Acoustic radiation force impulse predicts long-term outcomes in a large-scale cohort:High liver cancer,low comorbidity in hepatitis B virus

作     者：Jennifer Tai Adam P Harrison Hui-Ming Chen Chiu-Yi Hsu Tse-Hwa Hsu Cheng-Jen Chen Wen-Juei Jeng Ming-Ling Chang Le Lu Dar-In Tai 

作者机构：Department of Gastroenterology and HepatologyChang Gung Memorial HospitalTaoyuan 33305Taiwan Radiomics GroupQ BioSan CarlosCA 94063United States Center for Big Data Analytics and StatisticsChang Gung Memorial HospitalTaoyuan 33305Taiwan DAMO AcademyAlibaba GroupNew YorkNY 94085United States 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2023年第29卷第14期

页      面：2188-2201页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100401[医学-流行病与卫生统计学] 10[医学] 

基　　金：Supported by the Chang Gung Memorial Hospital and PAII Inc.(a United States subsidiary company of Ping An Insurance Group) No.SMRPG3I0011 

主　　题：Non-alcoholic fatty liver disease Hepatitis B Hepatocellular carcinoma Acoustic radiation force impulse Mortality Comorbidity 

摘      要：BACKGROUND Acoustic radiation force impulse(ARFI)is used to measure liver fibrosis and predict *** performance of elastography in assessment of fibrosis is poorer in hepatitis B virus(HBV)than in other etiologies of chronic liver *** To evaluate the performance of ARFI in long-term outcome prediction among different etiologies of chronic liver *** Consecutive patients who received an ARFI study between 2011 and 2018 were *** excluding dual infection,alcoholism,autoimmune hepatitis,and others with incomplete data,this retrospective cohort were divided into hepatitis B(HBV,n=1064),hepatitis C(HCV,n=507),and non-HBV,non-HCV(NBNC,n=391)*** indexed cases were linked to cancer registration(1987-2020)and national mortality *** differences in morbidity and mortality among the groups were *** At the enrollment,the HBV group showed more males(77.5%),a higher prevalence of prediagnosed hepatocellular carcinoma(HCC),and a lower prevalence of comorbidities than the other groups(P0.001).The HCV group was older and had a lower platelet count and higher ARFI score than the other groups(P0.001).The NBNC group showed a higher body mass index and platelet count,a higher prevalence of pre-diagnosed non-HCC cancers(P0.001),especially breast cancer,and a lower prevalence of *** gender,ARFI score,and HBV were independent predictors of *** 5-year risk of HCC was 5.9%and 9.8%for those ARFI-graded with severe fibrosis and *** alone had an area under the receiver operating characteristic curve(AUROC)of 0.742 for prediction of HCC in 5 *** increased to 0.828 after adding etiology,gender,age,and platelet *** difference was found in mortality rate among the *** The HBV group showed a higher prevalence of HCC but lower comorbidity that made mortality similar among the *** patients with ARFI-graded severe fibrosis or cirrhosis should receive regular surveillance.