Author | Voieta, Izabela | |
Author | Queiroz, Leonardo C. de | |
Author | Andrade, Luciene M. | |
Author | Silva, Luciana Cristina S. | |
Author | Fontes, Vitor F. | |
Author | Barbosa Junior, Aryon de Almeida | |
Author | Resende, Vivian | |
Author | Petroianu, Andy | |
Author | Andrade, Zilton de Araújo | |
Author | Antunes, Carlos Mauricio de Figueiredo | |
Author | Lambertucci, José Roberto | |
Access date | 2012-12-26T17:57:24Z | |
Available date | 2012-12-26T17:57:24Z | |
Document date | 2010 | |
Citation | VOIETA, I. et al. Imaging techniques and histology in the evaluation of liver fibrosis in hepatosplenic schistosomiasis mansoni in Brazil: a comparative study. Memórias do Instituto Oswaldo Cruz, v. 105, n. 4, p. 414-421, july. 2010. | pt_BR |
ISSN | 0074-0276 | |
URI | https://www.arca.fiocruz.br/handle/icict/6063 | |
Language | eng | pt_BR |
Rights | open access | |
Title | Imaging techniques and histology in the evaluation of liver fibrosis in hepatosplenic schistosomiasis mansoni in Brazil: a comparative study | pt_BR |
Type | Article | pt_BR |
Abstract | Few publications have compared ultrasound (US) to histology in diagnosing schistosomiasis-induced liver fibrosis (LF); none has used magnetic resonance (MR). The aim of this study was to evaluate schistosomal LF using these three methods. Fourteen patients with hepatosplenic schistosomiasis admitted to hospital for surgical treatment of variceal bleeding were investigated. They were submitted to upper digestive endoscopy, US, MR and wedge liver biopsy. The World Health Organization protocol for US in schistosomiasis was used. Hepatic fibrosis was classified as absent, slight, moderate or intense. Histology and MR confirmed Symmers’ fibrosis in all cases. US failed to detect it in one patient. Moderate agreement was found comparing US to MR; poor agreement was found when US or MR were compared to histology. Re-classifying LF as only slight or intense created moderate agreement between imaging techniques and histology. Histomorphometry did not separate slight from intense LF. Two patients with advanced hepatosplenic schistosomiasis presented slight LF. Our data suggest that the presence of the characteristic periportal fibrosis, diagnosed by US, MR or histology, associated with a sign of portal hypertension, defines the severity of the disease. We conclude that imaging techniques are reliable to define the presence of LF but fail in grading its intensity. | pt_BR |
Affilliation | Universidade Federal de Minas Gerais. Faculdade de Medicina. Infectologia e Medicina Tropical. Belo Horizonte, MG, Brasil | pt_BR |
Affilliation | Hospital das Clínicas. Serviço de Radiologia. Belo Horizonte, MG, Brasil | pt_BR |
Affilliation | Universidade Federal de Minas Gerais. Faculdade de Medicina. Infectologia e Medicina Tropical. Belo Horizonte, MG, Brasil / Laboratórios Hermes Pardini. Belo Horizonte, MG, Brasil | pt_BR |
Affilliation | Universidade Federal de Minas Gerais. Faculdade de Medicina. Infectologia e Medicina Tropical. Belo Horizonte, MG, Brasil | pt_BR |
Affilliation | Universidade Federal de Minas Gerais. Faculdade de Medicina. Infectologia e Medicina Tropical. Belo Horizonte, MG, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | Serviço de Cirurgia de Fígado e Vias Biliares. Belo Horizonte, MG, Brasil | pt_BR |
Affilliation | Serviço de Cirurgia de Fígado e Vias Biliares. Belo Horizonte, MG, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | Universidade Federal de Minas Gerais. Faculdade de Medicina. Infectologia e Medicina Tropical. Belo Horizonte, MG, Brasil | pt_BR |
Affilliation | Universidade Federal de Minas Gerais. Faculdade de Medicina. Infectologia e Medicina Tropical. Belo Horizonte, MG, Brasil | pt_BR |
Subject | Schistosomiasis | pt_BR |
Subject | Ultrasound | pt_BR |
Subject | Magnetic resonance | pt_BR |
Subject | Liver fibrosis | pt_BR |
Subject | Symmers’ fibrosis | pt_BR |
Subject | Splenectomy | pt_BR |
Subject | Portal hypertension | pt_BR |
DeCS | Cirrose Hepática | pt_BR |
DeCS | Hepatopatias Parasitárias | pt_BR |
DeCS | Esquistossomose mansoni | pt_BR |
DeCS | Esplenopatias | pt_BR |
DeCS | Biópsia | pt_BR |
DeCS | Varizes Esofágicas e Gástricas | pt_BR |
DeCS | Cirrose Hepática | pt_BR |
DeCS | Cirrose Hepática/patologia | pt_BR |
DeCS | Cirrose Hepática/ultrassonografia | pt_BR |
DeCS | Hepatopatias Parasitárias | pt_BR |
DeCS | Hepatopatias Parasitárias/patologia | pt_BR |
DeCS | Hepatopatias Parasitárias/ultrassonografia | pt_BR |
DeCS | Esquistossomose mansoni | pt_BR |
DeCS | Esquistossomose mansoni/patologia | pt_BR |
DeCS | Esquistossomose mansoni/ultrassonografia | pt_BR |
DeCS | Índice de Gravidade de Doença | pt_BR |
DeCS | Esplenectomia | pt_BR |
DeCS | Esplenopatias | pt_BR |
DeCS | Esplenopatias/patologia | pt_BR |
DeCS | Esplenopatias/ultrassonografia | pt_BR |
DeCS | Adulto | pt_BR |
DeCS | Feminino | pt_BR |
DeCS | Humanos | pt_BR |
DeCS | Masculino | pt_BR |
DeCS | Meia-Idade | pt_BR |
DeCS | Adulto Jovem | pt_BR |
DeCS | Estudo Comparativo | pt_BR |