Estimated Prevalence of Advanced Hepatic Fibrosis by Elastography in Patients with Type 2 Diabetes

Y. Sumida, Masashi Yoneda, K. Tokushige, M. Kawanaka, H. Fujii, M. Yoneda, Kento Imajo, H. Takahashi, YuichiroEguchi, M. Ono, Y. Nozaki, H. Hyogo, M. Koseki, Y. Yoshida, T. Kawaguchi, Y. Kamada, T. Okanoue, A. Nakajima
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引用次数: 2

Abstract

Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease. The grade of hepatic fibrosis is known to be closely associated with over-all or liver-related mortality in NAFLD. In order to detect early stage of hepatocellular carcinoma (HCC), it is essential to identify advanced hepatic fibrosis in NAFLD. To avoid invasive liver biopsies, several modalities have developed for evaluating hepatic fibrosis, including elastography (FibroScan and magnetic resonance elastography) and noninvasive tests (NITs) such as fibrosis-4 index and NAFLD fibrosis score. Patients with type 2 diabetes is twice at higher risk for incident HCC compared to the non-diabetic population. Although type 2 diabetes is also associated with fibrosis progression of NAFLD, the precise prevalence of advanced hepatic fibrosis in type 2 diabetes remains unknown. To detect or prevent the development of HCC in type 2 diabetes, mining patients with advanced fibrosis (stage 3/4) is important. It is estimated that approximately 17% of patients with type 2 diabetes receiving liver biopsies had advanced fibrosis. Population-based data are essential because of excluding selection bias. In this review, we review estimated prevalence of advanced hepatic fibrosis in patients with type 2 diabetes by using non-invasive elastography.
用弹性成像估计2型糖尿病患者晚期肝纤维化的患病率
非酒精性脂肪性肝病(NAFLD)是最常见的慢性肝病。已知肝纤维化的等级与NAFLD的总体死亡率或肝脏相关死亡率密切相关。为了早期发现肝细胞癌(HCC),有必要在NAFLD中识别晚期肝纤维化。为了避免侵入性肝活检,已经开发了几种评估肝纤维化的方法,包括弹性成像(纤维扫描和磁共振弹性成像)和非侵入性测试(NITs),如纤维化-4指数和NAFLD纤维化评分。2型糖尿病患者发生HCC的风险是非糖尿病人群的两倍。虽然2型糖尿病也与NAFLD的纤维化进展有关,但2型糖尿病晚期肝纤维化的确切患病率仍不清楚。为了检测或预防2型糖尿病中HCC的发展,发现晚期纤维化(3/4期)患者是很重要的。据估计,接受肝活检的2型糖尿病患者中约有17%患有晚期纤维化。基于人群的数据是必不可少的,因为可以排除选择偏差。在这篇综述中,我们回顾了通过无创弹性成像估计的2型糖尿病患者晚期肝纤维化的患病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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