Evidence map›Paper›PMID 36854936›Full record

ArticleInsights into imaging2023

Magnetic resonance elastography in evaluation of liver fibrosis in children with chronic liver disease.

Duygu Demirtaş, Emre Ünal, İlkay S İdilman, Zuhal Akçören, Mehmet Akif Göktaş, Meryem Seda Boyraz, Sevilay Karahan, Diclehan Orhan, Mithat Haliloğlu, Muşturay Karçaaltıncaba and 1 more

Open access · goldAbstract read
In one paragraph

Article in Insights into imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

11 authors at 1 institution in 1 country.

Duygu DemirtaşDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Hacettepe University, Ankara, Turkey. duygudemirtas@gmail.com.ORCID http://orcid.org/0000-0002-3662-4355
Emre ÜnalDepartment of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
İlkay S İdilmanDepartment of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Zuhal AkçörenDepartment of Pediatric Pathology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Mehmet Akif GöktaşDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Meryem Seda BoyrazDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Sevilay KarahanDepartment of Biostatistics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Diclehan OrhanDepartment of Pediatric Pathology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Mithat HaliloğluDepartment of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Muşturay KarçaaltıncabaDepartment of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Hasan ÖzenDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Hacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMagnetic resonance elastography (MRE) has been used to stage liver fibrosis in adults. We aimed to assess the agreement between the Ishak scoring system and magnetic resonance elastography-measured liver stiffness (MRE-LS) in children. This study included all the children who underwent abdominal MRE and liver biopsies between February 2018 and January 2021. The correlation between MRE-LS and Ishak fibrosis stage, MRE parameters, and clinical and biochemical markers affecting this relationship was investigated.

resultsA total of 52 patients (31 male; a median age of 11.8 years) were included in the study. The MRE-LS values were significantly different between Ishak fibrosis stages (p = 0.036). With a cut-off value of 2.97 kilopascals, MRE-LS had sensitivity, specificity, PPV, NPV and accuracy values of 90.9%, 82.9%, 58.8%, 97.1%, and 84.6%, respectively, for differentiating mild/moderate fibrosis (F0, 1, 2, 3) from severe fibrosis (F ≥ 4). Although MRE-LS was moderately correlated with Ishak fibrosis score and histological activity index and weakly correlated with aspartate aminotransferase, hepatic steatosis, and R2*, only Ishak fibrosis score was a significant predictor of MRE-LS. MRE-measured spleen stiffness was weakly correlated with the Ishak fibrosis score.

conclusionsMRE has high sensitivity and specificity for evaluating liver fibrosis in children. MRE may be used to evaluate liver fibrosis in pediatric patients.

Indexed as

Ishak scoring systemLiver stiffnessMagnetic resonance elastographySpleen stiffness

Identifiers

PMID36854936
PMCPMC9975132
OpenAlexW4322625096

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.