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Measurement of Liver Stiffness Using Atomic Force Microscopy Coupled with Polarization Microscopy
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Assessing liver tumor stiffness by transient elastography.

Ryota Masuzaki1, Ryosuke Tateishi, Haruhiko Yoshida

  • 1Department of Gastroenterology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan, masuzakir-int@h.u-tokyo.ac.jp.

Hepatology International
|August 12, 2009
PubMed
Summary

Transient elastography can measure liver tumor stiffness noninvasively. Cholangiocellular carcinoma showed significantly higher stiffness than hepatocellular carcinoma and metastatic tumors.

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Area of Science:

  • Hepatology
  • Medical Imaging
  • Oncology

Background:

  • Transient elastography is a noninvasive method for assessing liver fibrosis by measuring liver stiffness.
  • This study explores its application for measuring hepatic tumor stiffness.

Purpose of the Study:

  • To evaluate the feasibility of using transient elastography for noninvasive measurement of liver tumor stiffness.
  • To compare stiffness values across different types of liver tumors.

Main Methods:

  • Forty patients with liver tumors larger than 5 cm were enrolled.
  • Transient elastography (FibroScan) was used to measure tumor stiffness.
  • Tumor stiffness measurements were correlated with histological findings.

Main Results:

  • Stiffness was measured in hepatocellular carcinoma (HCC), cholangiocellular carcinoma (CCC), metastatic tumors, and malignant lymphoma.
  • Median stiffness values were 55 kPa (HCC), 75 kPa (CCC), 66.5 kPa (metastatic), and 16.9 kPa (lymphoma).
  • CCC exhibited significantly higher stiffness than HCC and metastatic tumors (P = .049).

Conclusions:

  • Transient elastography can successfully measure liver tumor stiffness.
  • Further device improvements may enhance its clinical applicability for liver tumors.