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Diagnostic Performance of LI-RADS v2018 versus KLCA-NCC 2018 Criteria for Hepatocellular Carcinoma Using Magnetic Resonance Imaging with Hepatobiliary Agent: A Systematic Review and Meta-Analysis of Comparative Studies
DC Field | Value | Language |
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dc.contributor.author | 박미숙 | - |
dc.contributor.author | 윤자경 | - |
dc.contributor.author | 이선영 | - |
dc.contributor.author | 정용은 | - |
dc.contributor.author | 최진영 | - |
dc.date.accessioned | 2023-07-12T02:52:09Z | - |
dc.date.available | 2023-07-12T02:52:09Z | - |
dc.date.issued | 2023-05 | - |
dc.identifier.issn | 1976-2283 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/195425 | - |
dc.description.abstract | Background/Aims: To compare the performance of the Liver Imaging Reporting and Data System (LI-RADS) v2018 and Korean Liver Cancer Association-National Cancer Center (KLCANCC) 2018 criteria for diagnosing hepatocellular carcinoma (HCC) using magnetic resonance imaging (MRI) with hepatobiliary agent (HBA). Methods: We searched the MEDLINE and EMBASE for studies from January 1, 2018, to October 20, 2021, that compared the diagnostic performance of two imaging criteria on HBA-MRI. A bivariate random-effects model was fitted to calculate the per-observation sensitivity and specificity, and the estimates of paired data were compared. Subgroup analysis was performed based on the observation size. Meta-regression analysis was also performed for study heterogeneity. Results: Of the six studies included, the pooled sensitivity of the definite HCC category of the KLCA-NCC criteria (82%; 95% confidence interval [CI], 74% to 90%; I2=84%) was higher than that of LR-5 of LI-RADS v2018 (65%; 95% CI, 52% to 77%; I2=96%) for diagnosing HCC (p<0.001), while the specificity was lower for KLCA-NCC criteria (87%; 95% CI, 84% to 91%; I2=0%) than LI-RADS v2018 (93%; 95% CI, 91% to 96%; I2=0%) (p=0.017). For observations sized ≥20 mm, the sensitivity was higher for KLCA-NCC 2018 than for LI-RADS v2018 (84% vs 74%, p=0.012), with no significant difference in specificity (81% vs 85%, p=0.451). The reference standard was a significant factor contributing to the heterogeneity of sensitivities. Conclusions: The definite HCC category of KLCA-NCC 2018 provided a higher sensitivity and lower specificity than the LR-5 of LI-RADS v2018 for diagnosing HCC using MRI with HBA. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Editorial Office of Gut and Liver | - |
dc.relation.isPartOf | GUT AND LIVER | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Carcinoma, Hepatocellular* / pathology | - |
dc.subject.MESH | Contrast Media | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Liver Neoplasms* / pathology | - |
dc.subject.MESH | Magnetic Resonance Imaging / methods | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Sensitivity and Specificity | - |
dc.title | Diagnostic Performance of LI-RADS v2018 versus KLCA-NCC 2018 Criteria for Hepatocellular Carcinoma Using Magnetic Resonance Imaging with Hepatobiliary Agent: A Systematic Review and Meta-Analysis of Comparative Studies | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학교실) | - |
dc.contributor.googleauthor | Jaeseung Shin | - |
dc.contributor.googleauthor | Sunyoung Lee | - |
dc.contributor.googleauthor | Ja Kyung Yoon | - |
dc.contributor.googleauthor | Won Jeong Son | - |
dc.contributor.googleauthor | Yun Ho Roh | - |
dc.contributor.googleauthor | Yong Eun Chung | - |
dc.contributor.googleauthor | Jin-Young Choi | - |
dc.contributor.googleauthor | Mi-Suk Park | - |
dc.identifier.doi | 10.5009/gnl220115 | - |
dc.contributor.localId | A01463 | - |
dc.contributor.localId | A05487 | - |
dc.contributor.localId | A05659 | - |
dc.contributor.localId | A03662 | - |
dc.contributor.localId | A04200 | - |
dc.relation.journalcode | J00954 | - |
dc.identifier.eissn | 2005-1212 | - |
dc.identifier.pmid | 36317516 | - |
dc.subject.keyword | ontrast media | - |
dc.subject.keyword | Diagnosis | - |
dc.subject.keyword | Liver neoplasms | - |
dc.subject.keyword | Magnetic resonance imaging | - |
dc.subject.keyword | Sensitivity and specificity | - |
dc.contributor.alternativeName | Park, Mi Sook | - |
dc.contributor.affiliatedAuthor | 박미숙 | - |
dc.contributor.affiliatedAuthor | 윤자경 | - |
dc.contributor.affiliatedAuthor | 이선영 | - |
dc.contributor.affiliatedAuthor | 정용은 | - |
dc.contributor.affiliatedAuthor | 최진영 | - |
dc.citation.volume | 17 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 466 | - |
dc.citation.endPage | 474 | - |
dc.identifier.bibliographicCitation | GUT AND LIVER, Vol.17(3) : 466-474, 2023-05 | - |
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