CHARACTERISTICS OF 2D ULTRASOUND IMAGING AND FIBROSCAN VALUES IN THE ASSESSMENT OF LIVER FIBROSIS IN PATIENTS WITH CHRONIC HEPATITIS B

Tóm tắt

Objective: To describe the 2D ultrasound features and the value of FibroScan in assessing the stage of liver fibrosis in patients with chronic hepatitis B.

Subjects anh methods: A cross-sectional descriptive study was conducted on 137 patients with chronic hepatitis B. Patients underwent 2D ultrasound to evaluate liver morphology and liver stiffness measurement using FibroScan. The stage of liver f ibrosis was classified according to the Metavir scoring system.

Results: On 2D ultrasound, coarse liver texture was observed in 56.9% of cases, increased echogenicity in 46%, and irregular liver margins in 57.7%, with no significant difference between genders (p > 0.05). FibroScan results showed a mean liver stiffness value of 22.01 ± 19.63 kPa (range: 7.5–75 kPa) and a median of 12.1 kPa. According to the Metavir classification, F2 accounted for 22.6%, F3 for 37.2%, and F4 for 40.2%.

Conclusion: 2D ultrasound and FibroScan are useful noninvasive tools for evaluating liver fibrosis. FibroScan provides quantitative assessment and detects a high proportion of advanced fibrosis (F3–F4)