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US in Liver Cirrhosis: Diagnostic Usefulness of Transverse Diameter of Segment 4 |
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Jeong Cheol Choi Dae Hyun Kim, M.D., Ki Taek Hong, M.D.Jung Ah Choi, M.D., Baek Hyun Kim, M.D.,Cheol Min Park, M.D., In Ho Cha, M.D. |
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Department of Diagnostic Radiology, College of Medicine, Korea University |
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PURPOSE : We evaluated the usefulness of transverse diameter of segment 4 on Ultrasound (US) as an index for diagnosis
of liver cirrhosis.
MATERIALS and METHODS : 138 patients with documented liver cirrhosis underwent US. The transverse diameter of
segment 4 was measured as the distance between the medial wall of the GB and major fissure or U point of left
portal vein by subcostal scan. The transverse diameter of segment 4 was measured on US in 166 control subjects
without liver cirrhosis as well.
RESULTS : The mean transverse diameter of segment 4 was 25.6±6.3mm in the patients group and 36.3±6.2mm in
the control group (t-test, p< 0.05). When we used 30mm as cut-off value, the sensitivity and specificity in predicting
the presence of liver cirrhosis were 80% and 88%, respectively. And the positive predictive value and the
negative predictive value were 86% and 85%, respectively.
CONCLUSION : Transverse diameter of segment 4 on US was easy to measure and was a reliable index for volume reduction
of segment 4. Measurement of the transverse diameter of segment 4 was helpful in the diagnosis of liver
cirrhosis. |
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Keyword : Liver, cirrhosis, Liver, size, Liver, size |
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pdf파일 : 239최정철.pdf
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