Liver stiffness assessed by transient elastography in patients with β thalassaemia major
Rationale for the study. This cross-sectional multicenter study was conducted to investigate any difference in liver stiffness measurements (LSM), evaluated by transient elastography, between patients affected by β thalassaemia major, with and without hepatitis C virus (HCV) infection, and healthy b...
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2016-05-01
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doaj-8a23827d2d3c4ddba688399bae2d45592021-06-09T05:51:48ZengElsevierAnnals of Hepatology1665-26812016-05-01153410417Liver stiffness assessed by transient elastography in patients with β thalassaemia majorGiovanna Ferraioli0Raffaella Lissandrin1Carmine Tinelli2Luigia Scudeller3Federico Bonetti4Mabel Zicchetti5Filomena Longo6Mauro Murgia7Stefano Bernuzzi8Marco Zecca9Paolo Casula10Antonio Piga11Carlo Filice12Ultrasound Unit, Infectious Diseases Department, Fondazione IRCCS Policlínico San Matteo, University of Pavia, Italy; Correspondence a reprint request:Ultrasound Unit, Infectious Diseases Department, Fondazione IRCCS Policlínico San Matteo, University of Pavia, ItalyClinical Epidemiology and Biometric Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyClinical Epidemiology and Biometric Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyPediatric Haematology Oncology, Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyUltrasound Unit, Infectious Diseases Department, Fondazione IRCCS Policlínico San Matteo, University of Pavia, ItalyDepartment of Clinical and Biological Sciences, University of Turin, Turin, ItalyImmuno-ematologia e Medicina Trasfusionale, Ospedale San Martino, Oristano, ItalyDepartment of “Medicina Diagnostica e dei Servizi”, Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyPediatric Haematology Oncology, Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyImmuno-ematologia e Medicina Trasfusionale, Ospedale San Martino, Oristano, ItalyDepartment of Clinical and Biological Sciences, University of Turin, Turin, ItalyUltrasound Unit, Infectious Diseases Department, Fondazione IRCCS Policlínico San Matteo, University of Pavia, ItalyRationale for the study. This cross-sectional multicenter study was conducted to investigate any difference in liver stiffness measurements (LSM), evaluated by transient elastography, between patients affected by β thalassaemia major, with and without hepatitis C virus (HCV) infection, and healthy blood donors (controls). Secondary aim was to assess any correlation between transient elastography and serum ferritin, liver magnetic resonance imaging (MRI) T2* or superconductive quantum interference device (SQUID) liver susceptometry values.Materials and methods. The study involved three centers. Transient elastography and MRI T2* examinations were performed in all centers. SQUID liver susceptometry was performed in center1 and center2. T-test for independent data or Mann-Whitney U test was used to analyse differences between two groups. Univariate Pearson’s rcoefficient was used to test correlations between liver stiffness measurements and all other variables.Results. In a study with 119 patients and 183 controls, patients who had never been infected with HCV showed significantly higher LSMs than controls [5.7 (95% CI, 5.2-6.2) kPa vs. 4.3 (95% CI, 4.1-4.4) kPa, p < 0.0001]. A moderate correlation between LSMs and ferritin values, adjusted for gender and age, was found in patients (r = 0.49, p < 0.0001) but not in controls (r = -0.22, p = 0.6). No correlation between LSMs and MRI T2* or SQUID liver susceptometry values was observed. In conclusion, compared to controls β thalassaemia major patients had a significant increase in LSMs independently from HCV infection.http://www.sciencedirect.com/science/article/pii/S166526811930660XSonoelastographyMagnetic resonance imagingSuperconductive quantum interference deviceLiver fibrosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Giovanna Ferraioli Raffaella Lissandrin Carmine Tinelli Luigia Scudeller Federico Bonetti Mabel Zicchetti Filomena Longo Mauro Murgia Stefano Bernuzzi Marco Zecca Paolo Casula Antonio Piga Carlo Filice |
spellingShingle |
Giovanna Ferraioli Raffaella Lissandrin Carmine Tinelli Luigia Scudeller Federico Bonetti Mabel Zicchetti Filomena Longo Mauro Murgia Stefano Bernuzzi Marco Zecca Paolo Casula Antonio Piga Carlo Filice Liver stiffness assessed by transient elastography in patients with β thalassaemia major Annals of Hepatology Sonoelastography Magnetic resonance imaging Superconductive quantum interference device Liver fibrosis |
author_facet |
Giovanna Ferraioli Raffaella Lissandrin Carmine Tinelli Luigia Scudeller Federico Bonetti Mabel Zicchetti Filomena Longo Mauro Murgia Stefano Bernuzzi Marco Zecca Paolo Casula Antonio Piga Carlo Filice |
author_sort |
Giovanna Ferraioli |
title |
Liver stiffness assessed by transient elastography in patients with β thalassaemia major |
title_short |
Liver stiffness assessed by transient elastography in patients with β thalassaemia major |
title_full |
Liver stiffness assessed by transient elastography in patients with β thalassaemia major |
title_fullStr |
Liver stiffness assessed by transient elastography in patients with β thalassaemia major |
title_full_unstemmed |
Liver stiffness assessed by transient elastography in patients with β thalassaemia major |
title_sort |
liver stiffness assessed by transient elastography in patients with β thalassaemia major |
publisher |
Elsevier |
series |
Annals of Hepatology |
issn |
1665-2681 |
publishDate |
2016-05-01 |
description |
Rationale for the study. This cross-sectional multicenter study was conducted to investigate any difference in liver stiffness measurements (LSM), evaluated by transient elastography, between patients affected by β thalassaemia major, with and without hepatitis C virus (HCV) infection, and healthy blood donors (controls). Secondary aim was to assess any correlation between transient elastography and serum ferritin, liver magnetic resonance imaging (MRI) T2* or superconductive quantum interference device (SQUID) liver susceptometry values.Materials and methods. The study involved three centers. Transient elastography and MRI T2* examinations were performed in all centers. SQUID liver susceptometry was performed in center1 and center2. T-test for independent data or Mann-Whitney U test was used to analyse differences between two groups. Univariate Pearson’s rcoefficient was used to test correlations between liver stiffness measurements and all other variables.Results. In a study with 119 patients and 183 controls, patients who had never been infected with HCV showed significantly higher LSMs than controls [5.7 (95% CI, 5.2-6.2) kPa vs. 4.3 (95% CI, 4.1-4.4) kPa, p < 0.0001]. A moderate correlation between LSMs and ferritin values, adjusted for gender and age, was found in patients (r = 0.49, p < 0.0001) but not in controls (r = -0.22, p = 0.6). No correlation between LSMs and MRI T2* or SQUID liver susceptometry values was observed. In conclusion, compared to controls β thalassaemia major patients had a significant increase in LSMs independently from HCV infection. |
topic |
Sonoelastography Magnetic resonance imaging Superconductive quantum interference device Liver fibrosis |
url |
http://www.sciencedirect.com/science/article/pii/S166526811930660X |
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