Magnetic resonance elastography in staging liver fibrosis in non-alcoholic fatty liver disease: a pooled analysis of the diagnostic accuracy

Abstract Background This study was performed to systematically evaluate the accuracy of magnetic resonance elastography (MRE) in staging of liver fibrosis in non-alcoholic fatty liver disease (NAFLD). Methods PUBMED, EMBASE, Web of Science, CNKI, Cochrane Library database were searched from January...

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Main Authors: Yuanzi Liang, Daowei Li
Format: Article
Language:English
Published: BMC 2020-04-01
Series:BMC Gastroenterology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12876-020-01234-x
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author Yuanzi Liang
Daowei Li
author_facet Yuanzi Liang
Daowei Li
author_sort Yuanzi Liang
collection DOAJ
description Abstract Background This study was performed to systematically evaluate the accuracy of magnetic resonance elastography (MRE) in staging of liver fibrosis in non-alcoholic fatty liver disease (NAFLD). Methods PUBMED, EMBASE, Web of Science, CNKI, Cochrane Library database were searched from January 2008 to December 2018 for studies related to MRE in the diagnosis of NAFLD liver fibrosis. The quality of the included literature was assessed by Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool. The pooled sensitivity, the pooled specificity, and area under the receiver operating characteristic curve (AUROC) value was performed by STATA 14.0 software. Results A total of 12 studies were included, involving 910 patients. The pooled sensitivity and specificity of each group were 0.77 (95%CI 0.69–0.83) and 0.90 (95%CI 0.83–0.94) for F ≥ 1 (mild liver fibrosis), 0.87 (95%CI 0.74–0.94) and 0.86 (95%CI 0.71–0.94) for F ≥ 2 (significant liver fibrosis), 0.89 (95%CI 0.81–0.94) and 0.84 (95%CI 0.63–0.94) for F ≥ 3(severe liver fibrosis), 0.94 (95%CI 0.85–0.98) and 0.75 (95%CI 0.35–0.94) for F ≥ 4 (early cirrhosis), respectively. The area under the summary receiver operating characteristic (SROC) curve was 0.89, 0.93, 0.93, and 0.95, respectively. Conclusions MRE has high accuracy in the diagnosis of hepatic fibrosis staging in patients with NAFLD.
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spelling doaj.art-7a8cb235fed248f985ec34c55f975a6f2022-12-21T19:29:21ZengBMCBMC Gastroenterology1471-230X2020-04-0120111210.1186/s12876-020-01234-xMagnetic resonance elastography in staging liver fibrosis in non-alcoholic fatty liver disease: a pooled analysis of the diagnostic accuracyYuanzi Liang0Daowei Li1Department of Radiology, The People’s Hospital of China Medical University & The People’s Hospital of Liaoning ProvinceDepartment of Radiology, The People’s Hospital of China Medical University & The People’s Hospital of Liaoning ProvinceAbstract Background This study was performed to systematically evaluate the accuracy of magnetic resonance elastography (MRE) in staging of liver fibrosis in non-alcoholic fatty liver disease (NAFLD). Methods PUBMED, EMBASE, Web of Science, CNKI, Cochrane Library database were searched from January 2008 to December 2018 for studies related to MRE in the diagnosis of NAFLD liver fibrosis. The quality of the included literature was assessed by Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool. The pooled sensitivity, the pooled specificity, and area under the receiver operating characteristic curve (AUROC) value was performed by STATA 14.0 software. Results A total of 12 studies were included, involving 910 patients. The pooled sensitivity and specificity of each group were 0.77 (95%CI 0.69–0.83) and 0.90 (95%CI 0.83–0.94) for F ≥ 1 (mild liver fibrosis), 0.87 (95%CI 0.74–0.94) and 0.86 (95%CI 0.71–0.94) for F ≥ 2 (significant liver fibrosis), 0.89 (95%CI 0.81–0.94) and 0.84 (95%CI 0.63–0.94) for F ≥ 3(severe liver fibrosis), 0.94 (95%CI 0.85–0.98) and 0.75 (95%CI 0.35–0.94) for F ≥ 4 (early cirrhosis), respectively. The area under the summary receiver operating characteristic (SROC) curve was 0.89, 0.93, 0.93, and 0.95, respectively. Conclusions MRE has high accuracy in the diagnosis of hepatic fibrosis staging in patients with NAFLD.http://link.springer.com/article/10.1186/s12876-020-01234-xMagnetic resonance elastographyNon-alcoholic fatty liver diseaseLiver fibrosisSystematic review
spellingShingle Yuanzi Liang
Daowei Li
Magnetic resonance elastography in staging liver fibrosis in non-alcoholic fatty liver disease: a pooled analysis of the diagnostic accuracy
BMC Gastroenterology
Magnetic resonance elastography
Non-alcoholic fatty liver disease
Liver fibrosis
Systematic review
title Magnetic resonance elastography in staging liver fibrosis in non-alcoholic fatty liver disease: a pooled analysis of the diagnostic accuracy
title_full Magnetic resonance elastography in staging liver fibrosis in non-alcoholic fatty liver disease: a pooled analysis of the diagnostic accuracy
title_fullStr Magnetic resonance elastography in staging liver fibrosis in non-alcoholic fatty liver disease: a pooled analysis of the diagnostic accuracy
title_full_unstemmed Magnetic resonance elastography in staging liver fibrosis in non-alcoholic fatty liver disease: a pooled analysis of the diagnostic accuracy
title_short Magnetic resonance elastography in staging liver fibrosis in non-alcoholic fatty liver disease: a pooled analysis of the diagnostic accuracy
title_sort magnetic resonance elastography in staging liver fibrosis in non alcoholic fatty liver disease a pooled analysis of the diagnostic accuracy
topic Magnetic resonance elastography
Non-alcoholic fatty liver disease
Liver fibrosis
Systematic review
url http://link.springer.com/article/10.1186/s12876-020-01234-x
work_keys_str_mv AT yuanziliang magneticresonanceelastographyinstagingliverfibrosisinnonalcoholicfattyliverdiseaseapooledanalysisofthediagnosticaccuracy
AT daoweili magneticresonanceelastographyinstagingliverfibrosisinnonalcoholicfattyliverdiseaseapooledanalysisofthediagnosticaccuracy