INTERVENTIONAL RADIOLOGY / REVIEW PAPER
Diagnostic accuracy of microvascular flow imaging ultrasound for endoleak detection after endovascular aortic aneurysm repair: a systematic review and meta-analysis
1
Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland
2
Students’ Scientific Society at the Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland
Submission date: 2024-05-27
Acceptance date: 2024-06-26
Publication date: 2024-08-22
Corresponding author
Marcin Czeczelewski
Marcin Czeczelewski, Faculty of Medicine, Medical University of Lublin, Aleje Raclawickie 1, 20-059 Lublin, Poland, e-mail: marcin.czeczelewski@gmail.com
Marcin Czeczelewski, Faculty of Medicine, Medical University of Lublin, Aleje Raclawickie 1, 20-059 Lublin, Poland, e-mail: marcin.czeczelewski@gmail.com
Pol J Radiol, 2024; 89: 414-419
KEYWORDS
TOPICS
ABSTRACT
The objective was to assess the diagnostic accuracy of microvascular flow imaging ultrasound (MVUS) for the detection of endoleak after endovascular aortic aneurysm repair. A systematic search of the literature published until January 2024 was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses of Diagnostic Test Accuracy (PRISMA-DTA) guidelines. The pooled rates of sensitivity, specificity, and diagnostic odds ratio of MVUS in endoleak detection with computed tomography angiography as the reference standard were estimated using univariate random-effect analysis with 95% confidence intervals. Three studies were considered eligible for inclusion. Superb micro vascular imaging (SMI) was used as an MVUS technique in all cases. The total number of paired scans was 209. Sensitivity and specificity of the individual studies ranged 0.75-1.00 and 0.93-1.00, respectively. Pooled sensitivity and specificity of the SMI method was 0.91 (CI: 0.82-0.96) and 0.98 (CI: 0.94-1.00), respectively. The pooled diagnostic odds ratio was 635 (95% CI: 128-3140). The findings of the present study support the use of the MVUS for endoleak detection. However, further research is warranted to explore the broader application of MVUS, providing a more comprehensive understanding and establishing robust criteria for its role in clinical practice.
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