Controlled Attenuation Parameter for Quantification of Steatosis: Which Cut-Offs to Use?

Chronic liver diseases (CLDs) are a public health problem, even if frequently they are underdiagnosed. Hepatic steatosis (HS), encountered not only in nonalcoholic fatty liver disease (NAFLD) but also in chronic viral hepatitis, alcoholic liver disease, etc., plays an important role in fibrosis prog...

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Main Authors: Roxana Sirli, Ioan Sporea
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Canadian Journal of Gastroenterology and Hepatology
Online Access:http://dx.doi.org/10.1155/2021/6662760
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author Roxana Sirli
Ioan Sporea
author_facet Roxana Sirli
Ioan Sporea
author_sort Roxana Sirli
collection DOAJ
description Chronic liver diseases (CLDs) are a public health problem, even if frequently they are underdiagnosed. Hepatic steatosis (HS), encountered not only in nonalcoholic fatty liver disease (NAFLD) but also in chronic viral hepatitis, alcoholic liver disease, etc., plays an important role in fibrosis progression, regardless of CLD etiology; thus, detection and quantification of HS are imperative. Controlled attenuation parameter (CAP) feature, implemented in the FibroScan® device, measures the attenuation of the US beam as it passes through the liver. It is a noninvasive technique, feasible and well accepted by patients, with lower costs than other diagnostic techniques, with acceptable accuracy for HS quantification. Multiple studies have been published regarding CAP performance to quantify steatosis, but due to the heterogeneity of CLD etiologies, of steatosis prevalence, etc., it had widely variable calculated cut-off values, which in turn limited the day-to-day utility of CAP measurements in clinical practice. This paper reviews published studies trying to suggest cut-off values usable in clinical practice.
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institution Kabale University
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spelling doaj-art-3039f1fc6a95440b805ef3a6064c6c5d2025-02-03T01:10:08ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972021-01-01202110.1155/2021/66627606662760Controlled Attenuation Parameter for Quantification of Steatosis: Which Cut-Offs to Use?Roxana Sirli0Ioan Sporea1Department of Gastroenterology and Hepatology, Advanced Regional Research Center in Gastroenterology and Hepatology, “Victor Babeş” University of Medicine and Pharmacy, 156, Liviu Rebreanu Bv., Timişoara 300723, RomaniaDepartment of Gastroenterology and Hepatology, Advanced Regional Research Center in Gastroenterology and Hepatology, “Victor Babeş” University of Medicine and Pharmacy, 156, Liviu Rebreanu Bv., Timişoara 300723, RomaniaChronic liver diseases (CLDs) are a public health problem, even if frequently they are underdiagnosed. Hepatic steatosis (HS), encountered not only in nonalcoholic fatty liver disease (NAFLD) but also in chronic viral hepatitis, alcoholic liver disease, etc., plays an important role in fibrosis progression, regardless of CLD etiology; thus, detection and quantification of HS are imperative. Controlled attenuation parameter (CAP) feature, implemented in the FibroScan® device, measures the attenuation of the US beam as it passes through the liver. It is a noninvasive technique, feasible and well accepted by patients, with lower costs than other diagnostic techniques, with acceptable accuracy for HS quantification. Multiple studies have been published regarding CAP performance to quantify steatosis, but due to the heterogeneity of CLD etiologies, of steatosis prevalence, etc., it had widely variable calculated cut-off values, which in turn limited the day-to-day utility of CAP measurements in clinical practice. This paper reviews published studies trying to suggest cut-off values usable in clinical practice.http://dx.doi.org/10.1155/2021/6662760
spellingShingle Roxana Sirli
Ioan Sporea
Controlled Attenuation Parameter for Quantification of Steatosis: Which Cut-Offs to Use?
Canadian Journal of Gastroenterology and Hepatology
title Controlled Attenuation Parameter for Quantification of Steatosis: Which Cut-Offs to Use?
title_full Controlled Attenuation Parameter for Quantification of Steatosis: Which Cut-Offs to Use?
title_fullStr Controlled Attenuation Parameter for Quantification of Steatosis: Which Cut-Offs to Use?
title_full_unstemmed Controlled Attenuation Parameter for Quantification of Steatosis: Which Cut-Offs to Use?
title_short Controlled Attenuation Parameter for Quantification of Steatosis: Which Cut-Offs to Use?
title_sort controlled attenuation parameter for quantification of steatosis which cut offs to use
url http://dx.doi.org/10.1155/2021/6662760
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AT ioansporea controlledattenuationparameterforquantificationofsteatosiswhichcutoffstouse