Role of Shear Wave Elastography in Chronic Liver Diseases as a predictor of Gastro-Esophageal Varices with Endoscopic Correlation

Document Type : Original Article


1 Department of Diagnostic Radiology,Faculty of medicine, SohagUniversity

2 Department of Internal medicine , Faculty of Midicine,Sohag University.


Introduction:Liver fibrosis evaluation is very important for treatment and                            prognosis in patients with chronic liver diseases. The “gold standard” method for liver fibrosis assessment is still considered to be the liver biopsy and histopathology, but in the last years non - invasive methods have increasingly been used, especially   ultrasound based elastographic ones. Objective: to reveal the value of shear wave elastography in Chronic Liver Diseases as a predictor of Gastro-Esophageal Varices with Endoscopic Correlation.  
Material and methods: This is a prospective hospital analytic study enrolling 30patientspresented  by hematemesis and epigastric pain and diagnosed by abdominal US, real time SWE,PV Doppler at Sohag University Hospital using device(Toshiba Aplio 500)and Esophago-gastroduodenoscopy (EGD) during the period from April 2016 to February 2017.
Results:Shear wave was significantly higher among cases compared to controls, there was significant correlation between Shear wave and each of  Portal vein diameter, Peak systolic velocity, CBC findings, serology, US findings, oesophagealvarices, gastric varices, and Child's classification, but there was nonsignificant relation between Shear wave and each of age, sex, residence of the patient.
Conclusion:Shear Wave elastography (SWE) is effective and non invasive tool in prediction  presence of oesophagealvarices in cirrhotic patients.


1. Ioan Sporea1, Odd Helge Gilja2, Simona Bota1, liver elastography  An update medultrason  2013, Vol. 15, (4): 1-11..
2.  Giovanna Ferraioli, Parth Parekh, Alexander B. Levitov,Shear Wave Elastography for Evaluation of Liver FibrosisJ Ultrasound Med 2014; 33:197–203.
3.  Ferraioli G, Filice C, Castera L, et al. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 3: liver. Ultrasound Med Biol 2015; 41: 1161-1179.
4.  Hahn, S. M., Kim, S., Park, K. I., Han, S. J. & Koh, H. Clinical benefit of liver stiffness measurement at 3 months after Kasai hepatoportoenterostomy to predict the liver related events in biliary atresia. PLoS One 8, e80652 (2013).
5.  Shi KQ, Fan YC, Pan ZZ, Lin XF, Liu WY, Chen YP, Zheng MH. Transient elastography: a meta-analysis of diagnostic accuracy in evaluation of portal hypertension in chronic liver disease. Liver Int 2013; 33: 62-71.