INTRA- AND INTER-RESEARCH REPRODUCIBILITY OF LINEAR LIVER MEASUREMENTSBY ULTRASOUND EXAMINATION
https://doi.org/10.22328/2079-5343-2020-11-3-73-81
Abstract
Introduction. Hepatomegaly is the most frequent and easily detectable, sometimes the only chronic liver disease symptom. An objective assessment of liver size with ultrasound is complex.
Aim. To assess the intra- and inter-research reproducibility of ultrasound liver linear measurements.
Materials and methods. To study the reproducibility of liver measurements, each patient was examined by two specialists of ultrasound diagnostics performing 24 liver measurements twice.
Results. The average errors for all left lobe measurements for more experienced doctor vary from 4 to 13,5% and for less experienced — from 5 to 22%. When examining the right lobe, the average errors for both sonographers don’t exceed 10%.
Conclusion. The anteroposterior size of the left lobe and maximum craniocaudal size of the right lobe are the most reproducible. We recommend obtain liver measurements of the right lobe at the anterior axillary line due to the lower bulge of the chest, which allows the transducer to be installed parallel to the sagittal plane.
About the Authors
I. A. StepanyanRussian Federation
Kaliningrad
V. A. Izranov
Russian Federation
Kaliningrad
V. S. Gordova
Russian Federation
Kaliningrad
M. A. Beleckaya
Russian Federation
Kaliningrad
S. A. Stepanyan
Russian Federation
Kaliningrad
References
1. Moon M. A., Singal A.G., Tapper E. B. Contemporary Epidemiology of Chronic Liver Disease and Cirrhosis // Clin. Gastroenterol. Hepatol. 2019. Aug. 8. Р. 1–16. doi: 10.1016/j.cgh.2019.07.060.
2. Tapper E.B., Parikh N.D. Mortality due to cirrhosis and liver cancer in the United States, 1999–2016: observational study // BMJ. 2018. Vol. 362, k2817. Р. 1–11. doi: 10.1136/bmj.k2817.
3. Surasi D.S.S., Jazbeh S., Nicek Z.S., Zanabria R.G., Wells R.T., Patel A., Alhyari L., Wagner J.M. Utility of longitudinal measurement of the liver with ultrasound in comparison to computed tomography liver volume in assessing hepatomegaly // Ultrasound. Quarterly. Sep 11, p. 1–6. doi: 10.1097/RUQ.0000000000000472.
4. Gupta A., Das A., Majumder K., Arora N., Mayo H.G., Singh P.P., Beg M.S., Singh S. Obesity is independently associated with increased risk of hepatocellular cancer–related mortality: a systematic review and meta-analysis // Am. J. Clin. Oncol. 2017. Vol. 41 (9). Р. 874–881. doi: 10.1097/COC.0000000000000388.
5. Traversy G., Chaput J.P. Alcohol consumption and obesity: an update // Curr. Obes. Rep. 2015. Vol. 4 (1). Р. 122–130. doi: 10.1007/s13679-014-0129-4.
6. Zhu L., Jiang J., Zhai X., Baecker A., Peng H., Qian J., Zhou M., Song C., Zhou Y., Xu J., Liu H., Hang D., Hu Z., Shen H., Zhang Z.F., Zhu F. Hepatitis B virus infection and risk of non-alcoholic fatty liver disease: a population-based cohort study // Liver Int. 2019. Vol. 39 (1). Р. 70–80. doi: 10.1111/liv.13933.
7. Fedeli U., Schievano E., Lisiero M., Avossa F., Mastrangelo G., Saugo M. Descriptive epidemiology of chronic liver disease in northeastern Italy: an analysis of multiple causes of death // Popul Health Metr. 2013. Vol. 11 (20). Р. 1–7. doi: 10.1186/1478-7954-11-20.
8. Mokdad A.A., Lopez A.D., Shahraz S., Lozano R., Mokdad A.H., Stanaway J., Murray C.J., Naghavi M. Liver cirrhosis mortality in 187 countries between 1980 and 2010: a systematic analysis // BMCMed. 2014. Vol. 12 (145). Р. 1–24.doi: 10.1186/s12916-014-0145-y.
9. Bilalova A.R., Makashova V.V. Clinical and laboratory characteristics of chronic hepatitis and cirrhosis of different etiology. The Russian Archives of Internal Medicine, 2015, No. 2 (22), рр. 8–14 (In Russ.).
10. World Health Organization. Global hepatitis report. 2017. Р. 1–72.
11. Estes C., Razavi H., Loomba R., Younossi Z., Sanyal A.J. Modeling the epidemic of nonalcoholic fatty liver disease demonstrates an exponential increase in burden of disease // Hepatology. 2018. Vol. 67 (1). Р. 123–133. doi: 10.1002/hep.29466
12. Walas M.K., Skoczylas K., Gierbliński I. Errors and mistakes in the ultrasound diagnostics of the liver, gallbladder and bile ducts // J. Ultrason. 2012. Vol. 12 (51). Р. 446–462. doi: 10.15557/JoU.2012.0032.
13. Godskesen L., Abildgaard N., Kjeldsen J., Krag A. A rare cause of severe hepatomegaly with an improving outcome // BMJ Case Rep. 2014. doi: 10.1136/bcr-2013-203360.
14. Childs L., Dow C. Allopurinol-induced hepatomegaly // BMJ Case Rep. 2012. doi: 10.1136/bcr-2012–007283.
15. Linguraru M.G., Sandberg J.K., Jones E.C., Petrick N., Summers R.M. Assessing Hepatomegaly: Automated Volumetric Analysis of the Liver // Acad Radiol. 2012. Vol. 19 (5). Р. 588– 598. doi: 10.1016/j.acra.2012.01.015.
16. Vezozzo D.C., Mendes-Correa M.C., Cunha-Silva M., Alvarado-Mora M.V., França J.Í., Sebba J.L., Nicodemo A.C., Oliveira C.P., Carrilho F.J. Strong correlation by ultrasonography of hepatomegaly and the presence of co-infection in HIV/HCV cirrhotic patients // Braz. J. Infect Dis. 2013. Vol. 17 (2). Р. 150–155. doi: 10.1016/j.bjid.2012.09.009.
17. Babushkina G.D., Kiryanova N.V., Mikhailovskaya L.V., Golubeva M.E., Petukhova I.V. To the problem of differential diagnosis of hepatolienal syndrome. Clinical observation. Perm Medical Journal, 2015, No 32 (2), рр. 91–97 (In Russ.).
18. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017 // Lancet. 2018. Vol. 392 (10159). Р. 1789–1858. doi: 10.1016/S0140-6736(18)32279-7.
19. Chaplygina E.V., Gubar A.S., Klimova S.I., Litvinova L.V. The dependence of volume of the liver from somatotype and gender of the patient. Fundamental medicine, 2013, No. 7 (2), рр. 445–450 (In Russ.).
20. Chaplygina E.V., Gubar A.S. Connection linear parameters of liver with individual somatotype. Morphology, 2014, Vol. 9 (4), рр. 356–359 (In Russ.). doi: 10.14300/mnnc.2014.09099.
21. Özmen Z., Aktaş F., Özmen Z.C., Almus E., Demir O. Ultrasound Measurement of Liver Longitudinal Length in a North Anatolian Population: A Community based Study // Niger. J. Clin. Pract. 2018. Vol. 21 (5). Р. 653–657. doi: 10.4103/njcp.njcp_68_17.
22. Silva R.M., Pereira R.B., Siqueira M.V. Correlation between clinical evaluation of liver size versus ultrasonography evaluation according to body mass index (BMI) and biotypes // Rev. Med. Chil. 2010. Vol. 138 (12). Р. 1495–1501. doi: 10.4067/S0034-98872010001300004.
23. Childs J.T., Esterman A.J., Thoirs K.A., Turner R.C. Ultrasound in the assessment of hepatomegaly: a simple technique to determine an enlarged liver using reliable and valid measurements // Sonography. 2016. Vol. 3. Р. 47–52.doi: 10.1002/sono.12051.
24. Stepanyan I.A., Izranov V.A., Gordova V.S., Beletskaya M.A., Stepanyan S.A. The dependence of the results of the calculation of the volume of the liver according to the formula J.T. Childs on the choice of access points and depth of breathing // Virchows Archiv-European Journal of Pathology. 2019. Vol. 475 (1). Р. 299. doi: 10.1007/s00428-019-02631-8.
25. Dietrich C.F., Tuma J., Badea R. Ultrasound of the liver. EFSUMB — European Course Book. Student Edition. 2013. Р. 1–64.
Review
For citations:
Stepanyan I.A., Izranov V.A., Gordova V.S., Beleckaya M.A., Stepanyan S.A. INTRA- AND INTER-RESEARCH REPRODUCIBILITY OF LINEAR LIVER MEASUREMENTSBY ULTRASOUND EXAMINATION. Diagnostic radiology and radiotherapy. 2020;11(3):73-81. (In Russ.) https://doi.org/10.22328/2079-5343-2020-11-3-73-81