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Diagnostic Performance of Acoustic Radiation Force Impulse Elastography for the Differentiation of Benign and Malignant Superficial Lymph Nodes: A Meta-analysis
Authors:Jun Li PhD  Ming Chen MD  Chun-li Cao MD  Li-Qiang Zhou MD  Shu-Gang Li PhD  Zong-Kai Ge MD  Wei-Hong Zhang MD  Jian-Wei Xu MD  Xin-Wu Cui MD  PhD  Christoph F. Dietrich MD  PhD
Affiliation:1. Department of Medical Ultrasound, First Affiliated Hospital of Medical College, Shihezi University, Shihezi, China;2. Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;3. Department of Public Health, Medical College, Shihezi University, Shihezi, China;4. Department of Internal Medicine, Occupational Disease Prevention and Treatment Center, China Pingmei Shenma Group, Pingdingshan, China;5. Department of Medical Ultrasound, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China;6. Medical Clinic 2, Caritas-Krankenhaus Bad Mergentheim, Academic Teaching Hospital of the University of Würzburg, Bad Mergentheim, Germany
Abstract:To estimate the diagnostic performance of acoustic radiation force impulse elastography in distinguishing between benign and malignant superficial lymph nodes, relevant articles published before October 31, 2018, in China and other countries were used. Conclusively, a total of 18 articles were analyzed. Sixteen studies used Virtual Touch tissue quantification (Siemens Healthineers, Erlangen, Germany), and 4 studies used Virtual Touch tissue imaging (Siemens Healthineers). After a meta-analysis, it was found that acoustic radiation force impulse elastography is an efficient method for detecting superficial lymph nodes. In addition, if the cutoff value for the shear wave velocity were less than 2.85 m/s, the summary sensitivity would increase, and the heterogeneity would be reduced.
Keywords:acoustic radiation force impulse  elastography  lymph node  ultrasound  Virtual Touch tissue imaging quantification
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