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Tarzamni MK, Khoshbaten M, Sadrarhami S, et al. Hepatic Artery and Portal Vein Doppler Indexes in Non-alcoholic Fatty Liver Disease Before and After Treatment to Prevent Unnecessary Health Care Costs. Int J Prev Med. 2014;5(4):472-7
Tarzamni, M. K., Khoshbaten, M., Sadrarhami, S., Daneshpajouhnejad, P., Jalili, J., Gholamian, M., & Shahmoradi, Z. (2014). Hepatic Artery and Portal Vein Doppler Indexes in Non-alcoholic Fatty Liver Disease Before and After Treatment to Prevent Unnecessary Health Care Costs. International journal of preventive medicine, 5(4), 472-7.
Tarzamni, Mohammad Kazem, et al. "Hepatic Artery and Portal Vein Doppler Indexes in Non-alcoholic Fatty Liver Disease Before and After Treatment to Prevent Unnecessary Health Care Costs." International journal of preventive medicine vol. 5,4 (2014): 472-7.
Tarzamni MK, Khoshbaten M, Sadrarhami S, Daneshpajouhnejad P, Jalili J, Gholamian M, Shahmoradi Z. Hepatic Artery and Portal Vein Doppler Indexes in Non-alcoholic Fatty Liver Disease Before and After Treatment to Prevent Unnecessary Health Care Costs. Int J Prev Med. 2014 Apr;5(4):472-7. PMID: 24829735; PMCID: PMC4018596.
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Int J Prev Med. 2014 Apr;5(4):472-7.

Hepatic Artery and Portal Vein Doppler Indexes in Non-alcoholic Fatty Liver Disease Before and After Treatment to Prevent Unnecessary Health Care Costs.

International journal of preventive medicine

Mohammad Kazem Tarzamni, Manouchehr Khoshbaten, Shohreh Sadrarhami, Parnaz Daneshpajouhnejad, Javad Jalili, Masoud Gholamian, Zahra Shahmoradi

Affiliations

  1. Department of Radiology, Imam Khomeini Hospital, Tabriz University of Medical Science, Tabriz, Iran.
  2. Drug Applied Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran.
  3. Department of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran.
  4. Isfahan Medical Students' Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran.

PMID: 24829735 PMCID: PMC4018596

Abstract

BACKGROUND: We tested whether hepatic haemodynamics assessed by Doppler ultrasonography can be a predictor of response to therapy in patients with non-alcoholic fatty liver disease (NAFLD) to prevent further unnecessary diagnostic tests and interventions.

METHODS: Forty eight consecutive patients affected by NAFLD, who refered to some clinics in Tabriz, Iran between 2009 and 2011 were included in the study. Response to therapy was assessed by decrease in liver enzyme levels. Three liver Doppler parameters (hepatic artery resistance index [RI], hepatic artery pulsatility index [PI] and portal vein waveform [PVW]) were analysed in all subjects who showed a decrease in liver function tests results. Wilcoxon and paired student's t-test were used for analysis.

RESULTS: Forty eight subjects with NAFLD were included in the study during 21 months, out of which 22 (39.1% male - mean age: 37.6 ± 8.3) responded to the treatment and formed the basis of this study. Mean hepatic artery RI increased significantly from 0.60 ± 0.07 to 0.83 ± 0.27before and after treatment, however, there was no significant differences between hepatic artery PI or PVW.

CONCLUSIONS: Increase in hepatic artery RI assessed by Doppler ultrasound may provide information on improvement of NAFLD in patients during the course of therapy.

Keywords: Doppler sonography; hepatic artery resistance index; non-alcoholic fatty liver disease

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