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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 | Wound complications after left ventricular assist device implantation显示文摘 | TJAN T D T ASFOUR B HAMMEI D | 2000 | Ann Thorac Surg2000，70，： | 1 |
| 3 | Transfusion of RhD-incompatible blood components in RhD-negative blood marrow transplant recipients显示文摘 | Asfour M Narvios A Lichtiger B | 2004 | Med Gen Med2004，6，3： | 1 |
| 4 | Uniform long-term gene expression using adeno-associated virus (AAV) by ex vivo recirculation in rat-cardiac isografts显示文摘 | Asfour B Baba HA Scheld HH | 2002 | Thorac Cardiovasc Surg2002，50，6： | 1 |
| 5 | A simple new model of physical working heterotopic rat heart transplantation provides显示文摘 | Asfour B Hare JM Kohl T | 1999 | J Heart Lung Transplant1999，18，10： | 1 |
| 6 | A simple new model of physiologically working heterotopic rat heart transplantation provides hemodynamic performance equivalent to that of an orthotopic heart显示文摘 | Asfour B Hare JM Kohl T | 1999 | J Hert lung Transplant1999，18，4： | 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 | A simple new model of physiologically working heterotopic rat heart transplantation provides hemodynamic performance equivalent to that of an orthotopic heart显示文摘 | Asfour B Hare JM Kohl | 1999 | J Heart Lung Transplant1999，18，10： | 1 |
| 9 | Operative techniques and strategies for minimally invasive fetoscopic fetal cardiac interventions in sheep 显示文摘 | Kohl T Witteler R Stumper D Gogarten W Asfour B Reckers J | 2000 | Surg Endosc2000，14，5： | 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 | Effective gene transfer in the rat myocardium via adenovirus vectors using a coronary recirculation model显示文摘 | Asfour B Byrne BJ Baba HA | 1999 | Thorac Cardiovasc Surg1999，47，5： | 1 |
| 12 | Right ventricular outflow tract obstruction after arterial switch operation for the Taussig- Bing heart 显示文摘 | Sinzobahamvya N Blaschczok HC Asfour B | 2007 | Eur J Cardiothorac Surg2007，31，5： | 1 |
| 13 | 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 |
| 14 | A simple new model of physiologically working heterotopic rat heart transplantation provides hemodynamic performance equivalent to that of an orthotopic heart显示文摘 | Asfour B Hare JM | 1999 | J Heart Lung Transplantation1999，18，： | 1 |
| 15 | Uniform long-term gene expression using adeno-associated virus(AAV)by ex-vivo recirculation in rat-cardiac isografts显示文摘 | Asfour B Baba HA Scheld HH | 2002 | Thorac Cardiovasc Surg2002，50，6： | 1 |
| 16 | A simple new model of physiologically working heterotopic rat heart transplantation provides hemodynamic performance equivalent to that of an orthotopic heart 显示文摘 | Asfour B Hare JM Kohl T | 1999 | J Heart Lung Transplant1999，18，10： | 1 |
| 17 | A Simple new model of physiological working heterrotopic rat heart transplantation provides hemodynamic performance equivalent to that of an orthotopic heart显示文摘 | ASFOUR B HARE J M KOHL T | 1999 | J Heart Lung Transplan1999，18，： | 1 |
| 18 | Transfusion of RhD-incompatible blood components in RhD-negative blood marrow transplant recipients显示文摘 | ASFOUR M NARVIOS A LICHTIGER B | 2004 | Med Gen Med2004，6，： | 1 |
| 19 | A simple new model of physical working heterotopic rat heart transplantation provides显示文摘 | HARE J M KOHL T | 1999 | J Heart Lung Transp1999，18，9： | 1 |
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