Objective: to assess the diagnostic value of multiparametric liver ultrasound combined with Doppler evaluation of portal and arterial blood flow and shear wave elastography (SWE) in patients with liver cirrhosis.

Material and methods: 104 patients with liver cirrhosis of various etiologies were examined. B-mode ultrasound, Doppler assessment of portal and arterial circulation, and liver SWE were performed. Disease severity was assessed using the Child–Pugh classification. Results: progressive reduction in linear and volumetric portal blood flow velocities was observed with increasing cirrhosis severity, along with a significant increase in liver stiffness on SWE showing strong correlations with portal hemodynamic parameters.

Conclusion: multiparametric ultrasound is an effective noninvasive method for early diagnosis of liver cirrhosis and portal hypertension.

Liver cirrhosis, ultrasound imaging, Doppler ultrasound, portal hypertension

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