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Abdominal Radiology

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26.03.2021 | Hepatobiliary

Comparison of diffusion-weighted imaging and MR elastography in staging liver fibrosis: a meta-analysis

verfasst von: Weon Jang, Seongil Jo, Ji Soo Song, Hong Pil Hwang, Seong-Hun Kim

Erschienen in: Abdominal Radiology | Ausgabe 8/2021

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Abstract

Purpose

To compare the diagnostic performance of diffusion-weighted imaging (DWI), gradient-recalled echo-based magnetic resonance elastography (GRE-MRE), and spin-echo echo-planar imaging-based MRE (SE-EPI-MRE) in liver fibrosis staging.

Methods

A systematic literature search was done to collect studies on the performance of DWI, GRE-MRE, and SE-EPI-MRE for diagnosing liver fibrosis. Pooled sensitivity, specificity, diagnostic odds ratio, positive and negative likelihood ratio, and a summary receiver operating characteristic (ROC) curve were estimated with a bivariate random effects model. Subgroup analyses on various study characteristics were performed.

Results

Sixty studies with a total of 6620 patients were included in the meta-analysis. Pooled sensitivity and specificity of GRE-MRE and SE-EPI-MRE showed high diagnostic accuracy and did not differ significantly. The area under the summary ROC curve for all stages of fibrosis differed significantly between DWI (0.83–0.88) and either GRE-MRE (0.95–0.97) or SE-EPI-MRE (0.95–0.99). Substantial heterogeneity was detected for all three imaging methods.

Conclusions

Both GRE-MRE and SE-EPI-MRE are highly accurate for detection of each liver fibrosis stage, with high potential to replace liver biopsy. Although DWI had a moderate accuracy in distinguishing liver fibrosis, it could be regarded as an alternative to MRE, since it is widely available and easily implemented in routine liver MRI.

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Titel: Comparison of diffusion-weighted imaging and MR elastography in staging liver fibrosis: a meta-analysis
verfasst von: Weon Jang
Seongil Jo
Ji Soo Song
Hong Pil Hwang
Seong-Hun Kim
Publikationsdatum: 26.03.2021
Verlag: Springer US
Erschienen in: Abdominal Radiology / Ausgabe 8/2021
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-021-03055-2

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The absolute tumor-capsule contact length in the diagnosis of extraprostatic extension of prostate cancer

Hepatocellular carcinoma: metastatic pathways and extra-hepatic findings

CT reporting of relevant vascular variations and its implication in pancreatoduodenectomy

SBRT for HCC: Overview of technique and treatment response assessment

Contrast-enhanced ultrasound (CEUS) in HCC diagnosis and assessment of tumor response to locoregional therapies

Neu im Fachgebiet Radiologie

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Update Radiologie