Volume 27, Issue 137, July 2023

Computed Tomography grading of fatty liver disease in alcoholic and non-alcoholic patients

Amita Dabholkar¹, Shrikrishna U², Shashi Kumar Shetty³, Omkar Gaonkar^4♦

¹Assistant Professor, Yenepoya (Deemed to be University), Yenepoya School of Allied Health Sciences, Department of Radiodiagnosis and Medical Imaging, Mangalore, Karnataka, India
²Professor, Nitte (Deemed to be University), KS Hegde Medical Academy (KSHEMA), Department of Radiodiagnosis and Medical Imaging Technology, Mangalore, Karnataka, India
³Assistant Professor, Nitte (Deemed to be University), KS Hegde Medical Academy (KSHEMA), Department of Radiodiagnosis and Medical Imaging Technology, Mangalore, Karnataka, India
⁴Lecturer, Nitte (Deemed to be University), KS Hegde Medical Academy (KSHEMA), Department of Radiodiagnosis and Medical Imaging Technology, Mangalore, Karnataka, India

^♦Corresponding author
Lecturer, Nitte (Deemed to be University) KS Hegde Medical Academy (KSHEMA), Department of Radiodiagnosis and Medical Imaging Technology, Mangalore, Karnataka, India
ORCID: 0000-0003-3996-8804

ABSTRACT

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 non-alcoholic patients, and grading of the fatty liver could do by assessing the liver attenuation.

Keywords: Alcoholic, Computed Tomography, Fatty liver, and Non-alcoholic

Medical Science, 2023, 27, e313ms3109

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DOI: https://doi.org/10.54905/disssi/v27i137/e313ms3109

Published: 27 July 2023