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| 1 | Use of shear wave elastography for the diagnosis and follow-up of biliary atresia: A meta-analysis显示文摘BACKGROUND Timely differentiation of biliary atresia(BA)from other infantile cholestatic diseases can impact patient outcomes.Additionally,non-invasive staging of fibrosis after Kasai hepatoportoenterostomy has not been widely standardized.Shear wave elastography is an ultrasound modality that detects changes in tissue stiffness.The authors propose that the utility of elastography in BA can be elucidated through meta-analysis of existing studies.AIM To assess the utility of elastography in:(1)BA diagnosis,and(2)post-Kasai fibrosis surveillance.METHODS A literature search identified articles that evaluated elastography for BA diagnosis and for post-Kasai follow-up.Twenty studies met criteria for meta-analysis:Eleven for diagnosis and nine for follow-up post-Kasai.Estimated diagnostic odds ratio(DOR),sensitivity,and specificity of elastography were calculated through a random-effects model using Meta-DiSc software.RESULTS Mean liver stiffness in BA infants at diagnosis was significantly higher than in non-BA,with overall DOR 24.61,sensitivity 83%,and specificity 79%.Post-Kasai,mean liver stiffness was significantly higher in BA patients with varices than in patients without,with DOR 16.36,sensitivity 85%,and specificity 76%.Elastography differentiated stage F4 fibrosis from F0-F3 with DOR of 70.03,sensitivity 96%,and specificity 89%.Elastography also differentiated F3-F4 fibrosis from F0-F2 with DOR of 24.68,sensitivity 85%,and specificity 81%.CONCLUSION Elastography has potential as a non-invasive modality for BA diagnosis and surveillance post-Kasai.This paper’s limitations include inter-study method heterogeneity and small sample sizes.Future,standardized,multi-center studies are recommended. | Ellen S Wagner Hussien Ahmed H Abdelgawad Meghan Landry Belal Asfour Mark B Slidell Ruba Azzam | 2022 | World Journal of Gastroenterology2022，28，32： | 5 |
| 2 | Single lead ST-segment recovery : a simple, reliable measure of successful fibrinolysis after acute myo- cardial infarction 显示文摘 | Syed MA Botzak S Asfour A | 2004 | Am Heart J2004，147，2： | 1 |
| 3 | Single lead ST - segment recovery: A single, reliable measure of successful fibrinolysis after acute myocardial infarction显示文摘 | Syed MA Borzak S Asfour A | 2004 | Am Heart J2004，147，： | 1 |
| 4 | Interaction- based complexity measure of manufacturing systems using information entropy显示文摘 | CHO S ALAMOUDI R ASFOUR S | 2009 | International Journal of Computer Integrated Manufacturing2009，22，10： | 1 |
| 5 | Single lead ST-segment recovery: A single, reliable measure of successful librinolysis after acute myocardial inlarc tion显示文摘 | SYEDM A BORZAK S ASFOUR A | 2004 | Am Heart 12004，147，： | 1 |
| 6 | Single lead ST-segment recovery: a simple, reliable measure of successful fibrinolysis after acute myocardial infarctiun显示文摘 | Syed MA Borzak S Asfour A | 2004 | Am Heart J2004，147，2： | 1 |
| 7 | Cerebral blood volume changes during closure by surgery of patent ductus arteriosus显示文摘 | Huning BM Asfour B Konig S | 2008 | Arch Dis Child Fetal Neonatal Ed2008，93，4： | 1 |
| 8 | Single lead ST-segment recovery: a simple, reliable measure of successful fibrinolysis after acute myocardial infaretion显示文摘 | Syed MA Botzak S Asfour A | 2004 | Am Heart J2004，147，2： | 1 |
| 9 | Modeling tool wear progression by using mixed effects modeling technique when end-milling AISI 4340 steel 显示文摘 | Chakraborty P Asfour S Cho S | 2008 | Journal of Materials Processing Technology2008，205，： | 1 |
| 10 | A comparison between CFD and Network models for predicting wind-driven ventilation in buildings显示文摘 | Asfour O S Gadi M B | 2007 | Building and Environment2007，42，12： | 1 |
| 11 | Single lead ST-segment re- covery:a simple, reliable measure of successful fibrinolysis after acute myocardial infarction显示文摘 | Syed MA Borzak S Asfour A | 2004 | Am Heart J2004，147，2： | 1 |
| 12 | Single lead ST - segment recovery: a single, reliable measure of successful fibrinolysis after acute myocardial infarction 显示文摘 | Syed MA Borzak S Asfour A | 2004 | Am Heart J2004，147，2： | 1 |
| 13 | Single lead ST-segment recovery:a simple reliable measure of succedul fibrinolysis after acute myocardial infarction显示文摘 | Syed MA Birzak S Asfour A | | 0，，： | 1 |
| 14 | Single lead ST-segment recovery:a simple reliable measure of successful fibrinolysis after myocardial infarction显示文摘 | Syed MA Birzak S Asfour A | | 0，，： | 1 |
| 15 | A comparison between CFD and Network models for predicting wind-driven ventilation in buildings 显示文摘 | Omar S Asfour Mohamed B Gadi | 2007 | Building and Environment2007，42，12： | 1 |
| 16 | A new methodology to measure the running biomechanics of amputees显示文摘 | Wilson JR Asfour S Abdelrahman KZ | | 0，，03： | 1 |
| 17 | Single lead ST-segment recovery: a simple, reliable measure of successful fibrinolysis after acute myocardial infarction 显示文摘 | Syed M A Borzak S Asfour A | 2004 | Am Heart J2004，147，2： | 1 |
| 18 | Single lead ST-segment recovery: A single, reliable measure of successful fibrinolysis after acute myocardial infaretion显示文摘 | SYED M A BORZAK S ASFOUR A | 2004 | Am Heart J2004，147，： | 1 |
| 19 | Single lead ST-segment recovery:a simple,reliable measure of successful fibrinolysis after acute myocardial infarction显示文摘 | Syed MA Borzak S Asfour A | 2004 | American Heart Journal2004，147，2： | 1 |
| 20 | Single lead ST-segment recovery:a simple,reliable measure of successful fibrinolysis after acute myocardial infarction显示文摘 | Syed MA Borzak S Asfour A | 2004 | Am Heart J2004，147，2： | 1 |
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