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| Change of Liver Echogenicity in Chronic Renal Failure:Correlation with Serologic Test and Pathologic Findings |
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| Hyo Won Eun, M.D., Kyoung-Sik Cho, M.D.,Jung Hoon Kim*, M.D., Jeong Kon Kim, M.D. |
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| Department of Radiology, University of Ulsan, College of Medicine Asan Medical Center*Department of Radiology, School of Medicine, Soonchunhyang University |
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| PURPOSE : To correlate serologic test and pathologic findings with change of hepatic parenchymal echogenicity on
ultrasound (US) in patients with chronic renal failure.
MATERIALS and METHODS : From January 1995 to April 2000, among eight hundred eighty four patients with kidney
transplantation due to chronic renal failure, sixty seven patients who underwent US-guided liver biopsy were selected.
Change of liver echogenicity on US was analyzed , and this change was compared with serologic test and
pathologic findings.
RESULTS : Among sixty seven patients, pathologic finding of thirty four patients with the normal liver echogenicity
on US revealed normal in 15 patients (44%), viral hepatitis in 18 (53%), and liver cirrhosis in one patient (3%).
Meanwhile, twenty seven patients with chronic liver disease on US were pathologically confirmed as normal in
13 patients (48%), viral hepatitis in 11 (40%), liver cirrhosis in four patients (11%); six patients with cirrhotic
change on US, liver cirrhosis in four patients (67%) and viral hepatitis in two patients (33%). Serologic test of
thirty four patients with the normal liver echogenicity on US showed positive HBs Ag in 17 patients (50%), positive
anti-HCV Ab in 11 (32%), positive in both HBs Ag and anti-HCV Ab in one (3%), and normal result in
five patients (15%).
CONCLUSION : In patients with chronic renal failure, it is not enough to determine the presence of liver disease only
based on change of echogenicity on US. A careful correlation with serologic test and, if needed, pathologic confirmation
are recommended for the accurate preoperative evaluation of the liver. |
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| Keyword : Ultrasound(US) Liver, US Kidney, failure |
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pdf파일 : 177-180은효원.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2002 ; 21 (3) : p.177-180
