Browse > Article
http://dx.doi.org/10.7742/jksr.2012.6.3.183

Analysis of the Accuracy about Abdominal Ultrasonography and Clinical Chemical Test with Fatty Liver Patients on the Medical Examination  

Kim, Young-Jae (Dept. of Radiation Technology, Gwangyang Health College)
Song, Jong-Nam (Dept. of Radiation Technology, Gwangyang Health College)
Kim, Min-Eui (Dept. of Laboratory Medicine, Seoul St. Mary's Hospital, Catholic University of Korea)
Publication Information
Journal of the Korean Society of Radiology / v.6, no.3, 2012 , pp. 183-189 More about this Journal
Abstract
Ultrasonography is one of the fields on the imaging studies within intra-abdominal organs. A blood test is a typical method of clinical chemical examination on the in vivo test of clinical symptoms. Fatty liver is performed simultaneously two kinds of diagnostics methods, intra-abdominal ultrasound and blood tests. At an implementing this, the standard of blood tests value was the TBIL, TC, AST, ALT, ALP, GGT, TG, HDL-C, GLU. In this study analyzing the accuracy of the two kinds of test, ultrasonography and blood test, on patients with fatty liver. From January to March 2012, patients 459 determined fatty liver within 1350, who received health examination simultaneously on the intra-abdominal ultrasonography and blood tests. Same result of ultrasonography and blood test's patients were 459 ie, 60.8%. and different result of those examinations was 280 ie, 39.2%. Consequently diagnostic accuracy was 60.8%. It presumably caused by differences in the diagnostic performance of ultrasound professionals(Radiologist or Radiological Technologist). In order to overcome this, ongoing educational and study will be needed.
Keywords
Ultrasonography; Blood test; Accuracy of inspections;
Citations & Related Records
연도 인용수 순위
  • Reference
1 전경녀, 김건우, 김경호, 염헌규, 김태헌. 초음파상의 미만성 지방간과 검사실 소견의 연관성. 대한초음파의학회지 pp.5-9, 1997.
2 Sexton CC, Zeman RK. Correlation of computed tomography and gross anatomy of liver. AJR No. 141, pp.711-718, 1983.
3 Hoyumpa AM Jr, Greene HI, Dunn GD, Schenker S, Fatty liver Biochemical and clinical consideration. Digestive Disease. Vol. 20, pp.1142, 1975.   DOI   ScienceOn
4 Schiff E, Schiff ER. Disease of liver. 7th ed. Philadelphia, JB Lippincott, pp.825-855, 1993.
5 Lombardi B. Fatty liver consideration on pathogenesis of fatty liver, Vol. 15, pp.1-6, 1966.
6 Alder M, Shaffner F. Fatty hepatitis and cirrhosis in obese. Am J Med No. 67, pp.811, 1979.   DOI   ScienceOn
7 Bode JC, Kruse G, Mexas P, Martini GA. Alcohol fatty liver, alcohol hepatitis, and alcohol cirrhosis. Dtach Med Wschr No. 109, pp. 1516, 1984.
8 문성수, 박찬일. 간 지방 변성에 있어서 말단 간세정맥 주변 섬유화의 정도와 그 의의에 관한 연구. 대한소화기병학회잡지 Vol. 19, No. 2, pp.533- 541, 1987.
9 Harrisons. Principle of internal medicine, Vol. 12, pp.1352-1355, 1991.
10 윤정환, 임대순, 전재윤, 강진경, 최홍재. 생검으로 확진된 지방간의 임상적 고찰. 대한소화기병학회잡지 Vol. 18, No 1 pp.197-204, 1986.
11 이진성. 미만성 지방간의 초음파 소견 CT 및 간기능 검사 소견과의 연관. 대한초음파의학회지 No, 13, pp.87-91, 1994.
12 박헌진, 안정기, 강원권, 이헌영, 김영건, 이복희, 지방간의 임상적 고찰, 대한소화기병학회잡지, Vol. 21, No. 1 pp.96-103, 1989.
13 정의경, 강영한, 박재용, 남성 건강검진 수진자들에서 알코올성 및 비알코올성 지방간과 대사증후군과의 관련성, 한국콘텐츠학회논문지, Vol. 9, No. 6, pp.237-246, 2009.