EUS-based shear wave elastography of the spleen for detection of clinically significant portal hypertension

iGIE Pub Date : 2024-12-01 Epub Date: 2024-09-07 DOI:10.1016/j.igie.2024.09.002

Jad P. AbiMansour MD , Jerry Yung-Lun Chin MBBS , Eric J. Vargas MD , Jyotroop Kaur MBBS , Barham K. Abu Dayyeh MD, MPH , Ryan J. Law DO , Vishal Garimella MBBS , Michael J. Levy MD , Andrew C. Storm MD , Ross Dierkhising MS , Alina Allen MD , Vinay Chandrasekhara MD

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Abstract

Background and Aims

A measurement of spleen stiffness has been demonstrated to improve the detection of clinically significant portal hypertension (CSPH). In this study, we evaluated the performance of EUS-guided shear wave elastography (EUS-SWE) for detecting CSPH.

Methods

EUS-SWE measurements of the spleen were compared between patients with and without CSPH. Receiver-operating characteristic curve analysis was performed and quantified by the area under the receiver-operating characteristic curve (AUROC).

Results

Of 142 patients with EUS-SWE spleen measurements, 13 (9.2%) had CSPH and 129 (90.8%) did not. Patients with CSPH had a significantly higher mean spleen stiffness (37.6 ± 8.5 kPA vs 29.1 ± 9.9 kPA, P = .003). The AUROC was .74.

Conclusions

SWE is a promising technology that can readily be incorporated into standard EUS examination for assessment of portal hypertension.

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脾脏横波弹性成像检测临床意义重大的门静脉高压

背景和AimsA测量脾脏刚度已被证明可以改善临床显著门脉高压（CSPH）的检测。在这项研究中，我们评估了eus引导横波弹性成像（EUS-SWE）检测CSPH的性能。方法比较有CSPH和无CSPH患者脾脏的seus - swe测量值。用受者工作特征曲线下面积（AUROC）进行受者工作特征曲线分析并定量。结果142例EUS-SWE脾脏测量患者中，13例（9.2%）有CSPH， 129例（90.8%）无CSPH。CSPH患者脾脏僵硬度（37.6±8.5 kPA vs 29.1±9.9 kPA, P = 0.003）显著高于CSPH患者。AUROC为0.74。结论sswe是一种很有前途的技术，可以很容易地纳入标准EUS检查来评估门静脉高压症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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iGIE

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