The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.
Meta‐analysis: ARFI elastography versus transient elastography for the evaluation of liver fibrosis
Abstract
Aims: This meta‐analysis aims to compare the diagnostic performance of acoustic radiation force impulse (ARFI) elastography and transient elastography (TE) in the assessment of liver fibrosis using liver biopsy (LB) as ‘gold‐standard’. Methods: PubMed, Medline, Lilacs, Scopus, Ovid, EMBASE, Cochrane and Medscape databases were searched for all studies published until 31 May 2012 that evaluated the liver stiffness by means of ARFI, TE and LB. Information abstracted from each study according to a fixed protocol included study design and methodological characteristics, patient characteristics, interventions, outcomes and missing outcome data. Results: Thirteen studies (11 full‐length articles and 2 abstracts) including 1163 patients with chronic hepatopathies were included in the analysis. Inability to obtain reliable measurements was more than thrice as high for TE as that of ARFI (6.6% vs. 2.1%, P < 0.001). For detection of significant fibrosis, (F ≥ 2) the summary sensitivity (Se) was 0.74 (95% CI: 0.66–0.80) and specificity (Sp) was 0.83 (95% CI: 0.75–0.89) for ARFI, while for TE the Se was 0.78 (95% CI: 0.72–0.83) and Sp was 0.84 (95% CI: 0.75–0.90). For the diagnosis of cirrhosis, the summary Se was 0.87 (95% CI: 0.79–0.92) and Sp was 0.87 (95% CI: 0.81–0.91) for ARFI elastography, and, respectively, 0.89 (95% CI: 0.80–0.94) and 0.87 (95% CI: 0.82–0.91) for TE. The diagnostic odds ratio of ARFI and TE did not differ significantly in the detection of significant fibrosis [mean difference in rDOR = 0.27 (95% CI: 0.69–0.14)] and cirrhosis [mean difference in rDOR = 0.12 (95% CI: 0.29–0.52)]. Conclusion: Acoustic radiation force impulse elastography seems to be a good method for assessing liver fibrosis, and shows higher rate of reliable measurements and similar predictive value to TE for significant fibrosis and cirrhosis.
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QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies
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Transient elastography: a new noninvasive method for assessment of hepatic fibrosis
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Sampling error and intraobserver variation in liver biopsy in patients with chronic HCV infection
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Pitfalls of Liver Stiffness Measurement: A 5-Year Prospective Study of 13,369 Examinations
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Mack, C. L., Adams, D., Assis, D. N., Kerkar, N., Manns, M. P., Mayo, M. J., Vierling, J. M., Alsawas, M., Murad, M. H., & Czaja, A. J. (2020) · Hepatology · doi:10.1002/hep.31065 · Cited by 983
Nonalcoholic fatty liver disease
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Mikolasevic, I., Orlic, L., Franjic, N., Hauser, G., Stimac, D., & Milic, S. (2016) · World Journal of Gastroenterology · doi:10.3748/wjg.v22.i32.7236 · Cited by 273
KASL clinical practice guidelines: Management of nonalcoholic fatty liver disease
Kang, S. H., Lee, H. W., Yoo, J.-J., Cho, Y., Kim, S. U., Lee, T. H., Jang, B. K., Kim, S. G., Ahn, S. B., Kim, H., et al. (2021) · Clinical and Molecular Hepatology · doi:10.3350/cmh.2021.0178 · Cited by 267
Metadata
- Authors
- Bota, S., Herkner, H., Sporea, I., Salzl, P., Sirli, R., Neghina, A. M., & Peck‐Radosavljevic, M.
- Venue
- Liver International
- Publisher
- Wiley
- Published
- 2013-07-16
- Volume
- 33
- Issue
- 8
- Pages
- 1138-1147
- ISSN
- 0106-9543 (ISSN-L)
- 1478-3223
- 1478-3231
- OpenAlex
- W2089622382
- Cited by
- 425
- References
- 49
- FWCI
- 30.48
- Type
- journal article
- Language
- en
- Open access
- closed
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- Bota, S., Herkner, H., Sporea, I., Salzl, P., Sirli, R., Neghina, A. M., & Peck‐Radosavljevic, M. (2013). Meta‐analysis: ARFI elastography versus transient elastography for the evaluation of liver fibrosis. Liver International. https://doi.org/10.1111/liv.12240
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