中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 7
Jul.  2014
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Article Contents

Diagnostic values of FibroScan and FibroTouch for liver fibrosis: a comparative analysis

DOI: 10.3969/j.issn.1001-5256.2014.07.012
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  • Received Date: 2014-06-24
  • Published Date: 2014-07-20
  • Objective To compare the diagnostic values of FibroScan and FibroTouch for liver fibrosis. Methods A total of 962 patients who visited Department of Hepatology, The First Hospital of Jilin University from September 2013 to March 2014 were enrolled. FibroScan and FibroTouch were performed among these patients. Thirty- three cases underwent liver biopsy, and Aspartate aminotransferase- to-platelet ratio index (APRI) was calculated in 66 patients (chronic hepatitis B (CHB) : 53 cases; chronic hepatitis C (CHC) : 13 cases) .Spearman rank correlation test was used to analyze the correlation between the results measured by FibroScan and FibroTouch. The diagnostic values of FibroScan and FibroTouch for liver fibrosis were analyzed and compared by receiver operating characteristic (ROC) curve. Results The analysis of liver stiffness measured by FibroScan and FibroTouch among all patients showed that the correlation coefficient between FibroScan and FibroTouch was 0. 866 (P < 0. 05, n = 962) . FibroScan and FibroTouch were significantly correlated with APRI (r = 0. 58 and0. 63, P < 0. 05, n = 66) and pathological stage determined by liver biopsy (r = 0. 67 and 0. 74, P < 0. 05, n = 33) . Among patients with CHB, for the diagnosis of APRI ≥2 (liver cirrhosis) , the areas under the ROC curve (AUCs) of FibroScan and FibroTouch were 0. 761 vs0. 728 (P = 0. 61) ; among patients with CHC, for the diagnosis of APRI ≥1 (liver cirrhosis) , the AUCs of FibroScan and FibroTouch were0. 810 vs 0. 893 (P = 0. 38) . For pathological stages ≥S1, ≥S2, ≥S3, and ≥S4, the AUCs of FibroScan and FibroTouch were 0. 830 vs0. 889 (P = 0. 15) , 0. 841 vs 0. 835 (P = 0. 90) , 0. 888 vs 0. 920 (P = 0. 43) , and 0. 964 vs 0. 979 (P = 0. 45) , respectively. Conclusion FibroScan and FibroTouch have comparable diagnostic values for liver fibrosis. However, the number of cases undergoing liver biopsy in this study was relatively small, and investigation of more cases is needed to make further confirmation.

     

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