共 44 条
Perfluorobutane contrast-enhanced ultrasonography for the diagnosis of HCC: a systematic review and meta-analysis
被引:18
作者:

Yang, Yichun
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Guangzhou Univ Tradit Chinese Med, Affiliated Hosp 1, Dept Ultrasound, 16 Airport Rd, Guangzhou 510000, Peoples R China Guangzhou Univ Tradit Chinese Med, Affiliated Hosp 1, Dept Ultrasound, 16 Airport Rd, Guangzhou 510000, Peoples R China

Liu, Chengkai
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机构:
Guangzhou Univ Tradit Chinese Med, Affiliated Hosp 1, Dept Ultrasound, 16 Airport Rd, Guangzhou 510000, Peoples R China Guangzhou Univ Tradit Chinese Med, Affiliated Hosp 1, Dept Ultrasound, 16 Airport Rd, Guangzhou 510000, Peoples R China

Yan, Jin
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Guangzhou Univ Tradit Chinese Med, Affiliated Hosp 1, Dept Ultrasound, 16 Airport Rd, Guangzhou 510000, Peoples R China Guangzhou Univ Tradit Chinese Med, Affiliated Hosp 1, Dept Ultrasound, 16 Airport Rd, Guangzhou 510000, Peoples R China

Liu, Kebing
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机构:
Guangzhou Univ Tradit Chinese Med, Affiliated Hosp 1, Dept Ultrasound, 16 Airport Rd, Guangzhou 510000, Peoples R China Guangzhou Univ Tradit Chinese Med, Affiliated Hosp 1, Dept Ultrasound, 16 Airport Rd, Guangzhou 510000, Peoples R China
机构:
[1] Guangzhou Univ Tradit Chinese Med, Affiliated Hosp 1, Dept Ultrasound, 16 Airport Rd, Guangzhou 510000, Peoples R China
关键词:
Perfluorobutane;
Contrast-enhanced ultrasound;
Hepatocellular carcinoma;
HEPATOCELLULAR-CARCINOMA;
DIFFERENTIAL-DIAGNOSIS;
IMAGING MODALITIES;
CIRRHOSIS PATIENTS;
ULTRASOUND;
LESIONS;
SURVEILLANCE;
AGENT;
SONOGRAPHY;
ACID;
D O I:
10.1007/s00261-021-03141-5
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:
Objectives Perfluorobutane ultrasound contrast agent as a new type of contrast agent has a good performance in the diagnosis of hepatocellular carcinoma (HCC). This study aim to evaluate the accuracy and reliability of Perfluorobutane contrast-enhanced ultrasonography (P-CEUS) in the diagnosis of HCC with a systematic review and meta-analysis. Methods Web of Science, EMBASE, Cochrane, Clinical Key, Wan Fang, CBM and CNKI databases were systematically searched and checked for studies using P-CEUS in HCC, from 2007 to 2020. Data necessary to construct 2 x 2 contingency tables were extracted from included studies. The QUADAS tool was utilized to assess the methodologic quality of the studies. Meta-analysis included data pooling, subgroup analyses, meta-regression and investigation of publication bias was comprehensively performed. Results Nine studies were included in this meta-analysis and the overall diagnostic accuracy in characterization of HCC was as follows: pooled sensitivity, 0.90 (95% confidence interval: 0.82-0.95); pooled specificity, 0.97 (0.93-0.98); pooled positive likelihood ratio, 27.2 (14.1 to - 52.3); and pooled negative likelihood ratio, 0.10 (0.06-0.18). The area under the comprehensive receiving operation characteristic curve was 0.98 (0.97-0.99). Conclusion The sensitivity and specificity of P-CEUS are more valuable than other imaging techniques (such as computer tomography or magnetic resonance imaging). However, due to the large differences in the data samples collected in this study, statistical heterogeneity results. P-CEUS can significantly improve the diagnostic efficiency of previous contrast-enhanced ultrasound for HCC. PROSPERO registration number: PROSPERO (CRD42020200040).
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页码:4619 / 4628
页数:10
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Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan

Minami, Yasunori
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Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan

Ueda, Taisuke
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Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan

Tatsumi, Chie
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Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan

Kitai, Satoshi
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Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan

Takahashi, Shunsuke
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Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan

Inoue, Tatsuo
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Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan

Hagiwara, Satoru
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Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan

Chung, Hobyung
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Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan

Ueshima, Kazuomi
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Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan

Maekawa, Kiyoshi
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Kinki Univ, Sch Med, Abdominal Ultrasound Unit, Osaka 5898511, Japan Kinki Univ, Sch Med, Dept Internal Med, Div Gastroenterol & Hepatol, Osaka 5898511, Japan
[10]
The Gross Classification of Hepatocellular Carcinoma: Usefulness of Contrast-enhanced US
[J].
Hatanaka, Kinuyo
;
Minami, Yasunori
;
Kudo, Masatoshi
;
Inoue, Tatsuo
;
Chung, Hobyung
;
Haji, Seiji
.
JOURNAL OF CLINICAL ULTRASOUND,
2014, 42 (01)
:1-8

Hatanaka, Kinuyo
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Kinki Univ Fac Med, Dept Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ Fac Med, Dept Gastroenterol & Hepatol, Osaka 5898511, Japan

Minami, Yasunori
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Kinki Univ Fac Med, Dept Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ Fac Med, Dept Gastroenterol & Hepatol, Osaka 5898511, Japan

Kudo, Masatoshi
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Kinki Univ Fac Med, Dept Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ Fac Med, Dept Gastroenterol & Hepatol, Osaka 5898511, Japan

Inoue, Tatsuo
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Kinki Univ Fac Med, Dept Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ Fac Med, Dept Gastroenterol & Hepatol, Osaka 5898511, Japan

Chung, Hobyung
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Kinki Univ Fac Med, Dept Gastroenterol & Hepatol, Osaka 5898511, Japan Kinki Univ Fac Med, Dept Gastroenterol & Hepatol, Osaka 5898511, Japan

Haji, Seiji
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机构:
Kinki Univ Fac Med, Dept Surg, Osaka 5898511, Japan Kinki Univ Fac Med, Dept Gastroenterol & Hepatol, Osaka 5898511, Japan