Evidence map›Paper›PMID 39354395›Full record

ArticleBMC nephrology2024

The value of tissue quantitative diffusion analysis of ultrasound elastography in the diagnosis of early-stage chronic kidney disease.

Dan-Ling Zhang, Sheng Chen, Jia-Ming Xu, Na-Lin, Hai-Yan Wu, Jin-Mei Zhou, Zhao-Ping Chen, Xu-Ri Huang, Li-Xin Wei, Dai-Xiang Liu

Abstract read
In one paragraph

Article in BMC nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Article
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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

10 authors.

Dan-Ling Zhang *Department of Ultrasonography, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China. zdl876@126.com.
Sheng Chen *Department of Ultrasonography, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Jia-Ming XuDepartment of Nephrology, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Na-LinDepartment of Ultrasonography, Fuzhou No 7 Hospital, Fuzhou, Fujian, 350005, China.
Hai-Yan WuDepartment of Ultrasonography, Fuzhou No 7 Hospital, Fuzhou, Fujian, 350005, China.
Jin-Mei ZhouDepartment of Ultrasonography, Fuzhou No 7 Hospital, Fuzhou, Fujian, 350005, China.
Zhao-Ping ChenDepartment of Ultrasonography, Fuzhou No 7 Hospital, Fuzhou, Fujian, 350005, China.
Xu-Ri HuangDepartment of Physician, Fuzhou No 7 Hospital, Fuzhou, Fujian, 350005, China.
Li-Xin WeiDepartment of Nephrology, Fujian Medical University Union Hospital, Fuzhou, Fujian, 350001, China.
Dai-Xiang LiuDepartment of Physician, Fuzhou No 7 Hospital, Fuzhou, Fujian, 350005, China.

Funding

Fuzhou Municipal Bureau of Science and Technology Program Fund (No. 2021-S-208).
6 · The paper itself

Abstract

purposeTo explore the value of tissue quantitative diffusion analysis of ultrasound elastography in the diagnosis of early-stage chronic kidney disease (CKD).

methodsThe observation group comprised 54 patients with early-stage CKD treated at Fuzhou No 7 Hospital, and the control group consisted of 40 healthy individuals who underwent physical examinations at the same hospital. The renal parenchyma of the participants were examined using ultrasonography, color Doppler ultrasonography, and tissue quantitative diffusion analysis of ultrasound elastography. Renal dimensions (diameter, thickness, and renal parenchyma thickness), interlobar artery blood flow parameters, and 11 elastic characteristic values were analyzed and compared between the two groups. The area under the receiver-operating characteristic (ROC) curve, cut-off values, sensitivity, and specificity were calculated using the ROC curve analysis.

resultsThere were no significant differences in the blood flow parameters of the interlobar artery and the dimensions of renal meridians between the two groups. In the observation group, the mean (MEAN) decreased, while the blue area ratio and skewness, increased, compared to the control group (p < 0.05). In addition, the ROC curve revealed that the blue area ratio, MEAN, and skewness had significant diagnostic value (the area under the curve > 0.7). Notably, the best cut-off value of the MEAN was found to be 106, indicating that a MEAN value less than 106 represented early-stage CKD. Also, this cutoff value had a sensitivity of 80% and a specificity of 81%.

conclusionTissue quantitative diffusion analysis of ultrasound elastography can quantitatively evaluate renal parenchymal damage in early-stage CKD using quantitative diffusion parameters, with the MEAN parameter, having a cutoff of 106, being particularly effective. This parameter and cutoff value offer a valuable tool for the early detection and diagnosis of CKD, potentially improving patient outcomes through earlier intervention. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Elasticity Imaging TechniquesRenal Insufficiency, ChronicAdultAgedEarly DiagnosisFemaleHumansKidneyMaleMiddle AgedROC CurveSensitivity and SpecificityBiomarkersChronic kidney diseaseDiffusionElastographyUltrasound

Identifiers

PMID39354395
PMCPMC11446147

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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.