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Prospective validation of two models for ultrasonographic diagnosis of cirrhosis. Hospital Universitario Puerta del Mar. La reproducibilidad de ambas escalas es excelente. Objective: to perform a prospective validation and comparative analysis of two ultrasonographic diagnostic scores of cirrhosis in patients with silent liver disease.

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Prospective validation of two models for ultrasonographic diagnosis of cirrhosis. Hospital Universitario Puerta del Mar. La reproducibilidad de ambas escalas es excelente.

Objective: to perform a prospective validation and comparative analysis of two ultrasonographic diagnostic scores of cirrhosis in patients with silent liver disease. Design: cross-sectional study, prospective and blind.

ROC curves evaluated the diagnostic utility of: a Bologna score BS : assessment of liver surface nodularity and portal flow velocity, and b Cadiz score CS : assessment of liver echostructure, portal vein caliber and spleen area.

Liver biopsy was considered the gold standard for the diagnosis of cirrhosis. Patients: one hundred and thirteen patients, 76 men and 37 women, mean age 44 years old range years referred for evaluation of chronic liver disease without clinical or biochemical evidence of advanced disease absence of jaundice, ascites, encephalopathy, malnutrition or coagulopathy.

Results: cirrhosis was diagnosed in 25 patients These results agree with those obtained in the original articles developing both scores. There were no statistically significant differences between the two scores.

Conclusions: presence or absence of cirrhosis in patients with silent liver disease can be established by Doppler ultrasound with high diagnostic accuracy. The joint use of both scores has high diagnostic specificity. Both diagnostic models are highly reproducible. Key words: Chronic hepatitis. Liver cirrhosis. Portal hypetension.

Doppler ultrasound. Se analizaron las 5 variables incluidas en los modelos de Gaiani y cols. De los 88 restantes, 33 no presentaban fibrosis en la biopsia, 36 presentaban estadio F1, 17 F2 y 2 F3.

Esto es especialmente importante en el estudio de pacientes con ascitis de origen incierto, para el que no es aplicable el fibroscan. Ana de Viya, A comparison of the accuracy of peritoneoscopy and liver biopsy in the diagnosis of cirrhosis.

Gut ; Outpatient liver biopsy: how safe is it? Ann Intern Med ; Nord H. Biopsy diagnosis of cirrhosis: blind percutaneous versus guided direct vision techniques-a review. Gastrointest Endosc ; Observer error and sampling variability tested in evaluation of hepatitis and cirrhosis by liver biopsy. Dig Dis Sci ; Percutaneous blind biopsy versus laparoscopy with guided biopsy in diagnosis of cirrhosis. A prospective, randomised trial.

Sampling variability and its influence on the diagnosis yield of percutaneous liver biopsy of the liver. Lancet ;i What is the criterion for differentiating chronic hepatitis from compensated cirrhosis? A prospective study comparing ultrasonography and percutaneous liver biopsy. J Hepatol ; Ultrasonography in patients with chronic liver disease: its usefulness in the diagnosis of cirrhosis. Rev Esp Enferm Dig ; Bedossa P. Intraobserver and interobserver variations in liver biopsy interpretation in patients with chronic hepatitis C.

Hepatology ; Ultrasonographic changes of early liver cirrhosis in chronic hepatitis B: a longitudinal study. J Clin Ultrasound ; Relevance of reduced portal flow velocity, low platelet count and enlarged spleen diameter in the non-invasive diagnosis of compensated liver cirrhosis.

Eur J Med ; Varas Lorenzo M. Ultrasonography and liver cirrhosis. Sampling variability of liver fibrosis in chronic hepatitis C. Ultrasonographic diagnosis of hepatic fibrosis or cirrhosis. Diagnosis of cirrhosis based on regional changes in hepatic morphology. Radiology ; Cirrhosis: value of caudate to right lobe ratio in diagnosis with US. Diagnosis of the liver cirrhosis with US: receiver-operating characteristic analysis of multidimensional caudate lobe indexes. Ultrasonic diagnosis of cirrhosis: reference to quantitative measurements of hepatic dimensions.

Gastrointest Radiol ; Cirrhosis: diagnosis with sonographic study of the liver surface. Radiology ; Abnormalities of Doppler waveform of the hepatic veins in patients with chronic liver disease: correlation with histologic findings.

AJR ; Hepatic vein transit times using a microbubble agent can predict disease severity non-invasively in patients with hepatitis C. Eur Radiol ; Ultrasonographic evaluation of liver surface and transient elastography in clinically doubtful cirrhosis. Servicios Personalizados Revista. ABSTRACT Objective: to perform a prospective validation and comparative analysis of two ultrasonographic diagnostic scores of cirrhosis in patients with silent liver disease.

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