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The Journal of Internal Korean Medicine 2015;36(2): 85-92. |
비침습적 간섬유화 측정기(Fibroscan)의 기술적 개요와 한의임상적 유용성 고찰 |
손창규 |
대전대학교 한방병원 간장면역센터 |
The Technological Concept of Fibroscan and its Clinical Usefulness in
the Traditional Korean Medical Field |
Chang-gue Son |
Liver and Immunology Research Center, Oriental Medical College in Dae-Jeon University |
Correspondence |
Chang-gue Son ,Tel: +82-42-229-6807, Fax: +82-42-257-6398, Email: ckson@dju.ac.kr
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Received: March 24, 2015, Accepted: June 20, 2015, Published online: June 30, 2015. |
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ABSTRACT |
Objectives: The liver fibroscan has been developed as a noninvasive and convenient method to assess hepatic fibrosis. This study aimed to review this device in terms of its technological concept and clinical application in traditional Korean medicine (TKM).
Methods: The technological background, diagnostic evaluation, and clinical usefulness of fibroscan were reviewed using various literature and clinical studies. One clinical example-a patient with hepatofibrosis who had been treated with TKM-is presented.
Results: The liver fibroscan was approved as a medical device for noninvasive measurement of the hepatic fibrosis level by the Korean Food and Drug Administration (KFDA). Numerous clinical studies have confirmed that its sensitivity and specificity allow it to serve as a substitute for liver biopsy, the present gold standard diagnostic method. The accuracy and reproducibility and lack of technical risks are strong points of the fibroscan; however, it has some limitations for application, especially in patients with obesity or severe hepatitis. One clinical example showed the applicability of the liver fibroscan in herbal medicine-based treatments.
Conclusions: The requirement for diagnostic medical devices is an important issue in TKM; therefore, this study provides valuable information for practitioners of TKM. |
Key words:
fibroscan, hepatic fibrosis, traditional Korean medicine |
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