三维超声评价颈动脉疾病可靠吗?系统回顾和荟萃分析。

IF 1.8 4区医学 Q2 ACOUSTICS

Medical Ultrasonography Pub Date : 2023-06-26 DOI:10.11152/mu-3731

Salahaden R Sultan, Fatima T Bashmail, Nouf A Alzahrani, Shahd I Alharbi, Rayan Anbar, Mohammed Alkharaiji

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引用次数: 2

摘要

目的:评估使用3D超声(3DUS)评估颈动脉疾病的研究报告了观察者对其与-à-vis 2DUS或血管造影的可靠性的不同看法;提供的评级从差到优不等。本研究旨在系统回顾和分析3DUS评估颈动脉疾病的可靠性。材料和方法:检索PubMed数据库中使用3DUS评估颈动脉疾病(即斑块测量、特征和狭窄程度)的研究。结果:16项研究包括918个狭窄的颈动脉被回顾和荟萃分析。分析了观察者内部和观察者之间的重复性和方法间的一致性数据(即3DUS与2D和3DUS与血管造影)。整体分析显示良好的观察者内部和观察者之间的再现性(观察者内部:相关系数r=0.88, 95%置信区间(CI) 0.84-0.92;观察者内:r=0.91, 95% CI 0.87-0.95)。分析还显示3DUS和2DUS之间(r=0.89, 95% CI 0.83-0.95)和3DUS与血管造影之间(r=0.73, 95% CI 0.44-0.1)具有良好的一致性。结论:3DUS具有良好的观察者内和观察者间的再现性，与2DUS和血管造影评价颈动脉疾病具有良好的一致性。在有症状和无症状患者中使用3DUS评估颈动脉斑块特征的可靠性需要进一步的研究。

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Is 3D ultrasound reliable for the evaluation of carotid disease? A systematic review and meta-analysis.

Aim: Studies assessing the use of 3D ultrasound (3DUS) for the evaluation of carotid disease reported varying views among observers about its reliability vis-à-vis 2DUS or angiography; ratings provided ranged from poor to excellent. Thisstudy aims to systematically review and analyze the reliability of 3DUS for the evaluation of carotid disease.

Materials and methods: The PubMed database was searched for studies that evaluated carotid disease (i.e. plaque measurements and characteristics and degree of stenosis) using 3DUS.

Results: Sixteen studies comprising a total of 918 stenosed carotids were reviewed and meta-analyzed. Data on intra- and inter-observer reproducibility and inter-method agreement (i.e. 3DUS vs 2D and 3DUS vs angiography) were analyzed. Overall analysis showed excellent intra- and inter-observer reproducibility (intraobserver: correlation coefficient r=0.88, 95% confidence intervals (CI) 0.84-0.92; intra-observer: r=0.91, 95% CI 0.87-0.95). The analysis also showed excellent agreement between 3DUS and 2DUS (r=0.89, 95% CI 0.83-0.95) and between 3DUS and angiography (r=0.73, 95% CI 0.44-0.1).

Conclusion: 3DUS has excellent intra- and inter-observer reproducibility and excellent agreement with 2DUS and angiography for the evaluation of carotid disease. Further studies assessing the reliability ofcarotid plaque characteristics using 3DUS in symptomatic and asymptomatic patients are required.

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来源期刊

Medical Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

3.20

自引率

5.90%

发文量

期刊介绍： The journal aims to promote ultrasound diagnosis by publishing papers in a variety of categories, including editorial letters, original papers, review articles, pictorial essays, technical developments, case reports, letters to the editor or occasional special reports (fundamental, clinical as well as methodological and educational papers). The papers published cover the whole spectrum of the applications of diagnostic medical ultrasonography, including basic science and therapeutic applications. The journal hosts information regarding the society''s activities, scheduling of accredited training courses in ultrasound diagnosis, as well as the agenda of national and international scientific events.