Evidence map›Paper›PMID 28932088›Full record

ArticleWorld journal of gastroenterology2017

Real time endoscopic ultrasound elastography and strain ratio in the diagnosis of solid pancreatic lesions.

Hussein Okasha, Shaimaa Elkholy, Ramy El-Sayed, Mohamed-Naguib Wifi, Mohamed El-Nady, Walid El-Nabawi, Waleed A El-Dayem, Mohamed I Radwan, Ali Farag, Yahya El-Sherif and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05095831 (Endoscopic Ultrasound Shear Wave for Neoplasia and Inflammation Assessment Among Solid Pancreas Lesions), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05095831 unknown statusnot on this mapstarted 2021, after this paper: background citation

Endoscopic Ultrasound Shear Wave for Neoplasia and Inflammation Assessment Among Solid Pancreas Lesions: a Case-control Observational Trial.

Typeobservational_patient_registrySponsorInstituto Ecuatoriano de Enfermedades DigestivasRan2021 to 2022Enrolled25ConditionsPancreas Neoplasm, Pancreatitis, Pancreatitis, Acute, Pancreatitis, ChronicArmsPancreas EUS shear wave, Pancreas EUS-elastography and EUS-guided biopsy
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Endoscopic Ultrasound (EUS) Guided Elastography.Diagnostics (Basel, Switzerland) · 2023
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Pancreatic cancer in 2021: What you need to know to win.World journal of gastroenterology · 2021
    Review
  17. Review
  18. Role of Endoscopic Ultrasound Elastography Strain Histograms in the Evaluation of Patients with Pancreatic Masses.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021
    Article
  19. Article
  20. 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

15 authors.

Hussein OkashaMohamed Naguib Wifi, Mohamed El-Nady, Ali Farag, Ahmed Salman, Mohamed El-Sherbiny, Ahmed El-Mazny, Internal Medicine Department, Cairo University, Cairo 11311, Egypt.
Shaimaa ElkholyMohamed Naguib Wifi, Mohamed El-Nady, Ali Farag, Ahmed Salman, Mohamed El-Sherbiny, Ahmed El-Mazny, Internal Medicine Department, Cairo University, Cairo 11311, Egypt. shaimaa.elkholy@cu.edu.eg.
Ramy El-SayedDepartment of Tropical Medicine, Zagazig University, Elsharkiah 44519, Egypt.
Mohamed-Naguib Wifi
Mohamed El-Nady
Walid El-NabawiInternal Medicine Department, Beni Suef University, Beni Suef 71515, Egypt.
Waleed A El-DayemDepartment of Tropical Medicine, Zagazig University, Elsharkiah 44519, Egypt.
Mohamed I RadwanDepartment of Tropical Medicine, Zagazig University, Elsharkiah 44519, Egypt.
Ali Farag
Yahya El-SherifTropical Medicine Department, El Manial Specialized Hospital, Cairo University, Cairo 11311, Egypt.
Emad Al-GemeiePathology Department, National Cancer Institute, Cairo University, Cairo 11311, Egypt.
Ahmed Salman
Mohamed El-Sherbiny
Ahmed El-Mazny
Reem E MahdyInternal Medicine Department, Assiut University, Assiut 71515, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the accuracy of the elastography score combined to the strain ratio in the diagnosis of solid pancreatic lesions (SPL).

methodsA total of 172 patients with SPL identified by endoscopic ultrasound were enrolled in the study to evaluate the efficacy of elastography and strain ratio in differentiating malignant from benign lesions. The semi quantitative score of elastography was represented by the strain ratio method. Two areas were selected, area (A) representing the region of interest and area (B) representing the normal area. Area (B) was then divided by area (A). Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were calculated by comparing diagnoses made by elastography, strain ratio and final diagnoses.

resultsSPL were shown to be benign in 49 patients and malignant in 123 patients. Elastography alone had a sensitivity of 99%, a specificity of 63%, and an accuracy of 88%, a PPV of 87% and an NPV of 96%. The best cut-off level of strain ratio to obtain the maximal area under the curve was 7.8 with a sensitivity of 92%, specificity of 77%, PPV of 91%, NPV of 80% and an accuracy of 88%. Another estimated cut off strain ratio level of 3.8 had a higher sensitivity of 99% and NPV of 96%, but with less specificity, PPV and accuracy 53%, 84% and 86%, respectively. Adding both elastography to strain ratio resulted in a sensitivity of 98%, specificity of 77%, PPV of 91%, NPV of 95% and accuracy of 92% for the diagnosis of SPL.

conclusionCombining elastography to strain ratio increases the accuracy of the differentiation of benign from malignant SPL.

Indexed as

Diagnosis, DifferentialElasticity Imaging TechniquesEndoscopic Ultrasound-Guided Fine Needle AspirationEndosonographyFemaleHumansMaleMiddle AgedPancreasPancreatic NeoplasmsPancreatitisPredictive Value of TestsProspective StudiesROC CurveSensitivity and SpecificityElastographyEndoscopic UltrasoundPancreatic lesionsReal TimeStrain Ratio

Identifiers

PMID28932088
PMCPMC5583581

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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.