Abstract
Article: Point Shear Wave Elastography of the Spleen in Predicting the Presence of Esophageal Varices in Cirrhosis: Liver Stiffness vs. Spleen Stiffness
Authors: Nadella Sindhu, MD, Prakashini Koteshwar, MD, and Shiran Shetty, MD, DM
Category: Abdomen [AB]
Credit: 0.75 SDMS CME Credit
Objectives: After studying the article entitled “Point Shear Wave Elastography of the Spleen in Predicting the Presence of Esophageal Varices in Cirrhosis: Liver Stiffness vs. Spleen Stiffness,” you will be able to:
Understand portal hypertension and its complications
Differentiate the diagnostic testing used for portal hypertension
Describe point shear wave elastography to include techniques and advantages in evaluating portal hypertension
Patients with cirrhosis have an increased rate of morbidity and mortality with what portal hypertension complication? Ascites Splenomegaly Collaterals Esophageal varices (EVs)
What advantage does point shear wave elastography have over acoustic radiation force impulse elastography diagnosing liver stiffness (LS) or fibrosis? Sensitivity Reproducibility Specificity Feasibility
In this study, how far below the capsule was the range of interest positioned for accurate measurement? 0.2 cm 0.5 cm 0.75 cm 1.0 cm
The spleen stiffness (SS) was measured as a part of this study because the changes in extrahepatic circulation with portal hypertension can result in what? Asplenia Splenitis Splenic fibrosis Amyloidosis
Which two combined parameters were the most statistically significant when predicting EV in patients with portal hypertension? SS and size Spleen size and platelet count LS and platelet count LS and size
Footnotes