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September 8, 2026Amyloid

Liver stiffness in AL amyloidosis: interest in diagnosis and prognosis

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Authors

PCPaul CarrierVLV. Loustaud‐RattiJCJean-François Cadranel

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Overview

Cohort study reveals liver stiffness tracks organ involvement in AL amyloidosis, suggesting a 13.6 kPa threshold identifies hepatic disease.

Key Points

  • To evaluate liver stiffness at diagnosis and assess its longitudinal changes during follow-up for diagnosing and monitoring hepatic involvement in AL amyloidosis.
  • Retrospective multicenter cohort assessing liver stiffness at diagnosis across four groups: liver involvement only (group 1), heart involvement only (group 2), both (group 3), or neither (group 4).
  • Prospective monocentric cohort evaluating longitudinal changes in liver stiffness over time among 19 treated patients.
  • Receiver operating characteristic analysis identified an optimal diagnostic liver stiffness cutoff of 13.6 kPa for liver involvement, yielding 92% sensitivity and 71% specificity.
  • In the prospective cohort of 19 treated patients, median liver stiffness decreased by 91% in group 1, 26% in group 2, 79% in group 3, and 19% in group 4, with a reduction greater than 50% indicating hepatic recovery.

Cite This Study

Carrier et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd76758e84d0ff5b46129https://doi.org/10.1080/13506129.2026.2725750
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Also Consider

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