Application of ultrasound elastography and splenic size in predicting post-hepatectomy liver failure: Unveiling new clinical perspectives.

IF 5.4 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastroenterology Pub Date : 2025-01-28 DOI:10.3748/wjg.v31.i4.98886
Shan Xu, Tao Zhang, Bin-Bo He, Jie Liu, Tao Kong, Qing-Yu Zeng
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Abstract

In this article, we discuss the study by Cheng et al, published in the World Journal of Gastroenterology, focusing on predictive methods for post-hepatectomy liver failure (PHLF). PHLF is a common and serious complication, and accurate prediction is critical for clinical management. The study examines the potential of ultrasound elastography and splenic size in predicting PHLF. Ultrasound elastography reflects liver functional reserve, while splenic size provides additional predictive value. By integrating these factors with serological markers, we developed a comprehensive prediction model that effectively stratifies patient risk and supports personalized clinical decisions. This approach offers new insights into predicting PHLF. These methods not only assist clinicians in identifying high-risk patients earlier but also provide scientific support for personalized treatment strategies. Future research will aim to validate the model's accuracy with larger sample sizes, further enhancing the clinical application of these non-invasive indicators.

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应用超声弹性成像和脾大小预测肝切除术后肝衰竭:揭示新的临床前景。
在这篇文章中,我们讨论Cheng等人发表在《世界胃肠病学杂志》上的研究,重点关注肝切除术后肝衰竭(PHLF)的预测方法。PHLF是一种常见且严重的并发症,准确的预测对临床治疗至关重要。本研究探讨了超声弹性成像和脾大小在预测PHLF中的潜力。超声弹性图反映肝脏功能储备,而脾脏大小提供额外的预测价值。通过将这些因素与血清学标志物相结合,我们开发了一个全面的预测模型,可以有效地对患者风险进行分层,并支持个性化的临床决策。这种方法为预测PHLF提供了新的见解。这些方法不仅可以帮助临床医生更早地识别高危患者,还可以为个性化治疗策略提供科学支持。未来的研究将以更大的样本量来验证模型的准确性,进一步加强这些非侵入性指标的临床应用。
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来源期刊
World Journal of Gastroenterology
World Journal of Gastroenterology 医学-胃肠肝病学
CiteScore
7.80
自引率
4.70%
发文量
464
审稿时长
2.4 months
期刊介绍: The primary aims of the WJG are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in gastroenterology and hepatology.
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