Yoshitaka Kise, Anne Møystad, Chiaki Kuwada, Eiichiro Ariji, Tore Bjørnland
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引用次数: 0
摘要
方法检索电子数据库（MEDLINE、EMBASE、Cochrane Library 和 Web of Science：方法检索电子数据库（MEDLINE、EMBASE、Cochrane Library 和 Web Science：Science Citation Index），以确定从数据库建立到 2022 年 7 月 15 日期间使用 USE 诊断 SjS 的研究。主要结果是使用 USE 提高了 SjS 诊断的准确性。采用 GRADE 系统对偏倚风险和适用性问题进行了评估，该系统由 GRADE 工作组持续开发。结果在筛选出的 4550 项研究中，有 24 篇全文文章介绍了 USE 在诊断 SjS 中的应用。在这 24 篇文章中，有 17 篇的总体偏倚风险被确定为低，5 篇为中，2 篇为高。对 SjS 患者和健康受试者进行比较的文章报告了 USE 的高诊断准确性，大多数结果显示差异具有统计学意义（腮腺：腮腺：16 篇文章中的 15 篇，颌下腺：14 篇文章中的 11 篇）：结论本系统综述表明，使用 USE 评估唾液腺是诊断 SjS 的有效工具。
Does ultrasound elastography have a role as a diagnostic method for Sjögren’s syndrome in the salivary glands? A systematic review
Objective
This systematic review was performed to examine the usefulness of salivary gland ultrasound elastography (USE) as a diagnostic tool for Sjögren’s syndrome (SjS).
Methods
Electronic databases (MEDLINE, EMBASE, the Cochrane Library, and Web of Science: Science Citation Index) were searched to identify studies using USE to diagnose SjS from database inception to 15 July 2022. The primary outcome was improved diagnostic accuracy for SjS with the use of USE. Risk of bias and applicability concerns were assessed using the GRADE system, which is continuously developed by the GRADE Working Group.
Results
Among 4550 screened studies, 24 full-text articles describing the applications of USE to diagnose SjS were reviewed. The overall risk of bias was determined to be low for 17 of the 24 articles, medium for 5, and high for 2. Articles comparing patients with SjS and healthy subjects reported high diagnostic accuracy of USE, with most results showed statistically significant differences (parotid glands: 15 of the 16 articles, submandibular glands: 11 of the 14 articles).
Conclusions
This systematic review suggests that the assessment of salivary glands using USE is a useful diagnostic tool for SjS.
期刊介绍：
As the official English-language journal of the Japanese Society for Oral and Maxillofacial Radiology and the Asian Academy of Oral and Maxillofacial Radiology, Oral Radiology is intended to be a forum for international collaboration in head and neck diagnostic imaging and all related fields. Oral Radiology features cutting-edge research papers, review articles, case reports, and technical notes from both the clinical and experimental fields. As membership in the Society is not a prerequisite, contributions are welcome from researchers and clinicians worldwide.
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