{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T05:41:06Z","timestamp":1696311666940},"reference-count":51,"publisher":"Wiley","issue":"13","license":[{"start":{"date-parts":[[2014,3,6]],"date-time":"2014-03-06T00:00:00Z","timestamp":1394064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hepatology Research"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate hepatic fibrosis and tumor diagnosis preoperatively, we investigated the elasticity calculated by the new parameter of ultrasonography, acoustic radiation force impulse (<jats:styled-content style=\"fixed-case\">ARFI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We examined <jats:styled-content style=\"fixed-case\">ARFI<\/jats:styled-content> of the non\u2010tumorous right and left lateral liver and in the tumor by push pulse of probe in 95 patients with hepatic malignancies undergoing hepatectomy. Measurement of <jats:styled-content style=\"fixed-case\">ARFI<\/jats:styled-content> as hepatic stiffness was indicated as the <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>s (m\/s).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Measuring the <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>s in the non\u2010tumor region was achieved in the right liver in 99% and at the left lateral liver in 94%. The <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>s in the right liver was significantly lower than in the left lateral liver, and the <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>s of the liver tumor was significantly higher than in the non\u2010tumorous liver. The <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>s in the right and left lateral liver was correlated with the platelet count, aspartate aminotransferase, fibrotic indices and indocyanine green test. The <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>s in the right liver was significantly correlated with the fibrotic marker or index. The <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>s of liver cirrhosis and histological stage 4 in the right and left liver was significantly the highest compared to the others. The <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>s in the right liver showed a high area under the receiver\u2013operator curve value predicting histological fibrosis. The <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>s in the right was significantly correlated with blood loss and postoperative complications, particularly uncontrolled ascites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Non\u2010invasive <jats:styled-content style=\"fixed-case\">ARFI<\/jats:styled-content> imaging elastography is useful in evaluating impaired liver function or in the differential diagnosis of liver malignancies, highly hepatic fibrosis and in predicting posthepatectomy morbidity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hepr.12306","type":"journal-article","created":{"date-parts":[[2014,2,8]],"date-time":"2014-02-08T07:18:42Z","timestamp":1391843922000},"page":"1308-1319","source":"Crossref","is-referenced-by-count":10,"title":["Usefulness of evaluating hepatic elasticity using artificial acoustic radiation force ultrasonography before 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