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Original Research | Open Access

Diagnostic Utility of Superb Microvascular Imaging of ultrasound Examinations to Evaluate Hepatic Ischemia-reperfusion Injury

Guoying ZhangaYing Tanga( )Mingyang WangaWeina Konga
Department of Ultrasound, Tianjin First Central Hospital, Tianjin, China
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Abstract

Objective

To investigate the effectiveness of SMI in evaluating hepatic IRI and detecting its therapy response.

Methods

Thirty rats were randomly divided into sham (n=12),IRI (n=12),and andrographolide pretreatment (n=6) groups.SMI,pathological,and biochemical examinations were conducted for the sham and IRI groups at 4(n=6) and 24 h (n=6) after reperfusion,respectively.Two ultrasonologists measured the vascular index (Ⅵ).The interobserver agreement was evaluated using the intraclass correlation coefficient (ICC).The rat liver parameters,including Suzuki's score,alanine aminotransferase (ALT),and aspartate aminotransferase (AST),were obtained at different time steps in each group.For the andrographolide pretreatment group,data were obtained at 24 h after reperfusion to further verify the advantage of Ⅵ.Parameters were analyzed for correlations and compared between each group at 4 and 24 h.

Results

The ICC between two ultrasonologists who measured the Ⅵ was 0.912(95% CI:0.889-0.940).Suzuki's score and Ⅵ were negatively correlated (r=-0.504,P=0.012).Compared with the sham group,the IRI group showed a significant decrease in the Ⅵ at 4 and 24 h after reperfusion[(24.78 ± 3.23) versus (20.22 ± 2.55);(22.67 ± 1.36) versus (19.27 ± 2.23),P <0.05)].The Ⅵ in the andrographolide pretreatment group was higher than that in the IRI group[(21.90 ± 1.47) versus (19.27 ± 2.23),P <0.05].

Conclusions

The Ⅵ on SMI can be used as a noninvasive and sensitive index to evaluate hepatic IRI and detect its therapeutic response.

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Advanced Ultrasound in Diagnosis and Therapy
Pages 15-21
Cite this article:
Zhang G, Tang Y, Wang M, et al. Diagnostic Utility of Superb Microvascular Imaging of ultrasound Examinations to Evaluate Hepatic Ischemia-reperfusion Injury. Advanced Ultrasound in Diagnosis and Therapy, 2024, 8(1): 15-21. https://doi.org/10.37015/AUDT.2024.230010

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Received: 27 March 2023
Revised: 27 April 2023
Accepted: 04 May 2023
Published: 30 March 2024
© AUDT 2024

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International license, which permits unrestricted use, distribution and reproduction in any medium provided that the original work is properly attributed.

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