The Accuracy of Point-of-Care Ultrasound in the Detection of Gallbladder Disease: A Meta-analysis

被引:1
|
作者
Wu, Xiaoli [1 ]
Li, Keji [1 ]
Kou, Sen [1 ]
Wu, Xianxiu [1 ]
Zhang, Zhi [1 ]
机构
[1] Panzhihua Cent Hosp, Dept Ultrasound, Panzhihua 617067, Peoples R China
关键词
Point-of-Care Ultrasound; Gallbladder disease; Diagnosis; Accuracy; DIAGNOSTIC-TEST ACCURACY; ACUTE CHOLECYSTITIS; SPECIFICITY; SENSITIVITY; EPIDEMIOLOGY; GALLSTONES; GUIDELINES;
D O I
10.1016/j.acra.2023.09.029
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Rationale and Objectives: The aim of this meta -analysis was to systematically assess the diagnostic value of point of care ultrasound (POCUS) in the detection of gallbladder diseases. Materials and Methods: Pubmed, Web of Science, Embase, and the Cochrane Library were searched for studies up to May 22, 2023. Pooled sensitivity, specificity, positive likelihood ratio and negative likelihood ratio, diagnostic odds ratio, area under the curve of summary receiver operating characteristic were calculated using the bivariate model. Subgroup analysis based on cholecystitis and cholelithiasis was conducted. Results: A total of seven studies with 1464 participants were identified in this meta -analysis. The pooled sensitivity of POCUS for the detection of gallbladder disease was 0.86 (95% CI: 0.75, 0.93) and the pooled specificity was 0.92 (95% CI: 0.87, 0.96). The pooled sensitivity and specificity of POCUS for the detection of acute cholecystitis were 0.73 (95% CI: 0.55, 0.86) and 0.93 (95% CI: 0.82, 0.98). The pooled sensitivity and specificity of POCUS for the detection of gallstones were 0.94 (95% CI: 0.91, 0.96) and 0.93 (95% CI: 0.91, 0.95). Conclusion: POCUS was a favorable modality for the detection of patients suspected of gallbladder disease, especially for cholelithiasis. Physicians are advised to use POCUS in clinical practice as a non-invasive test to detect gallbladder disease.
引用
收藏
页码:1336 / 1343
页数:8
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