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9篇 您的检索式:作者名="Reimann Peter"
    题名 作者 年代 出处 被引量
1Increased liver stiffness in alcoholic liver disease:Differentiating fibrosis from steatohepatitis显示文摘AIM:To test if inflammation also interferes with liver stiffness (LS) assessment in alcoholic liver disease (ALD) and to provide a clinical algorithm for reliable fibrosis assessment in ALD by FibroScan (FS).METHODS:We first performed sequential LS analysis before and after normalization of serum transaminases in a learning cohort of 50 patients with ALD admitted for alcohol detoxification. LS decreased in almost all patients within a mean observation interval of 5.3 d. Six patients (12%) would have been misdiagnosed with F3and F4 fibrosis but LS decreased below critical cut-off values of 8 and 12.5 kPa after normalization of trans-aminases. RESULTS:Of the serum transaminases,the decrease in LS correlated best with the decrease in glutamic oxaloacetic transaminase (GOT). No significant chang-es in LS were observed below GOT levels of 100 U/L. After establishing the association between LS and GOT levels,we applied the rule of GOT < 100 U/L for reliable LS assessment in a second validation cohort of 101 patients with histologically confi rmed ALD. By ex-cluding those patients with GOT > 100 U/L at the time of LS assessment from this cohort,the area under the receiver operating characteristic (AUROC) for cirrhosis detection by FS improved from 0.921 to 0.945 while specificity increased from 80% to 90% at a sensitivity of 96%. A similar AUROC could be obtained for lower F3 fibrosis stage if LS measurements were restricted to patients with GOT < 50 U/L. Histological grading of inflammation did not further improve the diagnostic accuracy of LS.CONCLUSION:Coexisting steatohepatitis markedly increases LS in patients with ALD independent of fibrosis stage. Postponing cirrhosis assessment by FS during alcohol withdrawal until GOT decreases to < 100 U/mL signif icantly improves the diagnostic accuracy.Sebastian Mueller Gunda Millonig Lucie Sarovska Stefanie Friedrich Frank M Reimann Maria Pritsch Silke Eisele Felix Stickel Thomas Longerich Peter Schirmacher Helmut Karl Seitz 2010World Journal of Gastroenterology2010,16,8:10
2The role of V2 vasopressin antagonists in hyponatremia 显示文摘Catrin Palm Doreen Reimann Peter Gross 2001Cardiovasc Res2001,51,:1
3Viral burden and disease progression in rhesus monkeys infected with chimeric simian-human immunodeficiency viruses显示文摘Reimann KA Watson A Peter J 1999Virology1999,256,:1
4Loop reactors:better gas/liquid contact 显示文摘Gunter M Leuteritz Peter Reimann Pierre Vergeres 1976Hydrocarbon Processing1976,55,:1
5Quantifying stochastic resonance: theory versus experiment显示文摘Evstigneev Mykhaylo Reimann Peter Schmitt Car- men 2005Journal of Physics: Condensed Matter2005,17,:1
6Multivariate outlier detection in exploration geochemistry 显示文摘Filzmoser Peter Garret Robert G Reimann Clemens 2005Computers&Geosciences2005,31,:1
7Viral Burden and Disease Progrossion in Rhesus Monkeys Infected with Chimeric Simian - Human Immunedeficiency Viruses 显示文摘Reimann KA Watson A Peter J 1999Virology 2561999,1521,:1
8Multimedia Learning: Beyond Modality 显示文摘Reimann Peter 2003Learning and Instruction2003,,2:1
9Viral burden and disease progression in rhesus monkeys infected with chimeric simian-human immunodeficiency viruses显示文摘Reimann KA Watson A Peter J 1999Virology1999,256,1:1
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