A Case Study of Hemochromatosis and Conflicting Point Shear Wave Measurements in the Assessment of Liver Fibrosis. Issue 1 (March 2017)

• Record Type: Journal Article
• Authors: Cohen, Tal; Barr, Richard G.
• Is Part Of: Ultrasound quarterly. Volume 33:Issue 1(2017)
• Publication Date: 2017-03
• Subjects: hemochromatosis -- liver stiffness -- shear wave elastography -- confounding factors -- iron deposition; Diagnostic ultrasonic imaging -- Periodicals; 616.07543
• DOI: 10.1097/RUQ.0000000000000258
• Languages: English
• ISSNs: 0894-8771

Abstract

Abstract : Abstract: There are multiple factors that affect the shear wave speed in the assessment of liver stiffness. In this case report, we present a case of hemochromatosis that has elevated liver stiffness suggestive of significant fibrosis or cirrhosis; however on liver biopsy, no fibrosis was identified. This article will discuss the possibility that liver iron deposition may affect SWE measurements of the liver, leading to inaccurate assessment of liver fibrosis. In these cases, a liver biopsy may be required for accurate liver assessment.