Evidence map›Paper›PMID 27706177›Full record

Trial reportPloS one2016

Real-Time Shear Wave versus Transient Elastography for Predicting Fibrosis: Applicability, and Impact of Inflammation and Steatosis. A Non-Invasive Comparison.

Thierry Poynard, Tam Pham, Hugo Perazzo, Mona Munteanu, Elena Luckina, Djamel Elaribi, Yen Ngo, Luminita Bonyhay, Noemie Seurat, Muriel Legroux and 6 more

Registry-linked trialOpen access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01927133 (LIVER FIBROSIS PREVALENCE IN FRANCE), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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.

NCT01927133 unknown statusnot on this map

Liver fibrosis prevalence in france

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan1997 to 2020Enrolled10,000ConditionsLiver Fibrosis Progression in Chronic Liver Disease
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Observational
  8. Article
  9. Article
  10. [Correlation between FibroScan, APRI Detecting the degree of esophageal and gastric varices of liver cirrhosis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2018
    Article
  11. Impact of steatosis and inflammation definitions on the performance of NASH tests.European journal of gastroenterology & hepatology · 2018
    Article
  12. 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

16 authors at 4 institutions in 1 country.

Thierry PoynardHepato-Gastroenterology, APHP UPMC Liver Center, Paris, France.
Tam PhamHepato-Gastroenterology, APHP UPMC Liver Center, Paris, France.
Hugo PerazzoHepato-Gastroenterology, APHP UPMC Liver Center, Paris, France.
Mona MunteanuHepatology Research Unit, BioPredictive, Paris, France.
Elena LuckinaHepato-Gastroenterology, APHP UPMC Liver Center, Paris, France.
Djamel ElaribiHepato-Gastroenterology, APHP UPMC Liver Center, Paris, France.
Yen NgoHepatology Research Unit, BioPredictive, Paris, France.
Luminita BonyhayHepato-Gastroenterology, APHP UPMC Liver Center, Paris, France.
Noemie SeuratHepato-Gastroenterology, APHP UPMC Liver Center, Paris, France.
Muriel LegrouxHepato-Gastroenterology, APHP UPMC Liver Center, Paris, France.
An NgoHepatology Research Unit, BioPredictive, Paris, France.
Olivier DeckmynHepatology Research Unit, BioPredictive, Paris, France.
Dominique ThabutHepato-Gastroenterology, APHP UPMC Liver Center, Paris, France.
Vlad RatziuHepato-Gastroenterology, APHP UPMC Liver Center, Paris, France.
Olivier LucidarmeRadiology, APHP UPMC Liver Center, Paris, France.
FIBROFRANCE-HECAM
Assistance Publique – Hôpitaux de Paris · FRBiopredic (France) · FRSorbonne Université · FRPitié-Salpêtrière Hospital · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsReal-time shear wave elastography (2D-SWE) is a two-dimensional transient elastography and a competitor as a biomarker of liver fibrosis in comparison with the standard reference transient elastography by M probe (TE-M). The aims were to compare several criteria of applicability, and to assess inflammation and steatosis impact on elasticity values, two unmet needs.

methodsWe took FibroTest as the fibrosis reference and ActiTest and SteatoTest as quantitative estimates of inflammation and steatosis. After standardization of estimates, analyses used curve fitting, quantitative Lin concordance coefficient [LCC], and multivariate logistic regression.

resultsA total of 2,251 consecutive patients were included. We validated the predetermined 0.2 kPa cut-off as a too low minimal elasticity value identifying not-reliable 2D-SWE results (LCC with FibroTest = 0.0281[-0.119;0.175]. Other criteria, elasticity CV, body mass index and depth of measures were not sufficiently discriminant. The applicability of 2D-SWE (95%CI) 89.6%(88.2-90.8), was significantly higher than that of TE, 85.6%(84.0-87.0; P<0.0001). In patients with non-advanced fibrosis (METAVIR F0F1F2), elasticity values estimated by 2D-SWE was less impacted by inflammation and steatosis than elasticity value estimated by TE-M: LCC (95%CI) 0.039 (0.021;0.058) vs 0.090 (0.068;0.112;P<0.01) and 0.105 (0.068;0.141) vs 0.192 (0.153;0.230; P<0.01) respectively. The three analyses methods gave similar results.

conclusionsElasticity results including very low minimal signal in the region of interest should be considered not reliable. 2D-SWE had a higher applicability than TE, the reference elastography, with less impact of inflammation and steatosis especially in patients with non-advanced fibrosis, as presumed by blood tests.

trial registrationClinicalTrials.gov NCT01927133.

Indexed as

Area Under CurveBiomarkersElasticity Imaging TechniquesFatty LiverFemaleHumansInflammationLiver CirrhosisMaleMiddle AgedMultivariate AnalysisROC CurveSeverity of Illness IndexBiomarkers

Identifiers

PMID27706177
PMCPMC5051706
OpenAlexW2528988404

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.