Titre :

Noninvasive Pediatric Liver Fibrosis Measurement: Two-Dimensional Shear Wave Elastography Compared With Transient Elastography.

Auteur(s) :

Tran, Léa [Auteur]
Institute for Translational Research in Inflammation - U 1286 [INFINITE (Ex-Liric)]
Ley, Delphine [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Hôpital Jeanne de Flandre [Lille]
Bourdon, Gurvan [Auteur]
Hôpital Jeanne de Flandre [Lille]
Coopman, Stéphanie [Auteur]
Hôpital Jeanne de Flandres
Lerisson, Héloïse [Auteur]
Hôpital Jeanne de Flandre [Lille]
Tillaux, Céline [Auteur]
Hôpital Jeanne de Flandre [Lille]
Behal, Helene [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
gottrand, frederic [Auteur]
Institute for Translational Research in Inflammation - U 1286 [INFINITE]
Hôpital Jeanne de Flandre [Lille]
Aumar, Madeleine [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Hôpital Jeanne de Flandre [Lille]

Titre de la revue :

Frontiers in Pediatrics

Nom court de la revue :

Front Pediatr

Numéro :

10

Pagination :

849815

Éditeur :

Frontiers

Date de publication :

2022-04-28

ISSN :

2296-2360

Mot(s)-clé(s) en anglais :

cirrhosis
liver disease
pediatric
shear wave elastography
ultrasound

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Although transient elastography (TE) is the primary noninvasive method for assessing liver fibrosis, its use remains to be validated in children. This study aims to evaluate the agreement between two-dimensional ultrasound ...
Lire la suite >Although transient elastography (TE) is the primary noninvasive method for assessing liver fibrosis, its use remains to be validated in children. This study aims to evaluate the agreement between two-dimensional ultrasound shear wave elastography (2D-SWE) and TE to assess pediatric liver stiffness method. During the 18-month study, we prospectively included 101 consecutive children (median age: 8.5 years, range: 1 month to 17 years) who required TE for medical reasons, and in whom 2D-SWE measurement was performed within a 3-month follow-up during a routine ultrasound. Liver elasticity values were classified according to the Metavir score using published pediatric norms for TE and according to the manufacturer's reference values for 2D-SWE. The Spearman's correlation coefficient was used to assess the relationship between the elasticity measured by the two techniques. Concordance was described by the Bland-Altman method. A strong correlation (rho = 0.70, < 0.001) was found between 2D-SWE and TE for the elasticity measures. The strength of correlation was higher among patients older than 6 years (rho = 0.79, < 0.001). Concordance between liver fibrosis stages assessed by these techniques was moderate [weighted kappa = 0.46, (95% CI: 0.35-0.57)]. When considering stages over F2, 2D-SWE diagnostic performances showed a sensitivity of 85% (95% CI: 74-92) and a specificity of 57% (95% CI: 42-70) compared with TE. Measurements of the liver stiffness using 2D-SWE and TE are strongly correlated. The moderate concordance between these techniques for assessing the liver fibrosis stage provides evidence against alternating between these methods during follow-up of patients with the chronic liver diseases.Lire moins >

Langue :

Anglais

Comité de lecture :

Oui

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
Inserm
CHU Lille

Collections :

• Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2022-12-14T09:54:28Z
2022-12-14T14:01:47Z