Pre-operative Detection of Liver Fibrosis in Hepatocellular Carcinoma Patients Using 2D Shear Wave Elastography: Where to Measure?

摘要: The aim of this study was to pre-operatively investigate the diagnostic performance 2D shear wave elastography (2D-SWE) for staging liver fibrosis and inflammation in patients with hepatocellular carcinoma (HCC) who then undergo surgery determine optimal locations measurement. In total, 106 were enrolled prospective from March 2017 May 2018. Two-dimensional SWE used measure stiffness (LS) each patient 0-1, 1-2 2-5 cm tumor border (groups 1, 2 3, respectively). Spearman's correlation evaluate relationships between LS hepatic inflammation. Receiver operating characteristic curve (ROC) analysis accuracy 2D-SWE. technical success rate tissue distant (group 3) significantly higher than that peri-tumoral 1 2) (p < 0.001). Moreover, area under ROC diagnosing cirrhosis (F4) severe (A3) group 3 groups 2. Our results suggest 2D-SWE is a helpful approach assessment HCC before resection. We found achieve superior preferable diagnosis HCC, measurement should be performed margin.