Evidence map›Paper›PMID 30200064›Full record

ArticleMedicine2018

Endoscopic ultrasound (EUS) elastography and strain ratio, could it help in differentiating malignant from benign pancreatic lesions?

Hussein Hassan Okasha, Reem Ezzat Mahdy, Shaimaa Elkholy, Mohamed Sayed Hassan, Ahmed Nabil El-Mazny, Kareem Essam Eldin Hadad, Moustafa Saeed, Mohamed El-Nady, Osama Soliman Elbalky, Asem Ashraf and 2 more

Abstract read
In one paragraph

Article in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

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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

6 citing papers in PubMed.

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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

12 authors.

Hussein Hassan OkashaInternal Medicine Department, Faculty of Medicine, Cairo University, Cairo Internal Medicine Department, Faculty of Medicine, Assiut University, Assiut General Surgery Department, Damanhur Teaching Hospital, Al Buhayrah Internal Medicine Department, Armed forces college of medicine, Cairo Gastroenterology Department, Military Medical Academy, Egypt.
Reem Ezzat Mahdy
Shaimaa Elkholy
Mohamed Sayed Hassan
Ahmed Nabil El-Mazny
Kareem Essam Eldin Hadad
Moustafa Saeed
Mohamed El-Nady
Osama Soliman Elbalky
Asem Ashraf
Amr Abo El-Magd
Abeer Awad

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evaluating the role of endoscopic ultrasound (EUS) elastography and strain ratio in differentiation between malignant and benign pancreatic lesions.Three hundred twenty-five patients with solid pancreatic lesions were enrolled in this prospective study from 2014 to 2017. EUS real-time elastography scoring and strain ratio were done to all patients and compared to the final diagnosis to assess its sensitivity, specificity, positive and negative predictive values (PPV and NPV) in differentiating malignant from benign lesions.A cut-off value of 4.2 we had sensitivity of 95%, specificity of 63%, PPV of 89%, NPV of 81%, and accuracy of 87%. Another cut-off value of 10.9 showed a sensitivity of 75%, specificity of 88%, PPV of 95%, NPV of 54%, and accuracy of 79%. Adding the elastography to the better cut-off value gave a sensitivity of 97%, specificity of 63%, PPV of 89%, NPV of 88%, and accuracy of 89%.Real-time elastography and strain ration are valuable in differentiating malignant from pancreatic lesions.

Indexed as

Elasticity Imaging TechniquesEndosonographyDiagnosis, DifferentialFemaleHumansMaleMiddle AgedPancreasPancreatic NeoplasmsProspective StudiesSensitivity and Specificity

Identifiers

PMID30200064
PMCPMC6133468

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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.