ABSTRACT
BACKGROUND: Liver fibrosis is the main determinant and predictor of the clinical course of nonalcoholic fatty liver disease (NAFLD). To date, a liver biopsy is still considered the gold standard for staging fibrosis. The aim of this study was to investigate the diagnostic accuracy of the commercial enhanced liver fibrosis (ELF) test manufacturer's cutoff value (≥9.8) in identifying severe fibrosis for adult patients with histologically confirmed NAFLD. METHODS: We tested the ELF test in a clinical practice, prospective cohort of 82 consecutive patients who consecutively underwent percutaneous liver biopsy. RESULTS: All stages of liver fibrosis were represented in our cohort, and severe fibrosis was present in 15 of 82 patients (18.3%). The stage of fibrosis was significantly associated with ELF score (Spearman's rho = 0.483, p<0.001). The commercial ELF test manufacturer's cutoff identified severe fibrosis with good sensitivity (86.7%; 95% confidence interval [95% CI], 0.69-1.04) and high specificity (92.5%; 95% CI, 0.86-0.99), with a positive predictive value of 72% and negative predictive value of 97%. CONCLUSIONS: Our data could support the use of the ELF test in clinical practice.
Subject(s)
Biomarkers/blood , Liver Cirrhosis/blood , Liver/metabolism , Non-alcoholic Fatty Liver Disease/blood , Adult , Biopsy , Female , Humans , Liver/pathology , Liver Cirrhosis/pathology , Male , Middle Aged , Non-alcoholic Fatty Liver Disease/pathologyABSTRACT
Hemangiopericytoma is an uncommon perivascular tumor that occurs most frequently in the pelvis, head and neck, and meninges; it is extremely rare in the kidney. We report a kidney hemangiopericytoma in a 43-year-old woman who was treated with a nephron-sparing surgery and review the literature.
