Resumen

Dear Editor, We have read the article entitled Usefulness of acoustic radiation force impulse and fibrotest in liver fibrosis assessment after liver transplant by Bignulin, et al. with interest. They deduced that acoustic elastic radiation force impulse (ARFI) and Fibrotest were handy tools to stage the severity of fibrosis in patients with liver transplant. We would like to thank the authors for their priceless contribution. However, we would like to report few concerns regarding this study from a methodological point of view. First, it is stated in the present study that the measurements of ARFI were performed in the right liver lobe through the intercostal space in the supine position. Contrary to this research, Uslu, et al. demonstrated that subcostal approach to the liver parenchyma was significantly superior to intercostal approach for the evaluation of stiffness. If the ARFI measurements had been performed through the subcostal space, the pressure would have been transmitted better to liver parenchyma, and this would have given better results than intercostal approach in terms of determining the elasticity of the liver.

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2016-11-18   |   387 visitas   |   Evalua este artículo 0 valoraciones

Vol. 15 Núm.6. Noviembre-Diciembre 2016 Pags. 946 Ann Hepatol 2016; 15(6)