The mean Fibroscan values of CLD patients, non alcoholic fatty liver patients and controls were 24.16 ± 2.27 kPa, 6.63 ± 0.27 kPa and 5.29 ± 0.28 kPa respectively. The mean Fibroscan values of CTP A(n = 32), CTP B(n = 44) and CTP C(n = 17) cirrhosis was 10.05 ± 1.78 kPa, 26.78 ± 3.40 and 44.13 ± 4.68 respectively (p < 0.01). The mean Fibroscan values of patients with MELD score <10(n = 43), 10-17(n = 38) and ≥18(n = 12) were 12.77 ± 2.0 kPa,29.61 ± 3.3 and 49.54 ± 6.7 respectively (p < 0.01). However the difference between controls, fatty liver patients and CTP A cirrhosis (or patients with MELD < 10) was not significant (p > 0.05).

Conclusion: Fibroscan correlates well with Child Pugh and MELD scoring

system. However it fails to differentiate CTP A (MELD < 10) Selleck Y-27632 selleck chemicals llc cirrhosis from controls or Fatty liver. Key Word(s): 1. Fibroscan; 2. liver stiffness; 3. MELD score; 4. CTP score; Presenting Author: JIANPING QIN Additional Authors: MINGDE JIANG Corresponding Author: JIANPING QIN Affiliations: Chengdu Military General Hospital Objective: To study the location of the right hepatic vein and portal vein and their spatial relationship through image analysis and provide a basis for performing the portal vein puncture and safety assessment of TIPS. Methods: Images of the right hepatic vein and portal vein were taken from 128 post-TIPS patients. With corresponding vertebra and vertebral interspace as reference points, the location of the right hepatic vein opening, the location of the portal vein Astemizole bifurcation,

and the layout of the portal vein branches, as well as their relationship with factors including gender, age and Child classification of the patients, were assessed. Results: The relationship between the right hepatic vein and portal vein is upper-rear and lower-front; all right hepatic vein openings are located above the portal vein bifurcation. The right hepatic vein opening is located at the 10th thoracic vertebra (T10) plane in 75 patients (58.6%), and the portal vein bifurcation is located at the T11 plane in 63 patients (49.2%). These results indicate that the right hepatic vein opening is mostly located at plane T10, while the majority of the portal vein bifurcations is on plane T11. In 114 patients (89.1%), the distance between the right hepatic vein opening and the portal vein bifurcation is greater than one vertebra. In 117 patients (91.4%), the portal vein has 2 branches, while in 11 patients (8.6%), the portal vein has 3 branches. Among those patients who had 2 portal vein branches, the rear right branch of the portal vein originates from the main portal vein in 3 patients (2.3%), and the frontal right branch of the portal vein came from the left branch of the portal vein in another 3 patients (2.3%).