1921
Volume 86, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

The purpose of this study was to correlate morphologic and hemodynamic Doppler ultrasound findings as indicators of the degree of inflammation and fibrosis and to diagnose chronic vital hepatitis complications and progression. A prospective, descriptive study of a case series was conducted that analyzed Doppler ultrasound images of the liver and portal system and used the portal vein congestion index, hepatic and splenic artery impedance indices, and the liver vascular index. Of 50 patients positive for antibodies against hepatitis C virus, morphologic changes highlighted increased hepatic parenchyma echogenicity in 24%, and increased gall blander echogenicity and wall thickness in 4%. The most common hemodynamic changes observed were reduced flow velocity in the portal vein trunk in 26%, congestion index changes in 12%, liver vascular index changes in 16%, and splenic and hepatic artery impedance index changes in 14%. These indices were shown to be associated with alanine aminotransferase levels, which suggested that they are important liver damage indicators in the early phase of infection with hepatitis C virus.

Loading

Article metrics loading...

/content/journals/10.4269/ajtmh.2012.11-0561
2012-02-01
2017-11-20
Loading full text...

Full text loading...

/deliver/fulltext/14761645/86/2/273.html?itemId=/content/journals/10.4269/ajtmh.2012.11-0561&mimeType=html&fmt=ahah

References

  1. World Health Organization, 2011. Hepatitis C. Available at: http://www.who.int/mediacentre/factsheets/fs164/en/.
  2. Brasil, 2008. Hepatites Virais: O Brasil Está Atento. Brasília: Ministério da Saúde.
  3. Gonçales FG, , 2003. Hepatites virais. Cimermam S, Cimermam B, eds. Medicina Tropical. São Paulo: Atheneu, 407412.
  4. Nezam HA, , 2004. The natural history of hepatitis C. Liver Disease 24: 38.
  5. Paraná R, Paiva T, Leite M, Oliveira FN, Kali N, Lobato C, Dantas T, Neto JT, , 2007. Infection with hepatitis C virus among health care workers in the Brazilian Western Amazon Region (Rio Branco, State Of Acre). Am J Trop Med Hyg 76: 165169.
  6. Torres KL, Malheiro A, Tateno A, de-Lima TA, Viana-Maia LP, Diniz-Pimentel JP, Encarnacão-de Morais MP, de-Milo-Usui CS, de-Oliveira-Braga F, Ferreira-Silva IA, Vasquez F, Eduardo-Levi J, , 2009. Hepatitis C virus in blood donors, Brazil. Emerg Infect Dis 15: 676678.[Crossref]
  7. De Oliveira-Filho AB, Pimenta AD, Rojas MD, Chagas MC, Crespo DM, Crescente JA, De Lemos JA, , 2010. Likely transmission of hepatitis C virus through sharing of cutting and perforating instruments in blood donors in the State of Pará, Northern Brazil. Cad Saude Publica 26: 837844.[Crossref]
  8. Foccacia R, Baraldo DC, Souza FV, , 2003. Hepatite C epidemiologia. Foccacia R, ed. Tratado de Hepatites Virais. São Paulo: Atheneu, 221230.
  9. Resende C, , 2005. Doppler hepático. Santos AA, Nacif MS, eds. Radiologia e Diagnóstico por Imagem: Abdome. Rio de Janeiro: Sociedade Brasileira de Radiologia. Livraria e Editora Rubio Ltda., 3101.
  10. Vezozzo DC, , 2001. Radiologia convencional e ultra-sonografia. Gayotto LC, Alves VA, eds. Doenças do Fígado e Vias Biliares. São Paulo: Atheneu, 173193.
  11. Piscaglia F, Donati G, Serra C, Muratori R, Solmi L, Gaiani S, Gramantieri L, Bolondi L, , 2001. Value of splanchnic Doppler ultrasound in the diagnosis of portal hypertension. Ultrasound Med Biol 27: 893899.[Crossref]
  12. Moriyasu F, Nishida O, Ban N, Nakamura T, Sakai M, Miyake T, Uchino H, , 1986. Congestion index of the portal vein. AJR 146: 735739.[Crossref]
  13. Smith JO, Sterling RK, , 2009. Systematic review: non-invasive methods of fibrosis analysis in chronic hepatitis C. Aliment Pharmacol Ther 30: 557576.[Crossref]
  14. Tarzamni MK, Somi MH, Farhang S, Jalilvand M, , 2008. Portal hemodynamics as predictors of high risk esophageal varices in cirrhotic patients. World J Gastroenterol 14: 18981902.[Crossref]
  15. Maia CR, , 2000. Anatomia vascular do fígado. Nectoux JL, ed. Ultra-Sonografia Vascular. Rio de Janeiro: Revinter, 305323.
  16. Zwiebel WJ, , 2003. Introdução à Ultra-Sonografia Vascular. Rio de Janeiro: Revinter.
  17. Goyal N, Jain N, Rachapalli V, Cochlin DL, Robinson M, , 2009. Non-invasive evaluation of liver cirrhosis using ultrasound. Clin Radiol 64: 10561066.[Crossref]
  18. Iwao T, Toyonaga A, Oho K, Tayama C, Masumoto H, Sakai T, Sato M, Tanikawa K, , 1997. Value of Doppler ultrasound parameters of portal vein and hepatic artery in the diagnosis of cirrhosis and portal hypertension. Am J Gastroenterol 92: 10121017.
  19. Ohta M, Hashizume M, Kawanaka H, Akazawa K, Tomikawa M, Higashi H, Kishihara F, Tanoue K, Sugimachi K, , 1995. Prognostic significance of hepatic vein waveform by Doppler ultrasonography in cirrhotic patients with portal hypertension. Am J Gastroenterol 90: 18531857.
  20. Borges VF, Diniz AL, Cotrim HP, Rocha HL, Salomão FC, , 2011. Dopplerfluxometria da veia hepática em pacientes com esteatose não alcoólica. Radiol Bras 44: 16.[Crossref]
  21. Pierce ME, Sewell R, , 1990. Identification of hepatic cirrhosis by duplex Doppler ultrasound value of the hepatic artery resistive index. Australas Radiol 34: 331333.[Crossref]
  22. Sacerdoti D, Merkel C, Bolognesi M, Amodio P, Angeli P, Gatta A, , 1995. Hepatic arterial resistance in cirrhosis with and without portal vein thrombosis: relationships with portal hemodynamics. Gastroenterology 108: 11521158.[Crossref]
  23. Araújo AR, , 2004. Hepatites B e C em Manaus: Perfil Clínico-Epidemiológico e Distribuição Espacial de Casos Conhecidos Desde 1997 a 2001. Rio de Janeiro: Universidade Federal do Estado do Rio de Janeiro.
  24. Mathiesen UL, Franzén LE, Aselius H, Resjö M, Jacobsson L, Foberg U, Frydén A, Bodemar G, , 2002. Increased liver echogenicity at ultrasound examination reflects degree of steatosis but not of fibrosis in asymptomatic patients with mild/moderate abnormalities of liver transaminases. Dig Liver Dis 34: 516522.[Crossref]
  25. D'Onofrio M, Martone E, Brunelli S, Faccioli N, Zamboni G, Zagni I, Fattovich G, Pozzi Mucelli R, , 2005. Accuracy of ultrasound in the detection of liver fibrosis in chronic viral hepatitis. Radiol Med (Torino) 110: 341348.
  26. Thabut D, Moreau R, Lebrec D, , 2011. Noninvasive assessment of portal hypertension in patients with cirrhosis. Hepatology 53: 683694.[Crossref]
  27. Zheng RQ, Wang QH, Lu MD, Xie SB, Ren J, Su ZZ, Cai YK, Yao JL, , 2002. Liver fibrosis in chronic viral hepatitis: an ultrasonographic study. World J Gastroenterol 9: 24843489.
  28. de Oliveira IR, Widman A, Fukushima JT, Saad WA, Gama-Rodrigues JJ, Cerri GG, , 2001. Doppler ultrasonography evaluation of paraumbilical vein and portal hypertension. J Radiol 82: 16271631.
  29. Bolondi L, Gandolfi L, Arienti V, Caletti GC, Corcioni E, Gasbarrini G, Labò G, , 1982. Ultrasonography in the diagnosis of portal hypertension: diminished response of portal vessels to respiration. Radiology 142: 167172.[Crossref]
  30. Liu GJ, Lu MD, , 2010. Diagnosis of liver cirrhosis with contrast-enhanced ultrasound. World J Radiol 2: 3236.[Crossref]
  31. Bolondi L, Gaiani S, Barbara L, , 1991. Accuracy and reproducibilty of portal flow measurement by Doppler US. J Hepatol 13: 269273.[Crossref]
  32. Zironi G, Gaiani S, Fenyves D, Rigamonti A, Bolondi L, Barbara L, , 1992. Value of measurement of mean portal flow velocity by Doppler flowmetry in the diagnosis of portal hypertension. J Hepatol 16: 298303.[Crossref]
  33. Nakanishi S, Shiraki K, Yamamoto K, Koyama M, Kimura N, Nakano T, , 2005. Hemodynamics in the portal vein evaluated by pulse wave Doppler ultrasonography in patients with chronic hepatitis C treated with interferon. World J Gastroenterol 11: 396399.[Crossref]
  34. Haktanir A, Cihan BS, Celenk C, Cihan S, , 2005. Value of Doppler sonography in assessing the progression of chronic viral hepatitis and in the diagnosis and grading of cirrhosis. J Ultrasound Med 24: 311321.[Crossref]
  35. O'Donohue J, Ng C, Catnach S, Farrant P, Williams R, , 2004. Diagnostic value of Doppler assessment of the hepatic and portal vessels and ultrasound of the spleen in liver disease. Eur J Gastroenterol Hepatol 16: 149155.[Crossref]
  36. Colli A, , 1994. Abnormalities of Doppler waveform of the hepatic veins in patients with chronic liver disease: correlation with histologic findings. AJR 162: 833837.[Crossref]
  37. Schneider AR, Teuber G, Kriener S, Caspary WF, , 2005. Noninvasive assessment of liver steatosis, fibrosis and inflammation in chronic hepatitis C virus infection. Liver Int 25: 1150.[Crossref]
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.2012.11-0561
Loading
/content/journals/10.4269/ajtmh.2012.11-0561
Loading

Data & Media loading...

  • Received : 02 Sep 2011
  • Accepted : 26 Nov 2011

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error