Abdominal Imaging

, Volume 18, Issue 1, pp 61–65

Hepatic arterial resistive indices: Correlation with the severity of cirrhosis

  • Venetia G. Vassiliades
  • Todd D. Ostrow
  • Judith L. Chezmar
  • Gary L. Hertzler
  • Rendon C. Nelson
Article

DOI: 10.1007/BF00201704

Cite this article as:
Vassiliades, V.G., Ostrow, T.D., Chezmar, J.L. et al. Abdom Imaging (1993) 18: 61. doi:10.1007/BF00201704

Abstract

Forty-three patients who were scheduled to undergo a percutaneous liver biopsy were evaluated with Doppler sonography to determine the hepatic arterial resistive index (RI). The histologic specimens were graded by a pathologist regarding cirrhosis and inflammation. The specimens demonstrated no cirrhosis in 12 of 43 (28%) patients, early cirrhosis in 10 of 43 (23%), and established cirrhosis in 21 of 43 (49%). Analysis also revealed that inflammation was absent in three of 43 (7%) patients, minimal in seven of 43 (16%), mild in 17 of 43 (40%), moderate in 13 of 43 (30%), and severe in three of 43 (7%). Hepatic artery RIs (without correction for heart rate) ranged from 0.64+0.06 in patients with early cirrhosis to 0.68 ±0.09 in patients with severe inflammation. There was no significant correlation between the degree of cirrhosis and/or inflammation and hepatic artery RI (with or without correction for heart rate). We conclude that Doppler determination of hepatic artery RIs is not a reliable method of predicting the severity of hepatic cirrhosis and/or inflammation.

Key words

Liver, duplex sonography Cirrhosis, diagnosis Hepatic artery, resistive index 

Copyright information

© Springer-Verlag New York Inc. 1993

Authors and Affiliations

  • Venetia G. Vassiliades
    • 1
  • Todd D. Ostrow
    • 1
  • Judith L. Chezmar
    • 1
  • Gary L. Hertzler
    • 2
  • Rendon C. Nelson
    • 2
  1. 1.Department of RadiologyEmory University School of MedicineAtlantaUSA
  2. 2.Department of PathologyEmory University School of MedicineAtlantaUSA
  3. 3.Department of RadiologyEmory University HospitalN.E., AtlantaUSA

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