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| Changes in Waveform on Hepatic Venous Doppler in Patients with Chronic Hepatitis B: Correlation with Histologic Findings |
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| Joon Seok Ko, M.D., Hak Soo Kim, M.D., Dong Hae Chung, M.D.*, Seung Yeon Ha, M.D.,*, Si Hyun Park, M.D., Myung Hwan Yoon, M.D., Dal Mo Yang, M.D., Hee Young Hwang, M.D., Han Kyoung Lee, M.D., Wook Jin, M,D., Hyung Sik Kim, M.D. |
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| Department of Radiology, Gacheon Medical School Department of Histopathology, Gacheon Medical School* |
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| PURPOSE : To evaluate changes of the waveform of the hepatic vein on Doppler ultrasound (US) in patients with
chronic hepatitis B and to correlate them with histologic findings.
MATERIALS and METHODS : Thirty three patients with chronic hepatitis B were prospectively examined with Doppler
US, and liver biopsy was done at the same time. The right hepatic vein was examined on Doppler US, and a liver
biopsy was performed in the right lobe of the liver. Doppler waveform was considered abnormal if it showed
either reduction in the amplitude of phasic oscillation without the reversed flow phase or the presence of completely
flat flow. Specimens obtained from the biopsy were classified according to the predetermined histologic
scoring criteria.
RESULTS : It was technically possible to perform Doppler US of the right hepatic vein and liver biopsy simultaneously
in all thirty three patients. Waveforms of the right hepatic vein were abnormal in fourteen (42.4%), biphasic
in 12 (36.4%) and flat in two (6.0%) patients. Only the steatosis(이 terminology가 맞나요?) exhibited statistically
significant correlation between changes of doppler waveform (p<0.05) of the normal and abnormal
groups.
CONCLUSION : Doppler US patterns of the hepatic vein in chronic hepatitis B were different from those of the normal
group. The abnormal flow pattern on hepatic venous doppler appeared to be mainly influenced by the intrahepatic
fat deposition rather than the degree of fibrosis. |
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| Keyword : Hepatic veins, US |
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pdf파일 : K20200105.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2001 ; 20 (2) : p.105 - 110
