Evidence map›Paper›PMID 26469342›Full record

ArticlePloS one2015

Non-Invasive Evaluation of Hepatic Fibrosis: The Diagnostic Performance of Magnetic Resonance Elastography in Patients with Viral Hepatitis B or C.

Wen-Pei Wu, Chen-Te Chou, Ran-Chou Chen, Chih-Wei Lee, Kwo-Whei Lee, Hwa-Koon Wu

Open access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Review
  8. Advances in Magnetic Resonance Elastography of Liver.Magnetic resonance imaging clinics of North America · 2020
    Review
  9. Review
  10. Performance of common imaging techniquesWorld journal of clinical cases · 2019
    Article
  11. Review
  12. Review
  13. Prospective comparison of magnetic resonance imaging to transient elastography and serum markers for liver fibrosis detection.Liver international : official journal of the International Association for the Study of the Liver · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Wen-Pei WuDepartment of Diagnostic Radiology, Lu-Kang Christian Hospital, Changhua City, Taiwan, R.O.C; Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei City, Taiwan, R.O.C.
Chen-Te ChouDepartment of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei City, Taiwan, R.O.C; Department of Radiology, Chang-Hua Christian Hospital, Changhua City, Taiwan, R.O.C.
Ran-Chou ChenDepartment of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei City, Taiwan, R.O.C; Department of Radiology, Taipei City Hospital, Taipei City, Taiwan, R.O.C.
Chih-Wei LeeDepartment of Radiology, Chang-Hua Christian Hospital, Changhua City, Taiwan, R.O.C.
Kwo-Whei LeeDepartment of Radiology, Chang-Hua Christian Hospital, Changhua City, Taiwan, R.O.C.
Hwa-Koon WuDepartment of Radiology, Chang-Hua Christian Hospital, Changhua City, Taiwan, R.O.C.
National Yang Ming Chiao Tung University · TWNational Yang Ming University Hospital · TWTaipei City Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the accuracy of magnetic resonance elastography (MRE) with that of aspartate aminotransferase-to-platelet ratio index (APRI) for estimating the stage of hepatic fibrosis in patients with chronic hepatitis B virus (HBV) or chronic hepatitis C virus (HCV) infection. MATERIALS AND

methodsWe retrospectively enrolled 160 patients with chronic hepatitis and 25 healthy living liver donors. Fibrosis stage (METAVIR, F0 to F4) was determined histopathologically for all patients. APRI was recorded at the time of histopathologic examination and liver stiffness values were measured on MRE quantitative stiffness maps. The cutoff values, sensitivity, and specificity of MRE and APRI for each fibrosis stage were determined using receiver operating characteristic (ROC) analysis.

resultsMRE had a significantly greater area under the ROC curve than APRI score for discriminating among METAVIR stages F2-F4. Using a cutoff value of 2.80 kPa, MRE had a sensitivity of 94.4% and a specificity of 97.8% for detecting significant fibrosis (≥F2). There were no significant differences in fibrosis stage between patients with HBV and those with HCV infection. For ≥F2, the cutoffs were 2.47 kPa (100% sensitivity), 2.80 kP (maximum sum of sensitivity and specificity), and 3.70 kPa (100% specificity).

conclusionsMRE is a more accurate modality than APRI for detecting significant fibrosis in patients with chronic HBV or HCV infection. Antiviral treatment should be considered in patients with liver stiffness values ≥ 2.8 kPa.

Indexed as

AdultAgedAspartate AminotransferasesBlood PlateletsElasticity Imaging TechniquesFemaleHepatitis B, ChronicHepatitis C, ChronicHumansLiver CirrhosisMaleMiddle AgedRetrospective StudiesROC CurveSensitivity and SpecificityYoung AdultAspartate Aminotransferases

Identifiers

PMID26469342
PMCPMC4607490
OpenAlexW1790225820

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.