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( Yoichi Yano ),( Tatsuyuki Tonan ),( Yuriko Koga ),( Toru Nakamura ),( Mitsuhiko Abe ),( Yu Ikezono ),( Michio Sata ),( Takuji Torimura ),( Si Won Lee ),( Mi Hong Choi ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Liver stiffness is sometimes occured in patient with HCV-associated to HIV-positive. Reduction of immune system, the patient might has been got HCV easily. Early detection and treatment should be done to ensure that the patient can be healed. The earlier we can detect, the higher possibility they can be cured. Therefore, nowadays researchers and clinicians focused in the development of diagnostic tools with high sensitivity and specifi city. The noninvasive measurement of liver stiffness (LS) now can be evaluated by transient elastography (fibroScan). Methods: We evaluated 35 patients with chronic viral hepatitis, 69% were male, 31% were female. We divided them into 3 groups, (1) no fi brosis group (2) mild until moderate (3) severe HCV with extensive fi brosis and liver stiffness. All subject (100%) were evaluated by fibroScan, 15 patients (43%) also got liver biopsy, and 31 patients (88%) also got MRI. Study design is cross-sectional with simple random sampling. Results: In TE, the degree of liver fi brosis were calculated by velocity of low-frequency transient wave produced by mechanical-probe. Comparing to liver biopsy, TE has demonstrated both high specifi city and sensitifi ty. The specifi cty of TE is 94.29% to (95%CI: 93.15%-96.7%) and sensitifi ty of TE is 82.85% (95% CI: 79,87%-85,76%). Conclusions: Real-time TE is a reliable surrogate marker of liver fi brosis, with high specifi city and sensitifi ty for early detection in mild fi brosis. However, the applicability of TE is limited to non-obese patients (BMI < 30 kg/m2) and without any ascites. If TE has already predicted liver fi brosis, biposy may not be necessary.