In:
PLOS ONE, Public Library of Science (PLoS), Vol. 18, No. 2 ( 2023-2-2), p. e0271572-
Abstract:
The hepatic diseases are extremely common in clinical practice. The correct classification of liver fibrosis is extremely important, as it influences therapy and predicts disease outcomes. The purpose of this study is to compare the diagnostic performance of point-shear wave elastography (pSWE) and magnetic resonance elastography (MRE) in the hepatic fibrosis diagnostic. A meta-analysis was carried out based on articles published until October 2020. The articles are available at following databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Scientific Electronic Library Online, LILACS, Scopus, and CINAHL. Diagnostic performances were analyzed per METAVIR F2, using 3.5kPa as target fibrosis. Assessment of the methodological quality of the incorporated papers by the QUADAS-2 tool for pSWE and MRE. A total 2,153 studies articles were evaluated and 44 studies, comprising 6,081 patients with individual data, were included in the meta-analysis: 28 studies for pSWE and 16 studies for MRE. The pooled sensitivity and specificity were 0.86 (95%CI 0.80–0.90) and 0.88 (95%CI 0.85–0.91), respectively, for pSWE, compared with 0.94 (95%CI 0.89–0.97) and 0.95 (95%CI 0.89–0.98) respectively, for MRE. The pooled SROC curve for pSWE shows in the area under the curve (AUC) of 0.93 (95%CI 0.90–0.95), whereas the AUC for MRE was 0.98 (95%CI 0.96–0.99). The diagnostic odds ratio for pSWE and MRE were 41 (95%CI 24–72) and 293 (95%CI 86–1000), respectively. There was statistically significant heterogeneity for pSWE sensitivity (I² = 85.26, P 〈 0.001) and specificity (I² = 89.46, P 〈 0.001). The heterogeneity for MRE also was significant for sensitivity (I² = 73.28, P 〈 0.001) and specificity (I² = 87.24, P 〈 0.001). Therefore, both pSWE and MRE are suitable modalities for assessing liver fibrosis. In addition, MRE is a more accurate imaging technique than pSWE and can be used as alternative to invasive biopsy.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0271572
DOI:
10.1371/journal.pone.0271572.g001
DOI:
10.1371/journal.pone.0271572.g002
DOI:
10.1371/journal.pone.0271572.g003
DOI:
10.1371/journal.pone.0271572.g004
DOI:
10.1371/journal.pone.0271572.g005
DOI:
10.1371/journal.pone.0271572.g006
DOI:
10.1371/journal.pone.0271572.t001
DOI:
10.1371/journal.pone.0271572.t002
DOI:
10.1371/journal.pone.0271572.t003
DOI:
10.1371/journal.pone.0271572.t004
DOI:
10.1371/journal.pone.0271572.s001
DOI:
10.1371/journal.pone.0271572.s002
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2023
detail.hit.zdb_id:
2267670-3
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