脾脏硬度-脾脏大小与血小板比率风险评分作为乙型肝炎病毒

StephenW

脾脏硬度-脾脏大小与血小板比率风险评分作为乙型肝炎病毒相关肝硬化患者食管静脉曲张的无创预测因子
Young Seo Cho 1 , Sanghyeok Lim 2 , Yongsoo Kim 1 , Min Hee Lee 2 , Seo-Youn Choi 2 , Ji Eun Lee 2
隶属关系
隶属关系

    1
    韩国京畿道汉阳大学医学院汉阳大学九里医院放射科。
    2
    韩国京畿道顺天乡大学医学院富川顺天乡大学医院放射科。

    PMID：35623071 DOI：10.1097/MD.0000000000029389

抽象的

本研究旨在评估脾脏硬度-脾脏大小与血小板比率风险评分 (SSPS) 作为食管静脉曲张 (EVs) 的无创预测指标的预测价值，并将其与其他指标进行比较。在这项回顾性研究中，从 2017 年 4 月开始至 2018 年 10 月，共纳入 65 例乙肝病毒相关肝硬化患者，他们通过二维剪切波弹性成像和内镜评估 EV 进行肝脾硬度（LS 和 SS）测量。计算肝硬度-脾脏大小与血小板比率风险评分 (LSPS) 和 SSPS。预后值通过受试者工作特征曲线下面积 (AUC) 进行评估。26 名患者的内镜检查未发现 EV。在 39 名患有 EV 的患者中，12 名患者患有高危 EV。用于预测电动汽车的 LS 值、SS 值、LSPS 和 SSPS 的 AUC 分别为 0.72、0.77、0.80 和 0.85。 LS值、SS值、LSPS和SSPS用于预测高风险EV的AUC分别为0.55、0.78、0.67和0.80。 SSPS 在预测 EV 方面具有最高的特异性，为 96.15%。SSPS 可能有利于排除 EV，并且预计可以减少进行内镜检查以筛查 EV 的频率。

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StephenW

Spleen stiffness-spleen size-to-platelet ratio risk score as noninvasive predictors of esophageal varices in patients with hepatitis B virus-related cirrhosis
Young Seo Cho  1 , Sanghyeok Lim  2 , Yongsoo Kim  1 , Min Hee Lee  2 , Seo-Youn Choi  2 , Ji Eun Lee  2
Affiliations
Affiliations

    1
    Department of Radiology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Gyeonggi-do, Republic of Korea.
    2
    Department of Radiology, Soonchunhyang University Hospital Bucheon, SoonChunHyang University College of Medicine, Gyeonggi-do, Republic of Korea.

    PMID: 35623071 DOI: 10.1097/MD.0000000000029389

Abstract

This study was conducted to evaluate the predictive value of spleen stiffness-spleen size-to-platelet ratio risk score (SSPS) as a noninvasive predictor of esophageal varices (EVs) and to compare it with others.In this retrospective study, from April 2017 to October 2018, a total of 65 patients with hepatitis B virus-related cirrhosis who underwent the liver and spleen stiffness (LS, and SS) measurements by 2 dimensional-shear wave elastography and endoscopic evaluation for EVs were enrolled. Liver stiffness-spleen size-to-platelet ratio risk score (LSPS) and SSPS were calculated. The prognostic values were assessed by the area under the receiver operating characteristic curve (AUC).Twenty-six patients had no EV on endoscopy. Among 39 patients who had EVs, 12 patients had high risk EVs. The AUCs of the LS value, SS value, LSPS, and SSPS for predicting EVs were 0.72, 0.77, 0.80, and 0.85, respectively. The AUCs of the LS value, SS value, LSPS, and SSPS for predicting high-risk EVs were 0.55, 0.78, 0.67, and 0.80, respectively. SSPS had the highest specificity, at 96.15%, for predicting EVs.SSPS may be beneficial to exclude from having EVs and it is expected that the frequency of performing endoscopies for screening EVs can be reduced.

Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.