English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

Objectives: Assessment of liver fibrosis by shear wave elastography in a patient of chronic liver disease associated infected by hepatitis B and C. Study Design: Observational Study. Place and Duration of Study: This study was conducted in the Department of Radiology JPMC Karachi from January to September 2015. Methodology: All the diagnosed cases of Chronic liver disease aged between 30 to 60 years and both gender associated with hepatitis B and C were selected. Patients using lipid-lowering drugs were excluded from this study. Assessment of liver fibrosis dividing into two groups, 1st group patients suffering liver disease since 2 years and 2nd group more than 2 years on SWE Qualitative and Quantitative analysis was done and staging of fibrosis according to METAVIR SCORE was done. Shear wave elastography and scoring are F0-F1 (5.3-7.1), F>2 (7.5-8.5) Grade 1-Mild, F>3 (9.5-13) Grade 2- Moderate and F>4 (13.1-18.8) Grade 3-Severe. Results: Out of the 80 patients, the majority was found to be male. 44(55%) males and 36(45%) females. Ratio between the male and female is 1.2:1. Mean age was found to be 44.57+7.54 years. Mostly Grade 2- Moderate changes observed in liver were 15(18.75%) of Hepatitis B Surface Antigen positive patients while 14(17.5%) Hepatitis C Virus Antibodies positive patients. Followed by Grade 1-Mild changes were 12(15%) of Hepatitis B+ve patients and 7(8.75%) Hepatitis C+ve positive patients. Grade 3-Severe were 9(11.25%) of Hepatitis B+ve patients and 4(5%) Hepatitis C+ve positive (Table No 2). 4(5%) cases observed mild changes in both positive. Conclusion: Elastography techniques is noninvasive method can provide clinicians with innovative options as potential alternatives to liver biopsy for improving the quality of care for those patients with liver diseases.

SHEAR WAVE ELASTOGRAPHY; ASSESSMENT OF LIVER FIBROSIS IN A PATIENT OF CHRONIC LIVER DISEASE ASSOCIATED INFECTED BY HEPATITIS B AND C