Biliary cirrhosis complicating cystic fibrosis (CF) is often clinically silent. Sonography is being used to screen affected children. We wished to determine if abnormal liver architecture at sonography is related to abnormal function as measured by biochemical tests. Liver size and architecture, signs of portal hypertension (PHT), as well as serum transaminases (AST ALT) and glutamyl transferase (ΥGT) were evaluated on the same day. Of 195 children (112 boys and 83 girls, mean age 8.5 years), 38 with abnormal liver sonograms had a higher incidence of functional abnormalities than those with normal architecture (63% vs 10%, p<0.0001). The commonest abnormalities associated with abnormal function were signs of HTP (100%), of cirrhosis (high attenuation, nodules) (77%), and of steatosis (hyperechogenic livers) (50%). There is a correlation between sonographically abnormal liver architecture (especially signs of HTP and cirrhosis) and 3 tests of liver function (ΥGT, AST, and ALT). Together, these tests may be appropriate for screening children with CF for liver disease.
|Journal||Ultrasound in Medicine and Biology|
|Issue number||Suppl 1|
|State||Published - Jan 1 1997|
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging