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Domenicali M, Tufoni M, Bevilacqua V, et al. Dorsal acoustic windows may ameliorate liver ultrasound in patients with chronic liver disease and meteorism/obesity/ascites. J Med Ultrason (2001). 2013;40(4):399-408doi: 10.1007/s10396-013-0445-4.
Domenicali, M., Tufoni, M., Bevilacqua, V., Benazzi, B., Ricci, C. S., Tovoli, A., Napoli, L., Caraceni, P., & Bernardi, M. (2013). Dorsal acoustic windows may ameliorate liver ultrasound in patients with chronic liver disease and meteorism/obesity/ascites. Journal of medical ultrasonics (2001), 40(4), 399-408. https://doi.org/10.1007/s10396-013-0445-4
Domenicali, Marco, et al. "Dorsal acoustic windows may ameliorate liver ultrasound in patients with chronic liver disease and meteorism/obesity/ascites." Journal of medical ultrasonics (2001) vol. 40,4 (2013): 399-408. doi: https://doi.org/10.1007/s10396-013-0445-4
Domenicali M, Tufoni M, Bevilacqua V, Benazzi B, Ricci CS, Tovoli A, Napoli L, Caraceni P, Bernardi M. Dorsal acoustic windows may ameliorate liver ultrasound in patients with chronic liver disease and meteorism/obesity/ascites. J Med Ultrason (2001). 2013 Oct;40(4):399-408. doi: 10.1007/s10396-013-0445-4. Epub 2013 May 11. PMID: 27277453.
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J Med Ultrason (2001). 2013 Oct;40(4):399-408. doi: 10.1007/s10396-013-0445-4. Epub 2013 May 11.

Dorsal acoustic windows may ameliorate liver ultrasound in patients with chronic liver disease and meteorism/obesity/ascites.

Journal of medical ultrasonics (2001)

Marco Domenicali, Manuel Tufoni, Vittoria Bevilacqua, Barbara Benazzi, Carmen Serena Ricci, Alessandra Tovoli, Lucia Napoli, Paolo Caraceni, Mauro Bernardi

Affiliations

  1. Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Via Albertoni 15, 40138, Bologna, Italy. [email protected].
  2. Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Via Albertoni 15, 40138, Bologna, Italy.

PMID: 27277453 DOI: 10.1007/s10396-013-0445-4

Abstract

PURPOSE: To identify dorsal acoustic windows (DAWs) for the study of the liver and to investigate whether they could improve the visualization of the liver in patients with chronic liver disease and ascites, meteorism, and/or obesity.

METHODS: The study was based on a single ultrasound examination and divided into three successive stages. Firstly, we performed a preliminary study involving 10 cirrhotic patients to identify new DAWs. Inter-observer reproducibility of measurements obtained through the DAWs was then assessed in another 29 cirrhotic patients. Finally, in 50 patients with chronic hepatitis/cirrhosis, we employed the DAWs when ascites, meteorism or obesity hampered the conventional ultrasound examination.

RESULTS: With patients sitting, we found three new DAWs, by the combined use of which it was possible to explore the liver, spleen, and their vascular structures, and which provided reproducible measurements. In the clinical setting, we found 11 of 50 patients in whom the addition of the new DAWs led to better results in terms of successful visualization/Doppler measurements for portal vein (ratio = 100 % vs 27 %, p = 0.001), hepatic artery (ratio = 90 % vs 27 %, p = 0.004), and hepatic veins (mean number = 2.4 ± 0.2 vs 1.0 ± 0.2, p = 0.01). Among these 11 patients, in one case the addition of DAWs led to visualization of hepatic focal lesions in the right lobe, not previously displayed through conventional ultrasound.

CONCLUSION: These DAWs may be an additional tool that improves the accuracy of ultrasound examinations in patients with meteorism, ascites, or obesity.

Keywords: Chronic hepatitis; Cirrhosis; Dorsal acoustic windows; Hepatic Doppler measurements; Liver ultrasound

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