Measurement of spleen stiffness by shear-wave elastography for prediction of splenomegaly etiology

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dc.contributor.authorBatur, Abdussamet
dc.contributor.authorAlagöz, Sümeyra
dc.contributor.authorDurmaz, Fatma
dc.contributor.authorBaran, Ali İrfan
dc.contributor.authorEkinci, Ömer
dc.date.accessioned2020-03-26T20:15:09Z
dc.date.available2020-03-26T20:15:09Z
dc.date.issued2019
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective The aim of this study was to evaluate the reproducibility of measurement of spleen stiffness at the time of the initial detection of splenomegaly, whether it is found incidentally or not, in determining the etiology of splenomegaly. Methods The pathologies that brought about the diffuse splenomegaly were evaluated in 3 main groups as follows: hepatoportal, myeloproliferative, and infectious causes. In addition, 17 healthy control patients were recruited. All patients were examined with acoustic radiation force impulse imaging with VTQ. Results The difference between the splenic parenchymal elasticity values in the hepatoportal group (3.27 +/- 0.36 m/s), in the myeloproliferative disease group (2.98 +/- 0.33 m/s), in the infectious disease group (2.44 +/- 0.21 m/s), and in the control group (2.08 +/- 0.19 m/s) was found to be statistically significant (P = 0.001). The intraclass correlation coefficient for shear wave velocity measurement between hepatoportal causes and myeloproliferative causes was 71.2% (95% confidence interval [CI], 54.9%-87.4%), between hepatoportal causes and infective causes was 99.7% (95% CI, 98.6%-100.0%), and between myeloproliferative causes and infective causes was 83.3% (95% CI, 68.8%-97.9%). In the same patient groups, spleen volumes were measured as 64.08 +/- 9.66, 78.18 +/- 18.52, and 51.57 +/- 7.44 cm(2), respectively; in the control group, it was 26.75 +/- 6.57 cm(2). The difference between spleen volumes was found to be statistically significant (P = 0.001). Conclusions Distinguishing the causes of splenomegaly is important because the disorders require different management strategies. In diseases that cause splenomegaly, tissue content may change according to pathogenesis. Such changes in the spleen are mechanical properties that can be quantified by elastography.en_US
dc.identifier.citationBatur, A., Alagoz, S., Durmaz, F., Baran, A. I., Ekinci, O. (2019). Measurement Of Spleen Stiffness By Shear-Wave Elastography For Prediction Of Splenomegaly Etiology. Ultrasound Quarterly, 35,(2), 153-156.
dc.identifier.doi10.1097/RUQ.0000000000000403en_US
dc.identifier.endpage156en_US
dc.identifier.issn0894-8771en_US
dc.identifier.issn1536-0253en_US
dc.identifier.issue2en_US
dc.identifier.pmid30601437en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage153en_US
dc.identifier.urihttps://dx.doi.org/10.1097/RUQ.0000000000000403
dc.identifier.urihttps://hdl.handle.net/20.500.12395/37991
dc.identifier.volume35en_US
dc.identifier.wosWOS:000474131600010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorBatur, Abdussamet
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofULTRASOUND QUARTERLYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectacoustic radiation force impulse imagingen_US
dc.subjectelastographyen_US
dc.subjectspleen stiffnessen_US
dc.subjectsplenomegalyen_US
dc.titleMeasurement of spleen stiffness by shear-wave elastography for prediction of splenomegaly etiologyen_US
dc.typeArticleen_US

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