The influence of aminotransferase levels on liver stiffness assessed by Acoustic Radiation Force Impulse Elastography

A retrospective multicentre study

Simona Bota, Ioan Sporea, Markus Peck-Radosavljevic, Roxana Sirli, Hironori Tanaka, Hiroko Iijima, Hidetsugu Saito, Hirotoshi Ebinuma, Monica Lupsor, Radu Badea, Carmen Fierbinteanu-Braticevici, Ana Petrisor, Mireen Friedrich-Rust, Christoph Sarrazin, Hirokazu Takahashi, Naofumi Ono, Fabio Piscaglia, Sara Marinelli, Mirko D'Onofrio, Anna Gallotti & 3 others Petra Salzl, Alina Popescu, Mirela Danila

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Background: Acoustic Radiation Force Impulse Elastography is a new method for non-invasive evaluation of liver fibrosis. Aim: To evaluate the impact of elevated alanine aminotransferase levels on liver stiffness assessment by Acoustic Radiation Force Impulse Elastography. Methods: A multicentre retrospective study including 1242 patients with chronic liver disease, who underwent liver biopsy and Acoustic Radiation Force Impulse. Transient Elastography was also performed in 512 patients. Results: The best Acoustic Radiation Force Impulse cut-off for predicting significant fibrosis was 1.29. m/s in cases with normal alanine aminotransferase levels and 1.44. m/s in patients with alanine aminotransferase levels. >. 5× the upper limit of normal. The best cut-off for predicting liver cirrhosis were 1.59 and 1.75. m/s, respectively.Acoustic Radiation Force Impulse cut-off for predicting significant fibrosis and cirrhosis were relatively similar in patients with normal alanine aminotransferase and in those with alanine aminotransferase levels between 1.1 and 5× the upper limit of normal: 1.29. m/s vs. 1.36. m/s and 1.59. m/s vs. 1.57. m/s, respectively.For predicting cirrhosis, the Transient Elastography cut-offs were significantly higher in patients with alanine aminotransferase levels between 1.1 and 5× the upper limit of normal compared to those with normal alanine aminotransferase: 12.3. kPa vs. 9.1. kPa. Conclusion: Liver stiffness values assessed by Acoustic Radiation Force Impulse and Transient Elastography are influenced by high aminotransferase levels. Transient Elastography was also influenced by moderately elevated aminotransferase levels.

Original languageEnglish
Pages (from-to)762-768
Number of pages7
JournalDigestive and Liver Disease
Volume45
Issue number9
DOIs
Publication statusPublished - 2013 Sep

Fingerprint

Elasticity Imaging Techniques
Transaminases
Alanine Transaminase
Acoustics
Multicenter Studies
Retrospective Studies
Radiation
Liver
Fibrosis
Liver Cirrhosis
Background Radiation
Liver Diseases
Chronic Disease
Biopsy

Keywords

  • Acoustic Radiation Force Impulse (ARFI) Elastography
  • Aminotransferase levels
  • Liver fibrosis
  • Liver stiffness
  • Transient Elastography

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

Cite this

The influence of aminotransferase levels on liver stiffness assessed by Acoustic Radiation Force Impulse Elastography : A retrospective multicentre study. / Bota, Simona; Sporea, Ioan; Peck-Radosavljevic, Markus; Sirli, Roxana; Tanaka, Hironori; Iijima, Hiroko; Saito, Hidetsugu; Ebinuma, Hirotoshi; Lupsor, Monica; Badea, Radu; Fierbinteanu-Braticevici, Carmen; Petrisor, Ana; Friedrich-Rust, Mireen; Sarrazin, Christoph; Takahashi, Hirokazu; Ono, Naofumi; Piscaglia, Fabio; Marinelli, Sara; D'Onofrio, Mirko; Gallotti, Anna; Salzl, Petra; Popescu, Alina; Danila, Mirela.

In: Digestive and Liver Disease, Vol. 45, No. 9, 09.2013, p. 762-768.

Research output: Contribution to journalArticle

Bota, S, Sporea, I, Peck-Radosavljevic, M, Sirli, R, Tanaka, H, Iijima, H, Saito, H, Ebinuma, H, Lupsor, M, Badea, R, Fierbinteanu-Braticevici, C, Petrisor, A, Friedrich-Rust, M, Sarrazin, C, Takahashi, H, Ono, N, Piscaglia, F, Marinelli, S, D'Onofrio, M, Gallotti, A, Salzl, P, Popescu, A & Danila, M 2013, 'The influence of aminotransferase levels on liver stiffness assessed by Acoustic Radiation Force Impulse Elastography: A retrospective multicentre study', Digestive and Liver Disease, vol. 45, no. 9, pp. 762-768. https://doi.org/10.1016/j.dld.2013.02.008
Bota, Simona ; Sporea, Ioan ; Peck-Radosavljevic, Markus ; Sirli, Roxana ; Tanaka, Hironori ; Iijima, Hiroko ; Saito, Hidetsugu ; Ebinuma, Hirotoshi ; Lupsor, Monica ; Badea, Radu ; Fierbinteanu-Braticevici, Carmen ; Petrisor, Ana ; Friedrich-Rust, Mireen ; Sarrazin, Christoph ; Takahashi, Hirokazu ; Ono, Naofumi ; Piscaglia, Fabio ; Marinelli, Sara ; D'Onofrio, Mirko ; Gallotti, Anna ; Salzl, Petra ; Popescu, Alina ; Danila, Mirela. / The influence of aminotransferase levels on liver stiffness assessed by Acoustic Radiation Force Impulse Elastography : A retrospective multicentre study. In: Digestive and Liver Disease. 2013 ; Vol. 45, No. 9. pp. 762-768.
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AU - Sporea, Ioan

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AU - Sirli, Roxana

AU - Tanaka, Hironori

AU - Iijima, Hiroko

AU - Saito, Hidetsugu

AU - Ebinuma, Hirotoshi

AU - Lupsor, Monica

AU - Badea, Radu

AU - Fierbinteanu-Braticevici, Carmen

AU - Petrisor, Ana

AU - Friedrich-Rust, Mireen

AU - Sarrazin, Christoph

AU - Takahashi, Hirokazu

AU - Ono, Naofumi

AU - Piscaglia, Fabio

AU - Marinelli, Sara

AU - D'Onofrio, Mirko

AU - Gallotti, Anna

AU - Salzl, Petra

AU - Popescu, Alina

AU - Danila, Mirela

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N2 - Background: Acoustic Radiation Force Impulse Elastography is a new method for non-invasive evaluation of liver fibrosis. Aim: To evaluate the impact of elevated alanine aminotransferase levels on liver stiffness assessment by Acoustic Radiation Force Impulse Elastography. Methods: A multicentre retrospective study including 1242 patients with chronic liver disease, who underwent liver biopsy and Acoustic Radiation Force Impulse. Transient Elastography was also performed in 512 patients. Results: The best Acoustic Radiation Force Impulse cut-off for predicting significant fibrosis was 1.29. m/s in cases with normal alanine aminotransferase levels and 1.44. m/s in patients with alanine aminotransferase levels. >. 5× the upper limit of normal. The best cut-off for predicting liver cirrhosis were 1.59 and 1.75. m/s, respectively.Acoustic Radiation Force Impulse cut-off for predicting significant fibrosis and cirrhosis were relatively similar in patients with normal alanine aminotransferase and in those with alanine aminotransferase levels between 1.1 and 5× the upper limit of normal: 1.29. m/s vs. 1.36. m/s and 1.59. m/s vs. 1.57. m/s, respectively.For predicting cirrhosis, the Transient Elastography cut-offs were significantly higher in patients with alanine aminotransferase levels between 1.1 and 5× the upper limit of normal compared to those with normal alanine aminotransferase: 12.3. kPa vs. 9.1. kPa. Conclusion: Liver stiffness values assessed by Acoustic Radiation Force Impulse and Transient Elastography are influenced by high aminotransferase levels. Transient Elastography was also influenced by moderately elevated aminotransferase levels.

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KW - Acoustic Radiation Force Impulse (ARFI) Elastography

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