction syndrome/veno-occlusive disease in patients with hematopoietic stem cell transplantation.
Adult
Aged
Aged, 80 and over
Female
Hematopoietic Stem Cell Transplantation
/ adverse effects
Hepatic Artery
/ diagnostic imaging
Hepatic Veno-Occlusive Disease
/ diagnostic imaging
Humans
Male
Middle Aged
Portal Vein
/ diagnostic imaging
Prospective Studies
Reproducibility of Results
Ultrasonography
/ methods
Young Adult
Hematopoietic stem cell transplantation
Hepatic veno-occlusive disease
Operator reliability
Sinusoidal obstruction syndrome
Ultrasonography
Journal
Journal of medical ultrasonics (2001)
ISSN: 1613-2254
Titre abrégé: J Med Ultrason (2001)
Pays: Japan
ID NLM: 101128385
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
17
09
2020
accepted:
06
11
2020
pubmed:
6
1
2021
medline:
25
6
2021
entrez:
5
1
2021
Statut:
ppublish
Résumé
Sinusoidal obstruction syndrome (SOS)/hepatic veno-occlusive disease (VOD) is a fatal complication after hematopoietic stem cell transplantation. We previously reported the usefulness of an ultrasonographical (US) scoring system, the Hokkaido US-based scoring system consisting of ten parameters (HokUS-10): (1) hepatomegaly in the left lobe and (2) right lobe, (3) dilatation of the main portal vein (PV), (4) hepatofugal flow in the main PV, (5) decreased velocity of the PV, (6) dilatation of the para-umbilical vein (PUV), (7) appearance of blood flow signal in the PUV, (8) gallbladder (GB) wall thickening, (9) ascites, and (10) increased resistive index of the hepatic artery, for the diagnosis of SOS/VOD. However, the reliability of this system among operators remains elusive. Therefore, we prospectively evaluated the reliability of HokUS-10. Twenty-four healthy volunteers and 40 patients with liver dysfunction were enrolled. Inter- and intra-operator reliabilities were analyzed using three sonographers. The median concordance rate of HokUS-10 among three sonographers and intra-operator in 24 volunteers was 92% (95% CI: 73-98%) and 98% (95% CI: 92-100%), respectively. In all 64 cases, in terms of the reliability between two sonographers for three representative US parameters (amount of ascites, GB wall thickening, and appearance of PUV blood flow signal), the median concordance rate was more than 98% (95% CI: 86-106%). The inter- and intra-reliabilities of HokUS-10 were excellent. Thus, US might be a reliable tool for SOS/VOD diagnosis.
Identifiants
pubmed: 33398544
doi: 10.1007/s10396-020-01071-1
pii: 10.1007/s10396-020-01071-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
45-52Références
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