Dissertation/Thesis Abstract

Higher Liver Volume is a Non-Invasive Indicator of Hepatic Reserve in Cirrhotic Patients Undergoing Treatment for Hepatitis C Virus Infection
by Sefcik, Roberta K., M.S., Icahn School of Medicine at Mount Sinai, 2017, 31; 10269984
Abstract (Summary)

BACKGROUND: Nearly all patients with hepatitis C virus (HCV) infection can be treated successfully and achieve a virolgical cure; however, cure does not ensure the return of normal liver function. Non-invasive markers are needed to identify patients at high risk for continued liver dysfunction despite HCV cure.

OBJECTIVES: To evaluate liver volume, spleen volume, and model for end-stage liver disease (MELD) score prior to treatment as predictors of continued liver dysfunction post-cure.

METHODS: Multivariable logistic regression was used to identify factors associated with post-cure liver dysfunction, defined as serum albumin below the lower limit of normal. Liver and spleen volumes were calculated from computed tomography (CT) and magnetic resonance images (MRI).

RESULTS: One-predictor logistic regression models revealed that greater pre-treatment liver volume per ideal body weight [odds ratio (OR): 1.2 per mL/kg, p=0.008], lower pre-treatment spleen volume per ideal body weight (OR: 0.89 for every mL/kg, p=0.032), and lower pre-treatment MELD score (OR: 0.56 for every 1 unit increase in MELD score, p=0.002) were significantly related to recovery (albumin normalization).

SIGNIFICANCE: Liver volume, spleen volume, and the MELD score may all help to identify high-risk patients.

Indexing (document details)
Advisor: Branch, Andrea D.
Commitee: Gabrilove, Janice L., Moskowitz, Alan J., Woodward, Mark, Wyatt, Christina M., Zier, Karen
School: Icahn School of Medicine at Mount Sinai
Department: Clinical Research
School Location: United States -- New York
Source: MAI 56/04M(E), Masters Abstracts International
Source Type: DISSERTATION
Subjects: Medicine, Medical imaging
Keywords: Cirrhosis, Hepatitis c virus, Liver volume, Sustained virological response
Publication Number: 10269984
ISBN: 9781369712247
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