Usefulness of liver fibrosis markers ELF in chronic hepatitis

  • Takashima Tomoyuki
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Iijima Hiroko
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine Ultrasound Imaging Center, Hyogo College of Medicine
  • Aoki Tomoko
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Nakano Chikage
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine Ultrasound Imaging Center, Hyogo College of Medicine
  • Aizawa Nobuhiro
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Kishino Kyohei
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Shimono Yoshihiro
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Hasegawa Kunihiro
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Takata Ryo
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Yo Kazunori
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Ishii Akio
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Sakai Yoshiyuki
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Nishimura Takashi
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine Ultrasound Imaging Center, Hyogo College of Medicine
  • Nishikawa Hiroki
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Iwata Yoshinori
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Ikeda Naoto
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Enomoto Hirayuki
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine
  • Hirota Seiichi
    Division of Surgical Pathology, Hyogo College of Medicine
  • Fujimoto Jiro
    Department of Surgery Hepato-biliary-pancreatic Surgery, Hyogo College of Medicine
  • Yano Hirohisa
    Department of Pathology, Kurume University School of Medicine
  • Nakashima Osamu
    Department of Clinical Laboratory Medicine, Kurume University School of Medicine
  • Kage Masayoshi
    Department of Diagnostic Pathology, Kurume University School of Medicine
  • Nishiguchi Shuhei
    Division of Hepatobiliary and Pancreatic Diseases Department of Internal Medicine, Hyogo College of Medicine

Bibliographic Information

Other Title
  • 慢性肝炎における肝線維化マーカーELFスコアの有用性
  • マンセイ カンエン ニ オケル カン センイカ マーカー ELF スコア ノ ユウヨウセイ

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Abstract

We evaluated the usefulness of the enhanced liver fibrosis panel (ELF, ADVIA Centaur®), the new method to assess liver fibrosis using serum fibrosis markers in patients with chronic hepatitis, and compared the result with other serological fibrosis markers. 338 patients with chronic hepatitis were included. ELF score, which consists of hyaluronic acid, procollagen type III propeptide (PIIIP) and tissue inhibitor of matrix metalloproteinase -1 (TIMP-1) was F0; 8.6±1.0, F1; 9.0±0.9, F2; 9.9±1.3, F3; 10.8±1.1, F4; 11.3±0.9, and increased with the development of fibrosis. The area under the receiver operating characteristic curve (AUROC) for the diagnosis of liver cirrhosis was 0.867 and showed good diagnostic accuracy (p<0.001). The ELF score is a useful noninvasive tool for the diagnosis of liver fibrosis stage in patients with chronic hepatitis.

Journal

  • Kanzo

    Kanzo 56 (10), 543-545, 2015

    The Japan Society of Hepatology

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