Research Article

Spleen and Liver Stiffness Evaluation by ARFI Imaging: A Reliable Tool for a Short-Term Monitoring of Portal Hypertension?

Table 2

HVPG, LSM, and SSM results according to initiated NSBB treatment (NSBB = non-selective beta-blocker; HVPG = hepatic venous pressure gradient; LSM = Liver stiffness measurement; SSM = spleen stiffness measurement). All the values are presented as median values (min–max).

HVPG (mmHg)LSM (m/s)SSM (m/s) upperSSM (m/s) hilarSSM (m/s) bottomSSM (m/s) overall

All patients
Baseline18 (10-27)2.88 (1.31–3.76)2.55 (0.74–3.39)2.98 (2.05–4.11)3.59 (2.8–5.0)3.00 (2.27–3.59)
Follow-up17 (2–22.0)2.89 (1.22–3.64)2.44 (0.84–3.66)3.21 (2.20–3.95)3.58 (2.23–3.98)3.03 (2.33–3.55)
Delta (value)-10.01-0.110.23-0.010.03
Delta (% baseline)-5.5%0%-4%7%0%0%
Correlation with HVPG results (-value)
 Baseline0.46 (=0.0089)0.25 ( =0.17)-0.12 ( =0.51)0.086 ( =0.64)-0.21 ( =0.239)
 Follow-up0.54 (=0.0016)0.1 ( =0.59)0.001 ( =0.97)0.13 ( =0.47)0.12 ( =0.49)
 Delta0.16 ( =0.381)-0.25 ( =0.17)-0.38 (=0.03)0.06 ( =0.77)-0.298 ( =0.114)

Responder
Baseline20 (10-27)2.85 (1.31–3.34)2.42 (0.74–3.39)2.54 (2.41–3.42)3.53 (2.8–4.15)2.96 (2.27–3.34)
Follow-up15.5 (2–20)2.83 (1.22–3.28)2.42 (1.47–3.66)3.11 (2.26–3.69)3.44 (2.23–3.98)3.02 (2.33–3.22)
Delta (value)-4.5-0.0200.570.09+0.06
Delta (% baseline)-29%- 0%0%22%-3%+ 2%
Correlation with HVPG results (-value)
 Baseline0.82 (= 0.0003)0.27 ( = 0.33)- 0.17 ( = 0.53)0.11 ( = 0.69)- 0.33 ( = 0.25)
 Follow-up0.73 (= 0.0026)0.41 ( = 0.14)0.09 ( = 0.75)-0.04 ( = 0.88)0.28 ( = 0.32)
 Delta0.40 ( = 0.149)- 0.15 ( = 0.58)- 0.27 ( = 0.34)0.01 ( =0.94)- 0.27 ( = 0.34)

Non-responder
Baseline16 (12-21)2.88 (2.09–3.76)2.7 (1.47–3.31)3.4 (2.05–4.11)2.7 (1.47–3.32)3.23 (2.38–3.59)
Follow-up19 (14–22)3.09 (1.72–3,64)2.46 (0.84–3.27)3.24 (2.2–3.95)2.46 (0.84–3.27)3.03 (2.41–3.55)
Delta (value)30.21- 0.24- 0,16-0,24- 0.2
Delta (% baseline)16%7%- 9%- 5%9%- 7%
Correlation with HVPG results
 Baseline0.07 ( = 0.76)- 0,18 ( = 0.48)0.13 ( =0.59)0.13 ( = 0.6)0.06 ( = 0.82)
 Follow-up-0.01 ( =0.96)- 0.26 ( = 0.31)-0.21 ( = 0.31)0.25 ( = 0.32)- 0.17 ( = 0.50)
 Delta- 0.26 ( = 0.31)- 0.49 (= 0.04)0.21 ( = 0.4)0.34 ( =0.17)0.04 ( = 0.85)