Evidence map›Paper›PMID 40591162›Full record

ArticleDiscover oncology2025

Diagnostic performance of contrast-enhanced ultrasonography for predicting therapeutic response to radiofrequency ablation in patients with hepatocellular carcinoma: a meta-analysis.

Ji Dong, Xin Hu, Lin Li, Fei-Yan Jing, Jin-Jin Chen, Jun Chen

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Article in Discover oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ji DongDepartment of Ultrasound Medicine, Affiliated Wuxi Fifth Hospital of Jiangnan University (The Fifth People's Hospital of Wuxi), Wuxi, China.
Xin HuDepartment of Ultrasound Medicine, Affiliated Wuxi Fifth Hospital of Jiangnan University (The Fifth People's Hospital of Wuxi), Wuxi, China.
Lin LiDepartment of Ultrasound Medicine, Affiliated Wuxi Fifth Hospital of Jiangnan University (The Fifth People's Hospital of Wuxi), Wuxi, China.
Fei-Yan JingDepartment of Ultrasound Medicine, Affiliated Wuxi Fifth Hospital of Jiangnan University (The Fifth People's Hospital of Wuxi), Wuxi, China.
Jin-Jin ChenDepartment of Ultrasound Medicine, Affiliated Wuxi Fifth Hospital of Jiangnan University (The Fifth People's Hospital of Wuxi), Wuxi, China.
Jun ChenDepartment of Ultrasound Medicine, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, 214023, China. junge0454@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeContrast-enhanced ultrasound (CEUS) is frequently used to detect residual or recurrent liver cancer following radiofrequency ablation (RFA) therapy for hepatocellular carcinoma (HCC). However, disagreements persist regarding its diagnostic efficacy. This study aimed to assess the diagnostic value of contrast-enhanced ultrasonography (CEUS) for detecting residual or recurrent hepatocellular carcinoma (HCC) after radiofrequency ablation (RFA) using a meta-analytic approach.

methodsPubMed, Embase, and the Cochrane Library were searched for studies published up to March 2024. The diagnostic value of CEUS was assessed using sensitivity, specificity, PLR, NLR, diagnostic odds ratio (DOR), and area under the receiver operating characteristic (ROC) curve (AUC).

resultsThis meta-analysis included 13 studies with 802 HCC patients (964 lesions). CEUS demonstrated high sensitivity (0.88, 95% CI: 0.80-0.93) and specificity (0.98, 95% CI: 0.96-0.99) for detecting residual or recurrent tumors after RFA. The positive likelihood ratio (PLR) was 46.88 (95% CI: 20.69-106.24) and the negative likelihood ratio (NLR) was 0.12 (95% CI: 0.07-0.21). The diagnostic odds ratio (DOR) was 222.77 (95% CI: 100.23-495.16), with an AUC of 0.96 (95% CI: 0.94-0.97). Factors such as publication year, study design, ethnicity, blinding, patient age, contrast agent usage, and reference tests were found to influence CEUS's diagnostic accuracy.

conclusionCEUS exhibited excellent diagnostic performance for detecting residual or recurrent tumors in HCC patients after RFA. Therefore, it should be employed in clinical practice for evaluating therapeutic response to RFA. Registration Number INPLASY202440089.

Indexed as

Contrast-enhanced ultrasonographyHepatocellular carcinomaLikelihood ratioMeta-analysisRadiofrequency ablation

Identifiers

PMID40591162
PMCPMC12214240

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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.