Exploration
Accueil
Racine
Exploration
Accueil
Racine

Serveur d'exploration autour du libre accès en Belgique

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

Diagnostic value of magnetic resonance cholangiopancreatography in choledocholithiasis

Identifieur interne : 000174 ( Main/Exploration ); précédent : 000173; suivant : 000175

Diagnostic value of magnetic resonance cholangiopancreatography in choledocholithiasis

Auteurs : Wen Chen ; Jing-Jia Mo ; Li Lin ; Chao-Qun Li ; Jian-Feng Zhang

Source :

RBID : PMC:4363767

Abstract

AIM: To evaluate the diagnostic accuracy of magnetic resonance cholangiopancreatography (MRCP) in patients with choledocholithiasis.

METHODS: We systematically searched MEDLINE, EMBASE, Web of Science, and Cochrane databases for studies reporting on the sensitivity, specificity and other accuracy measures of diagnostic effectiveness of MRCP for detection of common bile duct (CBD) stones. Pooled analysis was performed using random effects models, and receiver operating characteristic curves were generated to summarize overall test performance. Two reviewers independently assessed the methodological quality of studies using standards for reporting diagnostic accuracy and quality assessment for studies of diagnostic accuracy tools.

RESULTS: A total of 25 studies involving 2310 patients with suspected choledocholithiasis and 738 patients with CBD stones met the inclusion criteria. The average inter-rater agreement on the methodological quality checklists was 0.96. Pooled analysis of the ability of MRCP to detect CBD stones showed the following effect estimates: sensitivity, 0.90 (95%CI: 0.88-0.92, χ2 = 65.80; P < 0.001); specificity, 0.95 (95%CI: 0.93-1.0, χ2 = 110.51; P < 0.001); positive likelihood ratio, 13.28 (95%CI: 8.85-19.94, χ2 = 78.95; P < 0.001); negative likelihood ratio, 0.13 (95%CI: 0.09-0.18, χ2 = 6.27; P < 0.001); and diagnostic odds ratio, 143.82 (95%CI: 82.42-250.95, χ2 = 44.19; P < 0.001). The area under the receiver operating characteristic curve was 0.97. Significant publication bias was not detected (P = 0.266).

CONCLUSION: MRCP has high diagnostic accuracy for the detection of choledocholithiasis. MRCP should be the method of choice for suspected cases of CBD stones.


Url:
DOI: 10.3748/wjg.v21.i11.3351
PubMed: 25805944
PubMed Central: 4363767


Affiliations:

Links toward previous steps (curation, corpus...)

Le document en format XML

<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Diagnostic value of magnetic resonance cholangiopancreatography in choledocholithiasis</title>
<author>
<name sortKey="Chen, Wen" sort="Chen, Wen" uniqKey="Chen W" first="Wen" last="Chen">Wen Chen</name>
</author>
<author>
<name sortKey="Mo, Jing Jia" sort="Mo, Jing Jia" uniqKey="Mo J" first="Jing-Jia" last="Mo">Jing-Jia Mo</name>
</author>
<author>
<name sortKey="Lin, Li" sort="Lin, Li" uniqKey="Lin L" first="Li" last="Lin">Li Lin</name>
</author>
<author>
<name sortKey="Li, Chao Qun" sort="Li, Chao Qun" uniqKey="Li C" first="Chao-Qun" last="Li">Chao-Qun Li</name>
</author>
<author>
<name sortKey="Zhang, Jian Feng" sort="Zhang, Jian Feng" uniqKey="Zhang J" first="Jian-Feng" last="Zhang">Jian-Feng Zhang</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">25805944</idno>
<idno type="pmc">4363767</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4363767</idno>
<idno type="RBID">PMC:4363767</idno>
<idno type="doi">10.3748/wjg.v21.i11.3351</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">000303</idno>
<idno type="wicri:Area/Pmc/Curation">000303</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000145</idno>
<idno type="wicri:Area/Ncbi/Merge">000297</idno>
<idno type="wicri:Area/Ncbi/Curation">000297</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000297</idno>
<idno type="wicri:doubleKey">1007-9327:2015:Chen W:diagnostic:value:of</idno>
<idno type="wicri:Area/Main/Merge">000174</idno>
<idno type="wicri:Area/Main/Curation">000174</idno>
<idno type="wicri:Area/Main/Exploration">000174</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Diagnostic value of magnetic resonance cholangiopancreatography in choledocholithiasis</title>
<author>
<name sortKey="Chen, Wen" sort="Chen, Wen" uniqKey="Chen W" first="Wen" last="Chen">Wen Chen</name>
</author>
<author>
<name sortKey="Mo, Jing Jia" sort="Mo, Jing Jia" uniqKey="Mo J" first="Jing-Jia" last="Mo">Jing-Jia Mo</name>
</author>
<author>
<name sortKey="Lin, Li" sort="Lin, Li" uniqKey="Lin L" first="Li" last="Lin">Li Lin</name>
</author>
<author>
<name sortKey="Li, Chao Qun" sort="Li, Chao Qun" uniqKey="Li C" first="Chao-Qun" last="Li">Chao-Qun Li</name>
</author>
<author>
<name sortKey="Zhang, Jian Feng" sort="Zhang, Jian Feng" uniqKey="Zhang J" first="Jian-Feng" last="Zhang">Jian-Feng Zhang</name>
</author>
</analytic>
<series>
<title level="j">World Journal of Gastroenterology : WJG</title>
<idno type="ISSN">1007-9327</idno>
<idno type="eISSN">2219-2840</idno>
<imprint>
<date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>AIM: To evaluate the diagnostic accuracy of magnetic resonance cholangiopancreatography (MRCP) in patients with choledocholithiasis.</p>
<p>METHODS: We systematically searched MEDLINE, EMBASE, Web of Science, and Cochrane databases for studies reporting on the sensitivity, specificity and other accuracy measures of diagnostic effectiveness of MRCP for detection of common bile duct (CBD) stones. Pooled analysis was performed using random effects models, and receiver operating characteristic curves were generated to summarize overall test performance. Two reviewers independently assessed the methodological quality of studies using standards for reporting diagnostic accuracy and quality assessment for studies of diagnostic accuracy tools.</p>
<p>RESULTS: A total of 25 studies involving 2310 patients with suspected choledocholithiasis and 738 patients with CBD stones met the inclusion criteria. The average inter-rater agreement on the methodological quality checklists was 0.96. Pooled analysis of the ability of MRCP to detect CBD stones showed the following effect estimates: sensitivity, 0.90 (95%CI: 0.88-0.92,
<italic>χ</italic>
<sup>2</sup>
= 65.80;
<italic>P</italic>
< 0.001); specificity, 0.95 (95%CI: 0.93-1.0,
<italic>χ</italic>
<sup>2</sup>
= 110.51;
<italic>P</italic>
< 0.001); positive likelihood ratio, 13.28 (95%CI: 8.85-19.94,
<italic>χ</italic>
<sup>2</sup>
= 78.95;
<italic>P</italic>
< 0.001); negative likelihood ratio, 0.13 (95%CI: 0.09-0.18,
<italic>χ</italic>
<sup>2</sup>
= 6.27;
<italic>P</italic>
< 0.001); and diagnostic odds ratio, 143.82 (95%CI: 82.42-250.95,
<italic>χ</italic>
<sup>2</sup>
= 44.19;
<italic>P</italic>
< 0.001). The area under the receiver operating characteristic curve was 0.97. Significant publication bias was not detected (
<italic>P</italic>
= 0.266).</p>
<p>CONCLUSION: MRCP has high diagnostic accuracy for the detection of choledocholithiasis. MRCP should be the method of choice for suspected cases of CBD stones.</p>
</div>
</front>
</TEI>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Chen, Wen" sort="Chen, Wen" uniqKey="Chen W" first="Wen" last="Chen">Wen Chen</name>
<name sortKey="Li, Chao Qun" sort="Li, Chao Qun" uniqKey="Li C" first="Chao-Qun" last="Li">Chao-Qun Li</name>
<name sortKey="Lin, Li" sort="Lin, Li" uniqKey="Lin L" first="Li" last="Lin">Li Lin</name>
<name sortKey="Mo, Jing Jia" sort="Mo, Jing Jia" uniqKey="Mo J" first="Jing-Jia" last="Mo">Jing-Jia Mo</name>
<name sortKey="Zhang, Jian Feng" sort="Zhang, Jian Feng" uniqKey="Zhang J" first="Jian-Feng" last="Zhang">Jian-Feng Zhang</name>
</noCountry>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Belgique/explor/OpenAccessBelV2/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000174 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000174 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Belgique
   |area=    OpenAccessBelV2
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     PMC:4363767
   |texte=   Diagnostic value of magnetic resonance cholangiopancreatography in choledocholithiasis
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:25805944" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a OpenAccessBelV2
Wicri

This area was generated with Dilib version V0.6.25.
Data generation: Thu Dec 1 00:43:49 2016. Site generation: Wed Mar 6 14:51:30 2024