KLI

Interreader Reliability of Liver Imaging Reporting and Data System Treatment Response: A Systematic Review and Meta-Analysis

Metadata Downloads
Abstract
Background: For a proper management strategy in patients with locoregionally treated hepatocellular carcinoma (HCC), it is essential that the Liver Imaging Reporting and Data System (LI-RADS) treatment response algorithm (LR-TR) has high interreader reliability. We aimed to systematically evaluate the interreader reliability of LR-TR and sources of any study heterogeneity. Methods: Original studies reporting the interreader reliability of LR-TR were identified in MEDLINE and EMBASE up to 20 September 2020. The pooled kappa coefficient (kappa) was calculated using the DerSimonian-Laird random effects model. Subgroup analyses were performed according to imaging modality (magnetic resonance imaging (MRI) or computed tomography (CT)). Meta-regression analyses were performed to explore study heterogeneity. Results: Eight studies with 851 HCCs were finally included. Pooled kappa was 0.70 (95% CI, 0.58-0.82) for CT/MRI LR-TR, and those of MRI and CT were 0.71 (95% CI, 0.53-0.89) and 0.71 (95% CI, 0.65-0.78), respectively. Study design (p < 0.001) and type of treatment (p = 0.02) were significantly associated with substantial study heterogeneity. Conclusion: LR-TR showed substantial interreader reliability regardless of the imaging modality. Because of substantial study heterogeneity, which was significantly associated with study design and type of treatment, published values for the interreader reliability of LR-TR should be interpreted with care.
Author(s)
김동욱최상현이지성김소연이소정변재호
Issued Date
2021
Type
Article
Keyword
AblationAlgorithmsBiascomputed tomographyHepatitishepatocellular carcinomainterreader reliabilityLI-RADSliverLiver diseasesMagnetic resonance imagingmeta-analysisPatientsRegression analysisReviewStatistical analysisSystematic reviewtreatment response
DOI
10.3390/diagnostics11020237
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7365
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_55b6e983c0e943f5b431383f0b43a684&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,Interreader%20Reliability%20of%20Liver%20Imaging%20Reporting%20and%20Data%20System%20Treatment%20Response:%20A%20Systematic%20Review%20and%20Meta-Analysis&amp;offset=0&amp;pcAvailability=true
Publisher
DIAGNOSTICS
Location
스위스
Language
영어
ISSN
2075-4418
Citation Volume
11
Citation Number
2
Citation Start Page
237
Citation End Page
237
Appears in Collections:
Medicine > Medicine
Authorize & License
  • Authorize공개
Files in This Item:
  • There are no files associated with this item.

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.