Journal of Korean Society of Medical Ultrasound 1997;16(3): 203-207.
Detection of Hepatic Cirrhosis in Patients with Chronic Hepatitis B: Usefulness of Duplex Doppler Sonography of Hepatic Vein.
Hyo Keun Lim, Jae Hoon Lim, Won Jae Lee, Seung Woon Paik, Mi Kyung Kim
1Department of Radiology, Samsung Medical Center, College of Medicine, Sung Kyun Kwan University, Korea.
2Department of Gastroenterology, Samsung Medical Center, College of Medicine, Sung Kyun Kwan University, Korea.
3Department of Pathology, Samsung Medical Center, College of Medicine, Sung Kyun Kwan University, Korea.
  Published online: January 1, 2001.
ABSTRACT
PURPOSE: To evaluate the diagnostic value of duplex Doppler sonography (US) in the detection of cirrhosis in patients with chronic hepatitis B. MATERIALS & METHODS: Over a recent 14-month period, 50 patients with chronic hepatitis B and 50 control subjects were prospectively evaluated with duplex Doppler US. Doppler spectral waveforms were obtained from right hepatic vein with optimized methods. A liver biopsy was performed in right hepatic lobe adjacent to the hepatic vein from where Doppler waveform was obtained under US guidance. Doppler waveform was considered to be abnormal if hepatic vein showed either decreased phasicity without retrograde component or complete monophasicity. Diagnostic accuracy of abnormal waveforms in the detection of cirrhosis was calculated. RESULTS: Waveforms of hepatic veins were normal in all control subjects. Abnormal waveforms of hepatic veins showed a sensitivity of 72%, specificity of 88%, positivepredictive value of 86%, negative predictive value of 76%, and diagnostic accuracy of 80% in the detection of cirrhosis in patients with chronic hepatitis B. CONCLUSION: Duplex Doppler US of hepatic veins could be a promising adjunctive tool in detecting the hepatic cirrhosis in patients with well-compensated chronic hepatitis B.
Keywords: Hepatic vein; US studies; Liver cirrhosis; US; Doppler studies
TOOLS
Full text via DOI  Full text via DOI
METRICS
1,437
View
4
Download
We recommend
Editorial Office
A-304 Mapo Trapalace, 53 Mapo-daero, Mapo-gu, Seoul 04158, Korea
TEL : +82-2-763-5627   FAX : +82-2-763-6909   E-mail : office@ultrasound.or.kr
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © Korean Society of Ultrasound in Medicine.                 Developed in M2PI
Zoom in Close layer