Digestive Diseases and Sciences

, Volume 51, Issue 2, pp 346–351 | Cite as

Computed Tomography in Nonalcoholic Fatty Liver Disease

A Useful Tool for Hepatosteatosis Assessment?
  • Deniz Güney DumanEmail author
  • Cigdem Celikel
  • Davut Tüney
  • Nese Imeryüz
  • Erol Avsar
  • Nurdan Tözün


The value and/or limitations of computed tomography (CT) in assessment of hepatosteatosis are not well studied in nonalcoholic fatty liver disease (NAFLD). We prospectively evaluated the accuracy of CT in assessing the amount of hepatosteatosis in NAFLD patients and the impact of demographic and histopathologic variables on CT images. Forty patients with biopsy-proven NAFLD were eligible. Of these, 10 exhibited hepatic iron overload. Liver and spleen attenuation measurements were obtained and spleen-minus-liver attenuation difference (ΔS–LA) was calculated. A good correlation between ΔS–LA and pathological hepatosteatosis was observed (r = 0.837, P < 0.0001). Liver iron overload did not affect this correlation, although the mean ΔS–LA was significantly lower in patients with iron overload. No correlation was detected between ΔS–LA and hepatic inflammation, fibrosis, or body mass index. We conclude that ΔS–LA derived from CT may be a useful tool for predicting the amount of hepatosteatosis in NAFLD patients as it is not affected by various individual factors.

Key Words

nonalcoholic steatohepatitis nonalcoholic fatty liver disease spleen-minus-liver attenuation difference hepatic iron overload computed tomography 


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Copyright information

© Springer Science + Business Media, Inc. 2006

Authors and Affiliations

  • Deniz Güney Duman
    • 1
    • 4
    Email author
  • Cigdem Celikel
    • 2
  • Davut Tüney
    • 3
  • Nese Imeryüz
    • 1
  • Erol Avsar
    • 1
  • Nurdan Tözün
    • 1
  1. 1.Subdivision of GastroenterologySchool of Medicine, Marmara UniversityIstanbulTurkey
  2. 2.Departments of PathologySchool of Medicine, Marmara UniversityIstanbulTurkey
  3. 3.Departments of RadiologySchool of Medicine, Marmara UniversityIstanbulTurkey
  4. 4.School of Medicine, Subdivision of GastroenterologyMarmara UniversityIstanbulTurkey

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