Assessment of hepatic veno-occlusive disease/sinusoidal obstruction syndrome using different scanning approaches for the ultrasonographic evaluation of portal vein blood flow and hepatic artery resistive index in hematopoietic stem cell transplant recipients

Kikuchi, Momoka; Iwai, Takahito; Nishida, Mutsumi et al.

Journal of medical ultrasonics, 2023, 50(4), 465-471

Permalink : https://hdl.handle.net/2115/93506

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論文情報

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アクセス権
open access
URI
https://hdl.handle.net/2115/93506
タイトル
Assessment of hepatic veno-occlusive disease/sinusoidal obstruction syndrome using different scanning approaches for the ultrasonographic evaluation of portal vein blood flow and hepatic artery resistive index in hematopoietic stem cell transplant recipients
著者
Kikuchi, Momoka ; Iwai, Takahito ; Nishida, Mutsumi ; Kudo, Yusuke ; Omotehara, Satomi ; Sato, Megumi ; Sugita, Junichi ; Goto, Hideki ; Yokota, Isao ; Teshima, Takanori
著者名
Kikuchi, Momoka
著者名
Iwai, Takahito
e-Rad_Researcher
90404722
著者名
Nishida, Mutsumi
著者名
Kudo, Yusuke
著者名
Omotehara, Satomi
著者名
Sato, Megumi
著者名
Sugita, Junichi
著者名
Goto, Hideki
著者名
Yokota, Isao
e-Rad_Researcher
40284096
著者名
Teshima, Takanori
言語
英語
キーワード
Ultrasonography
Liver
Sinusoidal obstruction syndrome
Hepatic veno-occlusive disease
Portal vein blood flow velocity
Hepatic artery resistive index
発行日
2023-10-01
出版者
Springer
収録物名
Journal of medical ultrasonics
巻(号)
50(4)
ページ
465-471
抄録
Purpose Sinusoidal obstruction syndrome (SOS) is a fatal complication of hematopoietic stem cell transplantation (HSCT). Previously, we established a scoring system (Hokkaido ultrasound-based scoring system-10; HokUS-10) comprising 10 ultrasound parameters for SOS diagnosis. In HokUS-10, the portal vein time-averaged flow velocity (PV TAV) and hepatic artery resistive index (HA RI) are measured using subcostal scanning. However, measurement errors and delineation difficulties occur. Therefore, we aimed to prospectively evaluate PV TAV and HA RI measurements obtained via intercostal scanning as an alternative method to subcostal scanning and determine their cutoff values. Methods HokUS-10 was administered before and after HSCT. PV TAV and HA RI were measured on subcostal and right intercostal scans. Results We performed 366 scans on 74 patients. The median value (range) of PV TAV in the main and right portal veins was 15.0 cm/s (2.2–49.6 cm/s) and 10.5 cm/s (1.6–22.0 cm/s), respectively. A low correlation was observed between the two values (r = 0.39, p < 0.01). The highest diagnostic value of the right portal vein was less than 8.0 cm/s. The median value (range) of HA RI in the proper and right hepatic arteries was 0.72 (0.52–1.00) and 0.70 (0.51–1.00), respectively. A strong correlation was observed between the two values (r = 0.65, p < 0.01). The highest diagnostic value of the right HA RI was 0.72 or higher. Conclusion Quantitative measurement of PV TAV and HA RI using intercostal scanning can be appropriately performed as an alternative method to using subcostal scanning.
資源タイプ
学術雑誌論文
出版タイプ
Accepted Manuscript
権利情報
This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s10396-023-01335-6
PISSN
1346-4523
関連情報 (isVersionOf)
出版社版DOI
https://doi.org/10.1007/s10396-023-01335-6