The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Vol 23, No 2 (2022): VOLUME 23, NUMBER 2, August 2022

Reliability of Hepatus® for Evaluating Liver Fibrosis in Chronic Hepatitis B

Jessica Cynthia Febryani (Division of Gastroenterohepatology, Department of Internal Medicine, University of Padjajaran/Hasan Sadikin Hospital, Bandung)
Muhammad Begawan Bestari (Division of Gastroenterohepatology, Department of Internal Medicine, University of Padjajaran/Hasan Sadikin Hospital, Bandung)
Haryono - (Division of Gastroenterohepatology, Department of Internal Medicine, University of Padjajaran/Hasan Sadikin Hospital, Bandung)
Dolvy Girawan (Division of Gastroenterohepatology, Department of Internal Medicine, University of Padjajaran/Hasan Sadikin Hospital, Bandung)
Nenny Agustanti (Division of Gastroenterohepatology, Department of Internal Medicine, University of Padjajaran/Hasan Sadikin Hospital, Bandung)
Yudi Wahyudi (Division of Gastroenterohepatology, Department of Internal Medicine, University of Padjajaran/Hasan Sadikin Hospital, Bandung)
Siti Aminah Abdurachman (Division of Gastroenterohepatology, Department of Internal Medicine, University of Padjajaran/Hasan Sadikin Hospital, Bandung)



Article Info

Publish Date
06 Sep 2022

Abstract

Abstract  BackgroundAmong non-invasive strategies available for liver fibrosis assessment, transient elastography is widely used, as it is non-invasive and can be repeated. Hepatus® (Mindray, China) is one novel instrument for measuring liver stiffness that is now available in the market with lower price than its precursor, FibroScan® (Echosens, Paris). MethodIn this cross sectional study, CHB patients in single center were recruited consecutively in October 2021-December 2021. The patients were examined for LSM with two transient elastography instruments in one visit. The first instrument was Hepatus® (Mindray, China) and the second one was FibroScan® (Echosens, Paris). Both measurements were done by the same operator. ResultsA total of 68 CHB patients were enrolled in this study. Median score of LSM by Hepatus® and FibroScan® were 7.6 (5.92-11.88) and 7.35 (5.63-11.80) respectively. Spearman rank analysis for correlation showed a significant correlation between the results of the two instruments ( r= 0.8, p 0.05). The number of patients with significant fibrosis (≥8 kPa) identified by Hepatus® and FibroScan® were 28 (41%) and 29 (43%) respectively. McNemar test yielded no significant difference of the results (p= 1.000), and Cohen’s kappa measure of agreement showed moderate agreement (κ = 0.789 and p 0.005). ConclusionHepatus® identified similar number of significant fibrosis patients with FibroScan®, with the results of liver stiffness measurement between the two instruments correlated significantly. Hepatus® has a potential as an alternative tool  for measuring liver stiffness with a more economic price. KeywordsHepatus®, FibroScan®, transient elastography, liver fibrosis, CHB

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Journal Info

Abbrev

jghe

Publisher

Subject

Medicine & Pharmacology

Description

The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy is an academic journal which has been published since 2000 and owned by 3 Societies: The Indonesian Society of Gastroenterology; Indonesian Association for the Study of the Liver; The Indonesian Society for Digestive ...