Liver Stiffness Is Markedly Decreased After Chronic Hepatitis C Treatment


Gulumsek E., Sumbul H. E. , Buyuksimsek M., Demir K., KOÇ A. F. , Tas A., ...More

ULTRASOUND QUARTERLY, vol.38, no.2, pp.142-148, 2022 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 38 Issue: 2
  • Publication Date: 2022
  • Doi Number: 10.1097/ruq.0000000000000572
  • Title of Journal : ULTRASOUND QUARTERLY
  • Page Numbers: pp.142-148
  • Keywords: chronic hepatitis C, liver stiffness, elastography point quantification, noninvasive liver fibrosis studies, ELASTOGRAPHY POINT QUANTIFICATION, IMPULSE ARFI ELASTOGRAPHY, TRANSIENT ELASTOGRAPHY, ANTIVIRAL THERAPY, FIBROSIS, VIRUS, PERFORMANCE, ELASTICITY, STEATOSIS, IMPACT

Abstract

Aim The aim of the study was to demonstrate the liver stiffness (LS) change in chronic hepatitis C (CHC) patients obtained by elastography point quantification technique in before and after antiviral treatment (AVT). Material and Methods This prospective study included 84 patients diagnosed with CHC who had not previously received treatment for CHC and who had an indication for using direct-acting AVT. Necessary measurements were recorded with noninvasive liver fibrosis (LF) examinations. Posttreatment control of patients was carried out (ombitasvir + paritaprevir + ritonavir) + 3 months after the start of treatment for those treated with dasabuvir and 6 months after the start of treatment for patients treated with sofosbuvir + ribavirin. Liver stiffness changed after AVT is accepted as (Delta-LS), LS before AVT-LS after AVT. Results Basal LS was found to decrease significantly after AVT (8.00 +/- 2.56 kPa vs 6.95 +/- 2.86 kPa, P < 0.05). Similar aspartate aminotransferase-to-platelet ratio index and platelet number fibrosis 4 indices were observed before and after AVT (P > 0.05). It was observed that Delta-LS value after AVT was lower in patients with Child-Pugh class A cirrhosis than patients without cirrhosis (P < 0.05). In the comparison between Delta-LS value after AVT and LF score determined by liver biopsy, it was seen that the greatest Delta-LS value was in patients with fibrosis score of 3. An independent relationship was found between Delta-LS after AVT and LF score determined by biopsy (P < 0.05). Conclusions The LS value determined by the elastography point quantification technique is more effective than other noninvasive laboratory methods in demonstrating the CHC treatment response in clinical practice.