The diagnostic performance of shear-wave elastography for liver fibrosis in children and adolescents: A systematic review and diagnostic meta-analysis

被引：62
作者：
Kim, Jeong Rye [1 ,2 ]
Suh, Chong Hyun [3 ]
Yoon, Hee Mang [1 ,2 ]
Lee, Jin Seong [1 ,2 ]
Cho, Young Ah [1 ,2 ]
Jung, Ah Young [1 ,2 ]
机构：
[1] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Radiol, 88 Olymp Ro 43 Gil, Seoul 05505, South Korea
[2] Univ Ulsan, Coll Med, Asan Med Ctr, Res Inst Radiol, 88 Olymp Ro 43 Gil, Seoul 05505, South Korea
[3] Namwon Med Ctr, Dept Radiol, 365 Chungjeong Ro, Namwon Si 55726, Jeollabuk Do, South Korea
来源：
EUROPEAN RADIOLOGY | 2018年 / 28卷 / 03期
关键词：
Liver fibrosis; Children; Shear-wave elastography; Acoustic radiation force impulse imaging; Supersonic shear imaging; RADIATION FORCE IMPULSE; TRANSIENT ELASTOGRAPHY; CHRONIC HEPATITIS; TEST ACCURACY; STIFFNESS MEASUREMENTS; ARFI ELASTOGRAPHY; FEASIBILITY; PUBLICATION; MARKERS; BIOPSY;
D O I：
10.1007/s00330-017-5078-3
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
To assess the diagnostic performance of shear-wave elastography for determining the severity of liver fibrosis in children and adolescents. An electronic literature search of PubMed and EMBASE was conducted. Bivariate modelling and hierarchical summary receiver-operating-characteristic modelling were performed to evaluate the diagnostic performance of shear-wave elastography. Meta-regression and subgroup analyses according to the modality of shear-wave imaging and the degree of liver fibrosis were also performed. Twelve eligible studies with 550 patients were included. Shear-wave elastography showed a summary sensitivity of 81 % (95 % CI: 71-88) and a specificity of 91 % (95 % CI: 83-96) for the prediction of significant liver fibrosis. The number of measurements of shear-wave elastography performed was a significant factor influencing study heterogeneity. Subgroup analysis revealed shear-wave elastography to have an excellent diagnostic performance according to each degree of liver fibrosis. Supersonic shear imaging (SSI) had a higher sensitivity (p <.01) and specificity (p <.01) than acoustic radiation force impulse imaging (ARFI). Shear-wave elastography is an excellent modality for the evaluation of the severity of liver fibrosis in children and adolescents. Compared with ARFI, SSI showed better diagnostic performance for prediction of significant liver fibrosis.
引用
收藏
页码：1175 / 1186
页数：12
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