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British Journal of Radiology (2005) 78, 189-197
© 2005 British Institute of Radiology
doi: 10.1259/bjr/75208448

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Ultrasound evaluation of the fibrosis stage in chronic liver disease by the simultaneous use of low and high frequency probes

T Nishiura, RMS1, H Watanabe, RMS1, M Ito, MD1,2, Y Matsuoka, MD3, K Yano, MD4, M Daikoku, MD4, H Yatsuhashi, MD4, K Dohmen, MD, FACP, SJSUM4 and H Ishibashi, MD, FACP, SJSUM4

1 Clinical Laboratory, 2 Department of Pathology, 3 Deartment of Radiology and 4 Clinical Research Centre, NHO National Nagasaki Medical Centre, Omura, Nagasaki, 856-8562 Japan



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Figure 1. The ultrasound features of the liver edge; (a) a sharp edge with a high frequency probe, (b) a mildly blunted edge with a high frequency probe, and (c) a blunted edge with a low frequency probe.

 


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Figure 2. The ultrasound features of the liver surface; (a) a smooth surface with a high frequency probe, (b) a mildly irregular surface with a high frequency probe, (c) an irregular surface with a low frequency probe, and (d) a highly irregular surface with a low frequency probe.

 


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Figure 3. Scores for the ultrasound features of the liver parenchymal texture; (a) fine parenchymal texture with a high frequency probe, (b) a mildly coarse parenchymal texture with a high frequency probe, (c) a coarse parenchymal texture with a low frequency probe, and (d) a highly coarse parenchymal texture with a low frequency probe.

 


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Figure 4. Relationship between the liver edge and fibrosis findings.

 


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Figure 5. Relationship between the liver surface and fibrosis findings.

 


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Figure 6. Relationship between the liver parenchymal texture and fibrosis findings.

 


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Figure 7. Relationship between the accumulated ultrasound score and fibrosis score findings.

 





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