Diagnostic Performance of Transient Elastography Versus Two-Dimensional Shear Wave Elastography for Liver Fibrosis in Chronic Viral Hepatitis: Direct Comparison and a Meta-Analysis.

Objective. This systematic review and meta-analysis aimed to compare the diagnostic performance of transient elastography (TE) and two-dimensional shear wave elastography (2D-SWE) for staging liver fibrosis in patients with chronic viral hepatitis (CVH). Methods. Pubmed, Embase, Web of Science, and...

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Publicado en:BioMed Research International pp. 1 - 13
Autores principales: Luo, Qing-Tian, Zhu, Qing, Zong, Xiao-Dan, Li, Ming-Kai, Yu, Hong-Sheng, Jiang, Chang-Yu, Liao, Xiang
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell 9/17/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 9/17/2022
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        10.1155/2022/1960244
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        atl: Diagnostic Performance of Transient Elastography Versus Two-Dimensional Shear Wave Elastography for Liver Fibrosis in Chronic Viral Hepatitis: Direct Comparison and a Meta-Analysis.
      aug:
        au:
          Luo, Qing-Tian
          Zhu, Qing
          Zong, Xiao-Dan
          Li, Ming-Kai
          Yu, Hong-Sheng
          Jiang, Chang-Yu
          Liao, Xiang
        affil: Department of Pain Medicine and Shenzhen Municipal Key Laboratory for Pain Medicine, Huazhong University of Science and Technology Union Shenzhen Hospital, 89 Taoyuan Ave, Nanshan District, Shenzhen, 518000. Guangdong Province, China
      sug:
        subj:
          Liver Cirrhosis Ultrasonography
          Ultrasonography Methods
          Hepatitis, Viral, Human
          Hepatitis, Chronic
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Embase
          Cochrane Library
          Checklists
          Data Analysis Software
          Sensitivity and Specificity
          Confidence Intervals
          Hepatitis B
          Hepatitis C
          ROC Curve
      ab: Objective. This systematic review and meta-analysis aimed to compare the diagnostic performance of transient elastography (TE) and two-dimensional shear wave elastography (2D-SWE) for staging liver fibrosis in patients with chronic viral hepatitis (CVH). Methods. Pubmed, Embase, Web of Science, and Cochrane Library were searched (-01/08/2021) for studies comparing TE with 2D-SWE in patients with CVH. Other etiologies of chronic liver disease (CLD) and articles not published in SCI journals were excluded. The bivariate random-effects model was used to pool the performance of the TE and 2D-SWE. Results. Eight articles with a total of 1301 CVH patients were included. The prevalence of significant fibrosis (fibrosis stage ≥ 2), advanced fibrosis (fibrosis stage ≥ 3), and cirrhosis was 50.8%, 44.8%, and 34.7%, respectively. 2D-SWE expressed higher overall accuracy than TE in detecting significant fibrosis (0.93 vs. 0.85, P = 0.04). No significant difference among the overall diagnostic accuracy of TE and 2D-SWE in staging advanced fibrosis and cirrhosis was found. Conclusion. TE and 2D-SWE express good to excellent diagnostic accuracies to stage fibrosis in CVH patients. 2D-SWE compares favorably with TE especially for predicting significant fibrosis.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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