KESESUAIAN GAMBARAN ULTRASONOGRAPHY GRAYSCALE DAN DOPPLER DENGAN FIBROSCAN DALAM MENDETEKSI FIBROTIK HEPAR PADA PASIEN NON-ALCOHOLIC FATTY LIVER DISEASE

GERDAWIDYANENGSI. Perlemakan hati non alkoholik merupakan masalah kesehatan di dunia. Biopsi hati merupakan gold standar untuk mengidentifikasi keberadaan Perlemakan hati non alkoholik, namun mempunyai risiko morbiditas dan mortalitas terkait prosedur. Tujuan: menilai kesesuaian gambaran ultrasonografi grayscale dan Doppler dengan Fibroscan dalam mendeteksi fibrotik hepar pada pasien perlemakan hati non alkoholik. Metode: Metode yang digunakan adalah kajian potong lintang. Penelitian ini dilakukan di Instalasi Radiologi Rumah Sakit Dokter Wahidin Sudirohusodo Makassar dari bulan April 2021 sampai Juli 2021. Pasien dilakukan pemeriksaan ultrasonografi grayscale dan Doppler dengan Fibroscan untuk menilai gambaran fibrotik hepar. Hasil: Hasil penelitian ini menunjukan kesesuaian antara echoparenkim (p=0,005), tip hati (p=0,009) dan ukuran hati (p=0,037) serta skoring ultrasonografi (p=0,001) dengan dengan derajat fibrosis berdasarkan fibroscan pada pasien perlemakan hati non alkoholik. Kesimpulan: Terdapat kesesuaian antara echotekstur hepar dan sudut hati berdasarkan ultrasonografi grayscale dan Doppler dengan hasil pemeriksaan Fibroscan dalam mendeteksi fibrosis hati. GERDAWIDYANENGSI. Non-alcoholic fatty liver is a global health problem. Liver biopsy is the gold standard for identifying the presence of non-alcoholic fatty liver, but carries a risk of morbidity and mortality associated with the procedure. Objective: To assess the suitability of grayscale and Doppler ultrasound images with Fibroscan in detecting liver fibrotic disease in non-alcoholic fatty liver patients. Method: The method used is a cross-sectional study. This research was conducted at the Radiology Installation of Dr. Wahidin Sudirohusodo Hospital Makassar from April 2021 to July 2021. Patients were examined by grayscale and Doppler ultrasound with Fibroscan to assess the appearance of fibrotic liver. Results: The results of this study showed a concordance between echoparenchyma (p=0.005), liver tip (p=0.009) and liver size (p=0.037) and ultrasound scoring (p=0.001) with the degree of fibrosis based on fibroscan in non-alcoholic fatty liver patients. Conclusion: There is a match between liver echotexture and liver angle based on grayscale and Doppler ultrasonography with Fibroscan examination results in detecting liver fibrosis.