IMAGING SCIENCE AND PHOTOCHEMISTRY ›› 2023, Vol. 41 ›› Issue (6): 290-295.DOI: 10.7517/issn.1674-0475.230711

• Review and Articles • Previous Articles     Next Articles

Analysis of Accuracy and Misdiagnosis of Controlled Attenuation Parameter in Evaluating Hepatic Steatosis in Patients with Chronic Hepatitis B

LU Jingnan1, WANG Gailian2, WEN Ya1, SHA Wenxia2   

  1. 1. Department of Medical Imaging, Yan'an University Affiliated Hospital, Yan'an 716000, Shanxi, P. R. China;
    2. Department of Medical Imaging, Yan'an Second People's Hospital, Yan'an 716000, Shanxi, P. R. China
  • Received:2023-07-24 Online:2023-11-23 Published:2023-12-14

Abstract: To explore the accuracy of controlled attenuation parameter (CAP) in assessing liver steatosis in chronic hepatitis B, and to analyze factors affecting the diagnostic accuracy of CAP. The clinical data of 215 patients with chronic hepatitis B were retrospectively collected, the diagnostic performance of CAP was analyzed using the receiver operating characteristic (ROC) curve, and the optimal cutoff value of CAP to evaluate different degrees of hepatic steatosis was obtained to distinguish different degrees of hepatic steatosis. To analyze the inconsistency between CAP and magnetic resonance proton density fat fraction (MRI-PDFF) in assessing the stage of hepatic steatosis. Logistic regression was used to analyze risk factors for CAP misdiagnosis. The results showed that in the entire study population, CAP had good diagnostic performance in diagnosing steatosis with or without steatosis, mild steatosis, and moderate to severe steatosis. According to the inconsistency in the diagnosis of steatosis stage between CAP and MRI-PDFF, patients were divided into a diagnostic consistency group and a diagnostic inconsistency group.Logistic regression results showed that age and BMI were independent risk factors for misdiagnosis of CAP. Although CAP has a certain misdiagnosis rate in assessing hepatic steatosis in chronic hepatitis B, it still has good diagnostic accuracy.

Key words: chronic hepatitis B, hepatic steatosis, controlled attenuation parameter, magnetic resonance imaging estimated proton density fat fraction, influencing factor