Abstract: Objective To analyze the consistency between Fibrotouch and ultrasound examination in the
diagnosis of fatty liver. Methods Patients were recruited in the First Affiliated Hospital of China Medical
University from March 2013 to October 2013. All the participants received survey questionnaires, physical
examinations and were measured by Fibrotouch and color Doppler ultrasound respectively. Data were
analyzed by SPSS Statistics V17.0 software and expressed as mean ± standard deviation. Single-factor
(one-way) analysis of variance (ANOVA), Spearman rank correlation analysis, Kappa consistency test
and Fisher’s Least Significant Difference (LSD) were used. Results Total of 444 patients were recruited,
the male-to-female ratio was 1∶1.36, the average age was (49.95 ± 14.5) years and the fat attenuation
parameter (FAP) was (238.47 ± 37.70) db/m. Total of 169 and 184 cases were diagnosed as fatty liver by
Fibrotouch and color Doppler ultrasound respectively, the detection rates were 38.06% and 41.44%. There
were 138 cases who were diagnosed as fatty liver and 229 cases who were diagnosed with no fatty liver
disease by both methods. Total of 31 and 46 cases were diagnosed as fatty liver only by color Doppler
ultrasound or Fibrotouch only, respectively. The coincidence rate of the two methods was 82.66% and the
Kappa value was 0.638. Conclusions There was a high conformity and consistency between Fibrotouch
and color Doppler ultrasound examination in the diagnosis of fatty liver. As a non-invasive diagnostic
technique, Fibrotouch is more accurate and valuable than color Doppler ultrasound, it can be effectively
applied in the diagnosis of fatty liver in most cases.