World Journal of Gastroenterology · 2019 · 33 citations · 32 references
MedicineInfectious DiseasesPathologyDiagnostic ImagingHepatologyMolecular ImagingFibrosisHepatic FibrosisLiver BiopsyLiver DiseaseMagnetic Resonance ImagingViral HepatitisCell Proliferation IndicesChronic Viral HepatitisDiffusion Magnetic Resonance ImagingHepatic Fibrosis BiomarkersLiver Fibrosis BiomarkersLiver Fibrosis StagingMicrorna Regulation Of FibrogenesisViral Hepatitis Fibrosis
BACKGROUND: Diffusion-weighted magnetic resonance imaging has shown promise in the detection and quantification of hepatic fibrosis. In addition, the liver has numerous endogenous micro-RNAs (miRs) that play important roles in the regulation of biological processes such as cell proliferation and hepatic fibrosis. AIM: To assess diffusion-weighted magnetic resonance imaging and miRs in diagnosing and staging hepatic fibrosis in patients with chronic hepatitis C. METHODS: This prospective study included 208 patients and 82 age- and sex-matched controls who underwent diffusion-weighted magnetic resonance imaging of the abdomen, miR profiling, and liver biopsy. Pathological scoring was classified according to the METAVIR scoring system. The apparent diffusion coefficient (ADC) and miR were calculated and correlated with pathological scoring. RESULTS: = 0.001). CONCLUSION: Combining ADC and miRs offers an alternative surrogate non-invasive diagnostic tool for diagnosing and staging hepatic fibrosis in patients with chronic hepatitis C.
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