Diagnostic value of magnetic resonance cholangiopancreatography in choledocholithiasis
Identifieur interne : 000303 ( Pmc/Corpus ); précédent : 000302; suivant : 000304Diagnostic value of magnetic resonance cholangiopancreatography in choledocholithiasis
Auteurs : Wen Chen ; Jing-Jia Mo ; Li Lin ; Chao-Qun Li ; Jian-Feng ZhangSource :
- World Journal of Gastroenterology : WJG [ 1007-9327 ] ; 2015.
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,
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
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<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></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><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Gastroenterol</journal-id><journal-id journal-id-type="iso-abbrev">World J. Gastroenterol</journal-id><journal-id journal-id-type="publisher-id">WJG</journal-id><journal-title-group><journal-title>World Journal of Gastroenterology : WJG</journal-title></journal-title-group><issn pub-type="ppub">1007-9327</issn><issn pub-type="epub">2219-2840</issn><publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25805944</article-id><article-id pub-id-type="pmc">4363767</article-id><article-id pub-id-type="other">jWJG.v21.i11.pg3351</article-id><article-id pub-id-type="doi">10.3748/wjg.v21.i11.3351</article-id><article-categories><subj-group subj-group-type="heading"><subject>Meta-Analysis</subject></subj-group></article-categories><title-group><article-title>Diagnostic value of magnetic resonance cholangiopancreatography in choledocholithiasis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Chen</surname><given-names>Wen</given-names></name></contrib><contrib contrib-type="author"><name><surname>Mo</surname><given-names>Jing-Jia</given-names></name></contrib><contrib contrib-type="author"><name><surname>Lin</surname><given-names>Li</given-names></name></contrib><contrib contrib-type="author"><name><surname>Li</surname><given-names>Chao-Qun</given-names></name></contrib><contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Jian-Feng</given-names></name></contrib><aff>Wen Chen, Department of Educational Administration, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China</aff><aff>Jing-Jia Mo, Li Lin, Chao-Qun Li, Jian-Feng Zhang, Department of Emergency, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China</aff></contrib-group><author-notes><fn><p>Author contributions: Mo JJ formulated the research questions; Zhang JF and Chen W designed the study; Zhang JF, Chen W, and Mo JJ searched the databases; Lin L and Li CQ designed the data abstraction form and served as second reviewers for data extraction; Zhang JF extracted the data; Zhang JF and Mo JJ analyzed the data; Zhang JF and Chen W wrote the manuscript; Chen W revised the manuscript; all authors have read and approved the final manuscript.</p><p>Correspondence to: Dr. Jian-Feng Zhang, MD, Department of Emergency, The First Affiliated Hospital of Guangxi Medical University, No. 22, Shuangyong Road, Guangxi Zhuang Autonomous Region, Nanning 530021, China. <email>zfj@188.com</email></p><p>Telephone: +86-771-5356501 Fax: +86-771-5356585</p></fn></author-notes><pub-date pub-type="ppub"><day>21</day><month>3</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>21</day><month>3</month><year>2015</year></pub-date><volume>21</volume><issue>11</issue><fpage>3351</fpage><lpage>3360</lpage><history><date date-type="received"><day>5</day><month>7</month><year>2014</year></date><date date-type="rev-recd"><day>26</day><month>8</month><year>2014</year></date><date date-type="accepted"><day>15</day><month>10</month><year>2014</year></date></history><permissions><copyright-statement>©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.</copyright-statement><copyright-year>2015</copyright-year></permissions><abstract><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></abstract><kwd-group><kwd>Choledocholithiasis</kwd><kwd>Diagnosis</kwd><kwd>Magnetic resonance cholangiopancreatography</kwd><kwd>Common bile duct</kwd><kwd>Meta-analysis</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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