Open AccessDevelopment and evaluation of a nurse-led transient elastography service for the staging of hepatic fibrosis in patients with suspected chronic liver disease
Author(s) -
Roger McCorry,
Naaventhan Palaniyappan,
A. Chivinge,
P Kaye,
Martin W. James,
Guruprasad P. Aithal
Publication year - 2012
Publication title -
qjm
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 118
eISSN - 1460-2725
pISSN - 1460-2393
DOI - 10.1093/qjmed/hcs043
Subject(s) - transient elastography , cirrhosis , medicine , liver biopsy , biopsy , chronic liver disease , stage (stratigraphy) , liver disease , elastography , fibrosis , gastroenterology , radiology , ultrasound , paleontology , biology
Establishing the presence of fibrosis and cirrhosis is an essential step in the management of patients with chronic liver diseases (CLD). Liver stiffness measurement (LSM) based on transient elastography (TE) correlates well with the stages of liver fibrosis and has been developed as a non-invasive alternative to liver biopsy. The studies performed to date have used physician operators. With the potential use of TE for screening of community-based populations for liver disease, we aimed to evaluate the performance of nurse operators.
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