Why the study?
Non-alcoholic steatohepatitis prevalence has risen over the last three decades, and non-contrast CT can assess fatty liver disease; the study aimed to evaluate CT grading of fatty liver disease in alcoholic versus non-alcoholic patients.
Can non-contrast CT imaging be used to grade fatty liver disease in alcoholic and non-alcoholic patients?
Can non-contrast CT imaging be used to grade fatty liver disease in alcoholic and non-alcoholic patients?
Non-contrast CT can detect and grade fatty liver changes in both alcoholic and non-alcoholic patients based on liver attenuation values.
CT grading may distinguish alcoholic from non-alcoholic fatty liver; leaves open diagnostic utility and needs prospective validation.
Background: Last three decades, the universality of non-alcoholic Steatohepatitis has been continuously on the rise.Fatty liver diagnostic assessment could also do using cross-sectional non-contrast CT imaging.Our study aimed to evaluate the Computed Tomography grading of fatty liver disease in alcoholic and non-alcoholic patients.Methodology: A case-control study has conducted on 62 patients divided into two groups, alcoholic and non-alcoholic, with 31 patients in each group.NCCT was performed and HU values were obtained from the right and left lobes of the liver and spleen for comparison.Results: The grading has been provided with the help of median liver attenuation values.The four-point grading system is given.Grade I was considered with a range of 35 to 39.The variation was between 30.75 to 35 HU in grade II patients.In grade III patients, the median, ranging from 22.25 to 30.75 HU.In grade IV patients, the median value is 14.37HU.Conclusion:NCCT can detect the presence of fatty liver changes in alcoholic and nonalcoholic patients, and grading of the fatty liver could do by assessing the liver attenuation.
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Dabholkar et al. (2023) studied this question.
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