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Relevance of 3D Cholangiography and Transient Elastography to Assess Cystic Fibrosis-Associated Liver Disease?

Identifieur interne : 000043 ( Main/Exploration ); précédent : 000042; suivant : 000044

Relevance of 3D Cholangiography and Transient Elastography to Assess Cystic Fibrosis-Associated Liver Disease?

Auteurs : C. Lemaitre [France] ; S. Dominique [France] ; E. Billoud [France] ; M. Eliezer [France] ; H. Montialoux [France] ; M. Quillard [France] ; G. Riachi [France] ; E. Koning [France] ; H. Morisse-Pradier [France] ; G. Savoye [France] ; C. Savoye-Collet [France] ; O. Goria [France]

Source :

RBID : PMC:4939173

Abstract

Background. Cystic fibrosis-associated liver disease (CFLD) is a major cause of death. The objective of our retrospective study was to describe the relevance of magnetic resonance imaging (MRI) and liver stiffness measurement (LSM) for CFLD evaluation. Methods. All cystic fibrosis adult patients evaluated by MRI and LSM were included. MR signs of portal hypertension (PHT), dysmorphia, or cholangitis were collected and LSM expressed in kPa and Metavir. Results. Of 25 patients, 52% had abnormal MRI. Median LSM was 5.7 kPa (3.4–9.9). Three patients had F2 score and one had F3 score. In patients with PHT, LSM was 7.85 kPa (3.7–9.9) compared to 5 (3.4–7.5) in others, p = 0.02. In patients with abnormal liver function tests, 50% had increased LSM (≥F2), whereas 94% with normal tests had normal LSM (p = 0.04). Seven patients had abnormal MRI despite normal ultrasonography. Conclusions. MRI and LSM provide useful information on CFLD and may help to screen patients with PHT.


Url:
DOI: 10.1155/2016/4592702
PubMed: 27445541
PubMed Central: 4939173


Affiliations:


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<name sortKey="Koning, E" sort="Koning, E" uniqKey="Koning E" first="E." last="Koning">E. Koning</name>
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<name sortKey="Morisse Pradier, H" sort="Morisse Pradier, H" uniqKey="Morisse Pradier H" first="H." last="Morisse-Pradier">H. Morisse-Pradier</name>
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<nlm:aff id="I2">Department of Pneumology, Adult Cystic Fibrosis Centre, Rouen University Hospital, Rouen, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Pneumology, Adult Cystic Fibrosis Centre, Rouen University Hospital, Rouen</wicri:regionArea>
<placeName>
<settlement type="city">Rouen</settlement>
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<name sortKey="Savoye, G" sort="Savoye, G" uniqKey="Savoye G" first="G." last="Savoye">G. Savoye</name>
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<nlm:aff id="I1">Department of Gastroenterology and Hepatology, Rouen University Hospital, Rouen, France</nlm:aff>
<country xml:lang="fr">France</country>
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<settlement type="city">Rouen</settlement>
</placeName>
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<affiliation wicri:level="1">
<nlm:aff id="I6">INSERM U1073, Institute for Research and Innovation in Biomedicine, Faculty of Medicine, University of Rouen, Rouen, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1073, Institute for Research and Innovation in Biomedicine, Faculty of Medicine, University of Rouen, Rouen</wicri:regionArea>
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<name sortKey="Savoye Collet, C" sort="Savoye Collet, C" uniqKey="Savoye Collet C" first="C." last="Savoye-Collet">C. Savoye-Collet</name>
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<nlm:aff id="I4">Department of Radiology, Rouen University Hospital, Rouen, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Radiology, Rouen University Hospital, Rouen</wicri:regionArea>
<placeName>
<settlement type="city">Rouen</settlement>
</placeName>
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<name sortKey="Goria, O" sort="Goria, O" uniqKey="Goria O" first="O." last="Goria">O. Goria</name>
<affiliation wicri:level="1">
<nlm:aff id="I1">Department of Gastroenterology and Hepatology, Rouen University Hospital, Rouen, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Gastroenterology and Hepatology, Rouen University Hospital, Rouen</wicri:regionArea>
<placeName>
<settlement type="city">Rouen</settlement>
</placeName>
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<title level="j">Canadian Respiratory Journal</title>
<idno type="ISSN">1198-2241</idno>
<idno type="eISSN">1916-7245</idno>
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<date when="2016">2016</date>
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<p>
<italic>Background.</italic>
Cystic fibrosis-associated liver disease (CFLD) is a major cause of death. The objective of our retrospective study was to describe the relevance of magnetic resonance imaging (MRI) and liver stiffness measurement (LSM) for CFLD evaluation.
<italic> Methods.</italic>
All cystic fibrosis adult patients evaluated by MRI and LSM were included. MR signs of portal hypertension (PHT), dysmorphia, or cholangitis were collected and LSM expressed in kPa and Metavir.
<italic> Results.</italic>
Of 25 patients, 52% had abnormal MRI. Median LSM was 5.7 kPa (3.4–9.9). Three patients had F2 score and one had F3 score. In patients with PHT, LSM was 7.85 kPa (3.7–9.9) compared to 5 (3.4–7.5) in others,
<italic>p</italic>
= 0.02. In patients with abnormal liver function tests, 50% had increased LSM (≥F2), whereas 94% with normal tests had normal LSM (
<italic>p</italic>
= 0.04). Seven patients had abnormal MRI despite normal ultrasonography.
<italic> Conclusions.</italic>
MRI and LSM provide useful information on CFLD and may help to screen patients with PHT.</p>
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</TEI>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<settlement>
<li>Le Havre</li>
<li>Rouen</li>
</settlement>
</list>
<tree>
<country name="France">
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<name sortKey="Lemaitre, C" sort="Lemaitre, C" uniqKey="Lemaitre C" first="C." last="Lemaitre">C. Lemaitre</name>
</noRegion>
<name sortKey="Billoud, E" sort="Billoud, E" uniqKey="Billoud E" first="E." last="Billoud">E. Billoud</name>
<name sortKey="Dominique, S" sort="Dominique, S" uniqKey="Dominique S" first="S." last="Dominique">S. Dominique</name>
<name sortKey="Eliezer, M" sort="Eliezer, M" uniqKey="Eliezer M" first="M." last="Eliezer">M. Eliezer</name>
<name sortKey="Goria, O" sort="Goria, O" uniqKey="Goria O" first="O." last="Goria">O. Goria</name>
<name sortKey="Koning, E" sort="Koning, E" uniqKey="Koning E" first="E." last="Koning">E. Koning</name>
<name sortKey="Montialoux, H" sort="Montialoux, H" uniqKey="Montialoux H" first="H." last="Montialoux">H. Montialoux</name>
<name sortKey="Morisse Pradier, H" sort="Morisse Pradier, H" uniqKey="Morisse Pradier H" first="H." last="Morisse-Pradier">H. Morisse-Pradier</name>
<name sortKey="Quillard, M" sort="Quillard, M" uniqKey="Quillard M" first="M." last="Quillard">M. Quillard</name>
<name sortKey="Riachi, G" sort="Riachi, G" uniqKey="Riachi G" first="G." last="Riachi">G. Riachi</name>
<name sortKey="Savoye Collet, C" sort="Savoye Collet, C" uniqKey="Savoye Collet C" first="C." last="Savoye-Collet">C. Savoye-Collet</name>
<name sortKey="Savoye, G" sort="Savoye, G" uniqKey="Savoye G" first="G." last="Savoye">G. Savoye</name>
<name sortKey="Savoye, G" sort="Savoye, G" uniqKey="Savoye G" first="G." last="Savoye">G. Savoye</name>
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</tree>
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</record>

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