Transient Elastography: Progress in Predicting The Prognosis of Hepatic Surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 NIYan-bin , GAOPeng-ji , GAOJie ,  ZHUJi-ye

Department of Hepatobiliary Surgery, Peking University People's Hospital, Beijing 100044, China;

Corresponding author：

ZHUJi-ye, Email: gandanwaike@vip.sina.com

Keywords：

Transient elastography; Liver stiffness; Prognosis

DOI：

10.7507/1007-9424.20140026

Video：

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Objective To summarize the progress of transient elastography in predicting the prognosis of hepatic surgery. Methods The related literatures were reviewed. Results Liver stiffness can be measured by using transient elastography.In patients with hepatocarcinoma, the liver stiffness measurements are higher, the more likely they are to have surgical complications and hepatocarcinoma recurrence.Liver transplant recipients with higher liver stiffness measurements tend to have higher acute rejection and hepatitis C recurrence rates. Conclusion Transient elastography can evaluate hepatic functional reserve to help improve the outcome of hepatic surgery.

Citation： NIYan-bin, GAOPeng-ji, GAOJie, ZHUJi-ye. Transient Elastography: Progress in Predicting The Prognosis of Hepatic Surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(1): 112-116. doi: 10.7507/1007-9424.20140026 Copy

1.	Sandrin L, Fourquet B, Hasquenoph JM, et al.Transient elasto-graphy:a new noninvasive method for assessment of hepatic fibr-osis[J].Ultrasound Med Biol, 2003, 29(12):1705-1713.
2.	Roulot D, Czernichow S, Le Clesiau H, et al.Liver stiffness valued in apparently healthy subjects:influence of gender and metabolic syndrome[J].J Hepatol, 2008, 48(4):606-613.
3.	Corpechot C, El Naggar A, Poupon R.Gender and Liver:is the liver stiffness weaker in weaker sex?[J].Hepatology, 2006, 44(2):513-514.
4.	Sirli R, Sporea I, Tudora A, et al.Transient elastographic evaluation of subjects without known hepatic pathology:does age change the liver stiffness?[J].J Gastrointest Liver Dis, 2009, 18(1):57-60.
5.	Colombo S, Belloli L, Zaccanelli M, et al.Normal liver stiffness and its determinants in healthy blood donors[J].Dig Liver Dis, 2011, 43(3):231-236.
6.	Kim BK, Kim SU, Choi GH, et al. "Normal" liver stiffness val-ues differ between men and women:A prospective study for heal-thy living liver and kidney donors in a native Korean population[J].J Gastroenterol Hepatol, 2012, 27(4):781-788.
7.	Kim SU, Choi GH, Han WK, et al.What are'true normal'liver stiffness values using Fibroscan?:a prospective study in healthy living liver and kidney donors in South Korea[J].Liver Int, 2010, 30(2):268-274.
8.	Zhu X, Wang LC, Chen EQ, et al.Prospective evaluation of FibroScan for the diagnosis of hepatic fibrosis compared with liver biopsy/AST platelet ratio index and FIB-4 in patients with chronic HBV infection[J].Dig Dis Sci, 2011, 56(9):2742-2749.
9.	Tsochatzis EA, Gurusamy KS, Ntaoula S, et al.Elastography for the diagnosis of severity of fibrosis in chronic liver disease:a meta-analysis of diagnostic accuracy[J].J Hepatol, 2011, 54(4):650-659.
10.	Chan HL, Wong GL, Choi PC, et al.Alanine aminotransferase-based algorithms of liver stiffness measurement by transient elastography (Fibroscan) for liver fibrosis in chronic hepatitis B[J].J Viral Hepat, 2009, 16(1):36-44.
11.	Friedman LS.Surgery in the patient with liver disease[J].Trans Am Clin Climatol Assoc, 2010, 121(1):192-204;.
12.	van den Broek MA, Olde Damink SW, Dejong CH, et al.Liver failure after partial hepatic resection:definition, pathophysiology, risk factors and treatment[J].Liver Int, 2008, 28(6):767-780.
13.	Kim SU, Ahn SH, Park JY, et al.Prediction of postoperative hepatic insufficiency by liver stiffness measurement (Fibroscan) before curative resection of hepatocellular carcinoma:a pilot study[J].Hepatol Int, 2008, 2(4):471-477.
14.	Wong JS, Wong GL, Chan AW, et al.Liver stiffness measurement by transient elastography as a predictor on posthepatectomy outcomes[J].Ann Surg, 2013, 257(5):922-928.
15.	Cescon M, Colecchia A, Cucchetti A, et al.Value of transient elastography measurement with fibroscan in predicting the outcome of hepatic resection for hepatocellular carcinoma[J].Ann Surg, 2012, 256(5):706-712.
16.	Tung-Ping Poon R, Fan ST, Wong J.Risk factors, prevention, and management of postoperative recurrence after resection of hepatocellular carcinoma[J].Ann Surg, 2000, 232(1):10-24.
17.	Sasaki Y, Imaoka S, Masutani S, et al.Influence of coexisting cirrhosis on long-term prognosis after surgery in patients with hepatocellular carcinoma[J].Surgery, 1992, 112(3):515-221.
18.	Bruix J, Sherman M.Management of hepatocellular carcinoma[J].Hepatology, 2005, 42(5):1208-1236.
19.	Imamura H, Matsuyama Y, Tanaka E, et al.Risk factors contributing to early and late phase intrahepatic recurrence of hepatocellular carcinoma after hepatectomy[J].J Hepatol, 2003, 38(2):200-207.
20.	Jung KS, Kim SU, Choi GH, et al.Prediction of recurrence after curative resection of hepatocellular carcinoma using liver stiffness measurement (Fibroscan)[J].Ann Surg Oncol, 2012, 19(13):4278-4286.
21.	Fishbein TM, Fiel MI, Emre S, et al.Use of livers with microvesicular fat safely expands the donor pool[J].Transplantation, 1997, 64(2):248-251.
22.	Pichon N, Loustaud-Ratti V, Clavel M, et al.Value of liver stiffness measured by transient elastography in the liver transplant pre-operative evaluation of the potential deceased liver donors:preliminary study[J].Clin Transplant, 2011, 25(2):E205-E210.
23.	Dechêne A, Sowa JP, Gieseler RK, et al.Acute liver failure is associated with elevated liver stiffness and hepatic stellate cell activation[J].Hepatology, 2010, 52(3):1008-1016.
24.	Inoue Y, Sugawara Y, Tamura S, et al.Validity and feasibility of transient elastography for the transplanted liver in the peritransplantation period[J].Transplantation, 2009, 88(1):103-109.
25.	Lee SH, Joo DJ, Kim SU, et al.Graft function measured by transient elastography in living donor liver transplantation:preliminary[J].Transplant Proc, 2013, 45(8):3028-3031.
26.	Carrión JA, Torres F, Crespo G, et al.Liver stiffness identifies two different patterns of fibrosis progression in patients with hepatitis C virus recurrence after liver transplantation[J].Hepatology, 2010, 51(1):23-34.
27.	Barrault C, Roudot-Thoraval F, Tran Van Nhieu J, et al.Non-invasive assessment of liver graft fibrosis by transient elastography after liver transplantation[J].Clin Res Hepatol Gastroenterol, 2013, 37(4):347-352.
28.	Harada N, Soejima Y, Taketomi A, et al.Assessment of graft fibrosis by transient elastography in patients with recurrent hepatitis C after living donor liver transplantation[J].Transplantation, 2008, 85(1):69-74.
29.	Carrión JA, Navasa M, Bosch J, et al.Transient elastography for diagnosis of advanced fibrosis and portal hypertension in pati-ents with hepatitis C recurrence after liver transplantation[J].Liver Transpl, 2006, 12(12):1791-1798.
30.	Fan ST.Liver functional reserve estimation:state of the art and relevance for local treatments:the Eastern perspective[J].J Hepatobiliary Pancreat Sci, 2010, 17(4):380-384.
31.	Fung J, Poon RT, Yu WC, et al.Use of liver stiffness measurement for liver resection surgery:correlation with indocyanine green clearance testing and post-operative outcome[J].PLoS One, 2013, 8(8):e72306.
32.	Castera L, Pinzani M, Bosch J.Non invasive evaluation of portal hypertension using transient elastography[J].J Hepatol, 2012, 56(3):696-703.
33.	Myers RP, Pomier-Layrargues G, Kirsch R, et al.Feasibility and diagnostic performance of the fibroscan XL probe for liver stiffness measurement in overweight and obess patients[J].Hepatology, 2012, 55(1):199-208.
34.	deLédinghen V, Wong VW, Vergniol J, et al.Diagnosis of liver fibrosis and cirrhosis using liver stiffness measurement:compar-ison between M and XL probe of fibroscan[J].J Hepatol, 2012, 56(4):833-839.
35.	李建成, 刘友德, 范璐, 等.瞬时弹力测定的影响因素研究进展[J].国际消化病杂志, 2012, 32(3):153-155.
36.	Jung KS, Kim SU.Clinical application of transient elastography[J].Clin Mol Hepatol, 2012, 18(2):163-173.

1. Sandrin L, Fourquet B, Hasquenoph JM, et al.Transient elasto-graphy:a new noninvasive method for assessment of hepatic fibr-osis[J].Ultrasound Med Biol, 2003, 29(12):1705-1713.
2. Roulot D, Czernichow S, Le Clesiau H, et al.Liver stiffness valued in apparently healthy subjects:influence of gender and metabolic syndrome[J].J Hepatol, 2008, 48(4):606-613.
3. Corpechot C, El Naggar A, Poupon R.Gender and Liver:is the liver stiffness weaker in weaker sex?[J].Hepatology, 2006, 44(2):513-514.
4. Sirli R, Sporea I, Tudora A, et al.Transient elastographic evaluation of subjects without known hepatic pathology:does age change the liver stiffness?[J].J Gastrointest Liver Dis, 2009, 18(1):57-60.
5. Colombo S, Belloli L, Zaccanelli M, et al.Normal liver stiffness and its determinants in healthy blood donors[J].Dig Liver Dis, 2011, 43(3):231-236.
6. Kim BK, Kim SU, Choi GH, et al. "Normal" liver stiffness val-ues differ between men and women:A prospective study for heal-thy living liver and kidney donors in a native Korean population[J].J Gastroenterol Hepatol, 2012, 27(4):781-788.
7. Kim SU, Choi GH, Han WK, et al.What are'true normal'liver stiffness values using Fibroscan?:a prospective study in healthy living liver and kidney donors in South Korea[J].Liver Int, 2010, 30(2):268-274.
8. Zhu X, Wang LC, Chen EQ, et al.Prospective evaluation of FibroScan for the diagnosis of hepatic fibrosis compared with liver biopsy/AST platelet ratio index and FIB-4 in patients with chronic HBV infection[J].Dig Dis Sci, 2011, 56(9):2742-2749.
9. Tsochatzis EA, Gurusamy KS, Ntaoula S, et al.Elastography for the diagnosis of severity of fibrosis in chronic liver disease:a meta-analysis of diagnostic accuracy[J].J Hepatol, 2011, 54(4):650-659.
10. Chan HL, Wong GL, Choi PC, et al.Alanine aminotransferase-based algorithms of liver stiffness measurement by transient elastography (Fibroscan) for liver fibrosis in chronic hepatitis B[J].J Viral Hepat, 2009, 16(1):36-44.
11. Friedman LS.Surgery in the patient with liver disease[J].Trans Am Clin Climatol Assoc, 2010, 121(1):192-204;.
12. van den Broek MA, Olde Damink SW, Dejong CH, et al.Liver failure after partial hepatic resection:definition, pathophysiology, risk factors and treatment[J].Liver Int, 2008, 28(6):767-780.
13. Kim SU, Ahn SH, Park JY, et al.Prediction of postoperative hepatic insufficiency by liver stiffness measurement (Fibroscan) before curative resection of hepatocellular carcinoma:a pilot study[J].Hepatol Int, 2008, 2(4):471-477.
14. Wong JS, Wong GL, Chan AW, et al.Liver stiffness measurement by transient elastography as a predictor on posthepatectomy outcomes[J].Ann Surg, 2013, 257(5):922-928.
15. Cescon M, Colecchia A, Cucchetti A, et al.Value of transient elastography measurement with fibroscan in predicting the outcome of hepatic resection for hepatocellular carcinoma[J].Ann Surg, 2012, 256(5):706-712.
16. Tung-Ping Poon R, Fan ST, Wong J.Risk factors, prevention, and management of postoperative recurrence after resection of hepatocellular carcinoma[J].Ann Surg, 2000, 232(1):10-24.
17. Sasaki Y, Imaoka S, Masutani S, et al.Influence of coexisting cirrhosis on long-term prognosis after surgery in patients with hepatocellular carcinoma[J].Surgery, 1992, 112(3):515-221.
18. Bruix J, Sherman M.Management of hepatocellular carcinoma[J].Hepatology, 2005, 42(5):1208-1236.
19. Imamura H, Matsuyama Y, Tanaka E, et al.Risk factors contributing to early and late phase intrahepatic recurrence of hepatocellular carcinoma after hepatectomy[J].J Hepatol, 2003, 38(2):200-207.
20. Jung KS, Kim SU, Choi GH, et al.Prediction of recurrence after curative resection of hepatocellular carcinoma using liver stiffness measurement (Fibroscan)[J].Ann Surg Oncol, 2012, 19(13):4278-4286.
21. Fishbein TM, Fiel MI, Emre S, et al.Use of livers with microvesicular fat safely expands the donor pool[J].Transplantation, 1997, 64(2):248-251.
22. Pichon N, Loustaud-Ratti V, Clavel M, et al.Value of liver stiffness measured by transient elastography in the liver transplant pre-operative evaluation of the potential deceased liver donors:preliminary study[J].Clin Transplant, 2011, 25(2):E205-E210.
23. Dechêne A, Sowa JP, Gieseler RK, et al.Acute liver failure is associated with elevated liver stiffness and hepatic stellate cell activation[J].Hepatology, 2010, 52(3):1008-1016.
24. Inoue Y, Sugawara Y, Tamura S, et al.Validity and feasibility of transient elastography for the transplanted liver in the peritransplantation period[J].Transplantation, 2009, 88(1):103-109.
25. Lee SH, Joo DJ, Kim SU, et al.Graft function measured by transient elastography in living donor liver transplantation:preliminary[J].Transplant Proc, 2013, 45(8):3028-3031.
26. Carrión JA, Torres F, Crespo G, et al.Liver stiffness identifies two different patterns of fibrosis progression in patients with hepatitis C virus recurrence after liver transplantation[J].Hepatology, 2010, 51(1):23-34.
27. Barrault C, Roudot-Thoraval F, Tran Van Nhieu J, et al.Non-invasive assessment of liver graft fibrosis by transient elastography after liver transplantation[J].Clin Res Hepatol Gastroenterol, 2013, 37(4):347-352.
28. Harada N, Soejima Y, Taketomi A, et al.Assessment of graft fibrosis by transient elastography in patients with recurrent hepatitis C after living donor liver transplantation[J].Transplantation, 2008, 85(1):69-74.
29. Carrión JA, Navasa M, Bosch J, et al.Transient elastography for diagnosis of advanced fibrosis and portal hypertension in pati-ents with hepatitis C recurrence after liver transplantation[J].Liver Transpl, 2006, 12(12):1791-1798.
30. Fan ST.Liver functional reserve estimation:state of the art and relevance for local treatments:the Eastern perspective[J].J Hepatobiliary Pancreat Sci, 2010, 17(4):380-384.
31. Fung J, Poon RT, Yu WC, et al.Use of liver stiffness measurement for liver resection surgery:correlation with indocyanine green clearance testing and post-operative outcome[J].PLoS One, 2013, 8(8):e72306.
32. Castera L, Pinzani M, Bosch J.Non invasive evaluation of portal hypertension using transient elastography[J].J Hepatol, 2012, 56(3):696-703.
33. Myers RP, Pomier-Layrargues G, Kirsch R, et al.Feasibility and diagnostic performance of the fibroscan XL probe for liver stiffness measurement in overweight and obess patients[J].Hepatology, 2012, 55(1):199-208.
34. deLédinghen V, Wong VW, Vergniol J, et al.Diagnosis of liver fibrosis and cirrhosis using liver stiffness measurement:compar-ison between M and XL probe of fibroscan[J].J Hepatol, 2012, 56(4):833-839.
35. 李建成, 刘友德, 范璐, 等.瞬时弹力测定的影响因素研究进展[J].国际消化病杂志, 2012, 32(3):153-155.
36. Jung KS, Kim SU.Clinical application of transient elastography[J].Clin Mol Hepatol, 2012, 18(2):163-173.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Transient Elastography: Progress in Predicting The Prognosis of Hepatic Surgery

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