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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.
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: | 978-1-369-71224-7 |