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Formulation for effective screening and management of nonalcoholic steatohepatitis Noninvasive NAFLD management strategy
http://hdl.handle.net/10191/45093
http://hdl.handle.net/10191/45093e03d6d2e-a742-479b-8734-60c0842aff65
名前 / ファイル | ライセンス | アクション |
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本文 (746.6 kB)
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要旨 (240.4 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2016-12-07 | |||||
タイトル | ||||||
タイトル | Formulation for effective screening and management of nonalcoholic steatohepatitis Noninvasive NAFLD management strategy | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Formulation for effective screening and management of nonalcoholic steatohepatitis Noninvasive NAFLD management strategy | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | nonalcoholic fatty liver disease | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | screening | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | shear wave velocity | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | formula | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_46ec | |||||
タイプ | thesis | |||||
その他のタイトル | ||||||
その他のタイトル | 非アルコール性脂肪肝炎の効果的なスクリーニングとマネジメント、非侵襲的なNAFLD管理の方法 | |||||
著者 |
Hirose, Kanae
× Hirose, Kanae |
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著者別名 | ||||||
識別子 | 50892 | |||||
識別子Scheme | WEKO | |||||
姓名 | 廣瀬, 奏恵 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | To establish a versatile means for screening and management of nonalcoholic steatohepatitis (NASH), shear wave velocity was measured in 20 normal controls and 138 consecutive nonalcoholic fatty liver disease (NAFLD) cases. Referencing biochemical properties in 679 healthy volunteers, a formula to distinguish NASH suspects was established and validated in another cohort of 138 histologically proven NAFLD cases. NASH and simple steatosis (SS)\nsuspects were selected based on a plot of shear wave velocity against age. A formula consisting of five factors (ɤ-glutamyl transpeptidase, alkaline phosphatase, platelet counts, body mass index, and presence/absence of type 2 diabetes mellitus) distinguished NASH suspects from SS suspects with area under the receiver operating characteristic curve values of 86% and 84% in the development and validation cohorts. Among 25 NAFLD cases in which shear wave velocity was repeatedly measured, 8 and 9 cases revealed an increase or decrease, respectively, of shear wave velocity in the entire liver, and the corresponding change in shear wave velocity was primarily observed in the right lobe or the left lateral segment, respectively. These results suggest that the new formula and sequential shear wave velocity measurements at each segment enable high throughput screening of NASH suspects and oninvasive assessment of pathophysiological alleviation/aggravation in cases of NASH. | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 学位の種類: 博士(医学). 報告番号: 甲第4207号. 学位記番号: 新大院博(医)甲第706号. 学位授与年月日: 平成28年9月20日 | |||||
書誌情報 | 発行日 2016-09-20 | |||||
出版者 | ||||||
出版者 | 新潟大学 | |||||
著者版フラグ | ||||||
値 | ETD | |||||
学位名 | ||||||
学位名 | 博士(医学) | |||||
学位授与機関 | ||||||
学位授与機関名 | 新潟大学 | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2016-09-20 | |||||
学位授与番号 | ||||||
学位授与番号 | 13101甲第4207号 | |||||
学位記番号 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 新大院博(医)甲第706号 |