Diagnostic Accuracy of Indocyanine Green Clearance Test for Different Stages of Liver Fibrosis and Cirrhosis.

chronic liver disease diagnostic tests hepatology liver cirrhosis liver fibrosis liver function

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
12 Aug 2023
Historique:
received: 13 06 2023
revised: 01 08 2023
accepted: 08 08 2023
medline: 26 8 2023
pubmed: 26 8 2023
entrez: 26 8 2023
Statut: epublish

Résumé

(1) Background: This study aimed to correlate the indocyanine green clearance (ICG) test with histopathological grades of liver fibrosis and liver cirrhosis to assess its diagnostic accuracy in differentiating normal liver parenchyma from liver fibrosis and liver cirrhosis. (2) Methods: A total of 82 patients who received a histopathological liver examination, imaging, and ICG test within three months were included in this retrospective study. The histopathological level of fibrosis was graded using the Ishak scoring system, and the patients were divided into five categories: no liver fibrosis (NLF), mild liver fibrosis (MLF), advanced liver fibrosis (ALF), severe liver fibrosis (SLF), and liver cirrhosis (LC). The non-parametric Kruskal-Wallis test with post hoc pairwise comparison utilizing Mann-Whitney U tests and Bonferroni adjustment was used to analyze differences in the ICG test results between the patient groups. Cross correlation between the individual fibrosis/cirrhosis stages and the score of the ICG test was performed, and the sensitivity, specificity, and positive and negative predictive values were calculated for each model predicting liver fibrosis/cirrhosis. (3) Results: A significant difference (

Identifiants

pubmed: 37627922
pii: diagnostics13162663
doi: 10.3390/diagnostics13162663
pmc: PMC10453681
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Lukas Luerken (L)

Department of Radiology, University Hospital Regensburg, 93053 Regensburg, Germany.

Marco Dollinger (M)

Department of Radiology, University Hospital Regensburg, 93053 Regensburg, Germany.

Andrea Goetz (A)

Department of Radiology, University Hospital Regensburg, 93053 Regensburg, Germany.

Kirstin Utpatel (K)

Department of Pathology, University Hospital Regensburg, 93053 Regensburg, Germany.

Michael Christian Doppler (MC)

Department of Diagnostic and Interventional Radiology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, 79085 Freiburg, Germany.

Jakob Benedikt Weiss (JB)

Department of Diagnostic and Interventional Radiology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, 79085 Freiburg, Germany.

Wibke Uller (W)

Department of Diagnostic and Interventional Radiology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, 79085 Freiburg, Germany.

André Ignee (A)

Department of Gastroenterology, Hospital Wuerzburg Mitte, 97074 Wuerzburg, Germany.

Niklas Verloh (N)

Department of Diagnostic and Interventional Radiology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, 79085 Freiburg, Germany.

Michael Haimerl (M)

Department of Diagnostic and Interventional Radiology, Hospital Wuerzburg Mitte, 97074 Wuerzburg, Germany.

Classifications MeSH