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Hep C Discussion Forum -> General Discussion -> Liver Imaging- a review
Post Info TOPIC: Liver Imaging- a review
Daook


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RE: Liver Imaging- a review
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I have also had an mri of my liver. Very defined test results. It shows texture more than anything.

Hey Joanneh-can you see the finish line? smilesmile



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Geno 1a, second time around, stable viral load since 1973, timing is right for new therapy
Biggyb


Guru

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Yea, that list has helped me many times.



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58 yo..Relapsed in 99 and again in 2004. Started triple therapy with Victrelis July 22,2012.  genotype 1a. week 8,12,16,24 VL Undetectable..E.O.T -- 6-22-2013,,,EOT + 24., UND. 

SVR !!!

 

~Bob~
Cinnamon Girl


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You beat me to it, Malcolm!  wink



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Jill 

(71 yo, lives in UK)

Was Gen 3a, 

24wks Peg Ifn/Riba, Sep 2010 - Mch 2011

UND @ Wk.4, UND @ EOT, 

SVR Nov 2011 --> Still UND @ EOT + 4 yrs.

 

 
Cinnamon Girl


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Me too, Bob!  AFP stands for `alpha fetoprotein` and it`s a tumour marker.   High levels can indicate liver cancer (HCC). 

Malcolm`s list of abbreviations can be found in the New Members Area, right at the top.



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Jill 

(71 yo, lives in UK)

Was Gen 3a, 

24wks Peg Ifn/Riba, Sep 2010 - Mch 2011

UND @ Wk.4, UND @ EOT, 

SVR Nov 2011 --> Still UND @ EOT + 4 yrs.

 

 
mallani


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Dear oh dear.  All that trouble to do a list of Abbreviations (in New Members).  Thanks, Bob.  AFP is first on the list- AlphaFetoProtein, a tumour marker.



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Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm
Biggyb


Guru

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Posts: 820
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When i don't know some of the abbreviations, I put "abbreviations" in the search box and it will take you to Malcolm's list of them.



__________________

58 yo..Relapsed in 99 and again in 2004. Started triple therapy with Victrelis July 22,2012.  genotype 1a. week 8,12,16,24 VL Undetectable..E.O.T -- 6-22-2013,,,EOT + 24., UND. 

SVR !!!

 

~Bob~
Bouba


Senior Member

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Posts: 171
Date:
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Had the same question on AFP.

The first one that came up on Google was ...

Australian Federal Police ))



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58 yo male, HCV since 1981. Gen 1B (IL28B, CT). Diagnosed 1999,  VL before tx 100'000. Biopsy A2, F3 fibrosis. Naive, SOT (with Incivek) Oct 26, 2012. UND @ week 4, 12, 18, 24, UND 12 and 24 weeks post-RX
JoAnneh


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Thanks for info Malcolm!
I will certainly discuss MRI with my doctor.
What is AFP?

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JoAnne

Genotype 1a, Triple therapy w/Invicek started May 19, 2012

DET 4 wk. UND 2,6,12,24 48 treatment. Achieved SVR 2013!
mallani


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Hi all,

This post was prompted by a discussion with a fellow patient while waiting for my doc to arrive. I knew her from cruising/sailing, and we had discussed HepC after finding we were the only non-drinkers at a beach party. She was about 60 yo, was F2 and was about to start triple Rx with Victrelis. She had just had a MRI scan (as her previous 'normal' ultrasound was 15 months ago), and the doc wanted more recent imaging before she started Rx. As she was chubby, he asked for a MRI. Unfortunately this found a 3 cm. mass in liver segment 2, and a 2 cm. mass in segment 6. Both looked highly likely to be HCC. She was going to discuss biopsy of the masses and treatment if necessary. Very sad.

Liver Ultrasound is an excellent exam for most patients, as it is cheap, quick, readily available, and you don't need an injection. The gallbladder, spleen and portal vein are well seen as well.  It is limited by the skill of the Sonographer and the quality of the Ultrasound machine. Some patients are difficult, particularly the obese, those with high diaphragms, those with prominent lower ribs and those who cannot take (and hold) a deep breath. Some areas of the liver are difficult to image, particularly segment 2 of the L. liver lobe. There are also limitations in what can be detected eg. liver fibrosis can be difficult to see, even in cirrhotics.  For these reasons, some Hepatologists prefer an MRI or even CT scan, prior to Rx.

For the SVR's, the usual protocol calls for 6 monthly imaging and AFP to check for HCC. This is mostly for the F3's or worse.  Many patients don't chose to do this and fair enough, the risk is small. For those who do, consider asking for an MRI every second exam, or at least discuss it with your doctor. The chances of picking up a small HCC on MRI (with contrast) are much greater than on Ultrasound.  Just my thoughts. Cheers.

 



__________________

Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm
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