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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 93 - 101 (9page)
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초록· 키워드
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Background/Aims: We identified reports in the literature regarding the diagnostic accuracy of hepatic vein arrival time (HVAT) measured by contrast-enhanced ultrasonography (CEUS) to assess hepatic fibrosis in cirrhosis. Methods: The Ovid MEDLINE, Embase, and Cochrane databases were searched for all studies published up to 23 July 2015 that evaluated liver status using CEUS and liver biopsy (LB).
The QUADAS-II (quality assessment of diagnostic accuracy studies-II) was applied to assess the internal validity of the diagnostic studies. Selected studies were subjected to a meta-analysis with MetaDisc 1.4 and RevMan 5.3. Results: A total of 12 studies including 844 patients with chronic liver disease met our inclusion criteria. The overall summary sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio of the HVAT measured by CEUS for the detection of cirrhosis compared to LB were 0.83 (95% confidence interval [CI], 0.77 to 0.89), 0.75 (95% CI, 0.69 to 0.79), 3.45 (95% CI, 1.60 to 7.43), and 0.28 (95% CI, 0.10 to 0.74), respectively. The summary diagnostic odds ratio (random effects model) was 15.23 (95% CI, 3.07 to 75.47), the summary receiver operator characteristics area under the curve was 0.74 (standard error [SE]=0.14), and the index Q was 0.69 (SE=0.11). Conclusions: Based on a systematic review, the measurement of HVAT by CEUS exhibited an increased accuracy and correlation for the detection of cirrhosis.
목차
등록된 정보가 없습니다.
참고문헌 (36)
참고문헌 신청
Greiner M / 2000 / Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests / Prev Vet Med 45:23~41
Walter SD / 2002 / Properties of the summary receiver operating characteristic (SROC) curve for diagnostic test data / Stat Med 21:1237~1256
Abbattista T / 2008 / Diagnosis of liver cirrhosis by transit-time analysis at contrast-enhanced ultrasonography / Radiol Med 113:860~874
Albrecht T / 1999 / Non-invasive diagnosis of hepatic cirrhosis by transit-time analysis of an ultrasound contrast agent / Lancet 353:1579~1583
Blomley MJ / 2003 / Liver microbubble transit time compared with histology and Child-Pugh score in diffuse liver disease: a cross sectional study / Gut 52:1188~1193
Walter SD / 2002 / Properties of the summary receiver operating characteristic (SROC) curve for diagnostic test data / Stat Med 21:1237~1256
Abbattista T / 2008 / Diagnosis of liver cirrhosis by transit-time analysis at contrast-enhanced ultrasonography / Radiol Med 113:860~874
Albrecht T / 1999 / Non-invasive diagnosis of hepatic cirrhosis by transit-time analysis of an ultrasound contrast agent / Lancet 353:1579~1583
Blomley MJ / 2003 / Liver microbubble transit time compared with histology and Child-Pugh score in diffuse liver disease: a cross sectional study / Gut 52:1188~1193
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