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Contrast-enhanced ultrasound versus conventional ultrasound in guided liver puncture biopsy: a systematic review and meta-analysis.

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  • المؤلفون: Yang L;Yang L; Zhang T; Zhang T; Wang L; Wang L; Du J; Du J; Zhang H; Zhang H; Yi W; Yi W
  • المصدر:
    Medical ultrasonography [Med Ultrason] 2024 Sep 16; Vol. 26 (3), pp. 301-309. Date of Electronic Publication: 2024 May 29.
  • نوع النشر :
    Comparative Study; Journal Article; Meta-Analysis; Systematic Review
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: Iuliu Haţieganu" Medical Pub. House Country of Publication: Romania NLM ID: 101522985 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2066-8643 (Electronic) Linking ISSN: 18444172 NLM ISO Abbreviation: Med Ultrason Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Cluj, Romania : "Iuliu Haţieganu" Medical Pub. House
    • الموضوع:
      Contrast Media*/administration & dosage ; Image-Guided Biopsy*/methods ; Liver*/diagnostic imaging ; Liver*/pathology ; Ultrasonography, Interventional*/methods; Humans ; Biopsy, Needle/methods ; Image Enhancement/methods ; Liver Diseases/diagnosis ; Liver Diseases/pathology ; Reproducibility of Results ; Sensitivity and Specificity
    • نبذة مختصرة :
      Aim: To evaluate the contrast-enhanced ultrasound (CEUS) versus conventional ultrasound (US) in guided liver puncture biopsy through a systematic review and meta-analysis.
      Material and Methods: Comparative studies on CEUS and US in liver puncture biopsy were systematically searched from PubMed, Embase, Cochrane library, Chinese Biomedical Literature Database. Two researchers independently screened and extracted data, and RevMan 5.3 software was used for data analysis.
      Results: The area under the curve (AUC) for CEUS and US in diagnosing liver biopsy was 0.98 (95%CI 0.99-0.97) and 0.95 (95%CI 0.97-0.93), respectively. CEUS demonstrated significantly higher single puncture success rate (38.0% vs 36.4%) [OR=2.67; 95% CI 1.38-5 .17; p=0 .003] and pathological diagnosis rate (95.6% vs 90.5%) [OR =4.35; 95%CI 2.25 -8.39; p<0 .001] compared to the US group. The diagnostic accuracy of the CEUS group was 95.6 % (1964/2054), while that of the US group was 90.5% (1729/1909). The combined analysis indicated significant advantages for CEUS over US [(OR = 2.36). 95 %CI 1.81-3.09, p<0.001].
      Conclusions: CEUS is superior to US in the diagnostic performance, single puncture success rate, pathological diagnosis rate and diagnostic accuracy of liver biopsy in patients with liver lesions.
    • الرقم المعرف:
      0 (Contrast Media)
    • الموضوع:
      Date Created: 20240529 Date Completed: 20240916 Latest Revision: 20241005
    • الموضوع:
      20241006
    • الرقم المعرف:
      10.11152/mu-4374
    • الرقم المعرف:
      38808493