Article ; Online: Transcranial ultrasonography to detect intracranial pathology: A systematic review and meta-analysis.
Journal of neuroimaging : official journal of the American Society of Neuroimaging
2023 Volume 33, Issue 3, Page(s) 333–358
Abstract: Background and purpose: Transcranial ultrasonography (TCU) can be a useful diagnostic tool in evaluating intracranial pathology in patients with limited or delayed access to routine neuroimaging in critical care or austere settings. We reviewed ... ...
| Abstract | Background and purpose: Transcranial ultrasonography (TCU) can be a useful diagnostic tool in evaluating intracranial pathology in patients with limited or delayed access to routine neuroimaging in critical care or austere settings. We reviewed available literature investigating the diagnostic utility of TCU for detecting pediatric and adult patient's intracranial pathology in patients with intact skulls and reported diagnostic accuracy measures. Methods: We performed a systematic review of PubMed Results: A total of 44 studies out of the 3432 articles screened met the eligibility criteria, totaling 2426 patients (Mean age: 60.1 ± 14.52 years). We found tumors, intracranial hemorrhage (ICH), and neurodegenerative diseases in the eligible studies. Sensitivity, specificity, and accuracy of TCU and their 95% confidence intervals were 0.80 (0.72, 0.89), 0.71 (0.59, 0.82), and 0.76 (0.71, 0.82) for neurodegenerative diseases; 0.88 (0.74, 1.02), 0.81 (0.50, 1.12), and 0.94 (0.92, 0.96) for ICH; and 0.97 (0.92, 1.03), 0.99 (0.96, 1.01), and 0.99 (0.97, 1.01) for intracranial masses. No studies reported ultrasound presets. Conclusions: TCU has a reasonable sensitivity and specificity for detecting intracranial pathology involving ICH and tumors with clinical applications in remote locations or where standard imaging is unavailable. Future studies should investigate ultrasound parameters to enhance diagnostic accuracy in diagnosing intracranial pathology. |
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| MeSH term(s) | Adult ; Humans ; Child ; Middle Aged ; Aged ; Ultrasonography ; Sensitivity and Specificity |
| Language | English |
| Publishing date | 2023-01-29 |
| Publishing country | United States |
| Document type | Meta-Analysis ; Systematic Review ; Journal Article ; Review ; Research Support, N.I.H., Extramural |
| ZDB-ID | 1071724-9 |
| ISSN | 1552-6569 ; 1051-2284 |
| ISSN (online) | 1552-6569 |
| ISSN | 1051-2284 |
| DOI | 10.1111/jon.13087 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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