Optic Nerve Sheath Diameter Ultrasound for Raised Intracranial Pressure
Autor: | Saleh A. Alqahtani, Dimitrios Karakitsos, Waleed Tharwat Aletreby, Demetrios J. Kutsogiannis, Hend Mohammed Hamido, Ibrahim Soliman, Michael Blaivas, Waseem Alzayer, Abdulrahman Alharthy, Abdullah Balhahmar, Peter G. Brindley, Fahad Faqihi |
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Rok vydání: | 2021 |
Předmět: |
Adult
medicine.medical_specialty Intracranial Pressure Subgroup analysis Sensitivity and Specificity 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Prospective cohort study Ultrasonography Intracranial pressure 030219 obstetrics & reproductive medicine Radiological and Ultrasound Technology business.industry Ultrasound Optic Nerve Publication bias Confidence interval Meta-analysis Diagnostic odds ratio Radiology Intracranial Hypertension business |
Zdroj: | Journal of Ultrasound in Medicine. 41:585-595 |
ISSN: | 1550-9613 0278-4297 |
DOI: | 10.1002/jum.15732 |
Popis: | Optic nerve sheath diameter (ONSD) ultrasound is becoming increasingly more popular for estimating raised intracranial pressure (ICP). We performed a systematic review and analysis of the diagnostic accuracy of ONSD when compared to the standard invasive ICP measurement. METHOD We performed a systematic search of PUBMED and EMBASE for studies including adult patients with suspected elevated ICP and comparing sonographic ONSD measurement to a standard invasive method. Quality of studies was assessed using the QUADAS-2 tool by two independent authors. We used a bivariate model of random effects to summarize pooled sensitivity, specificity, and diagnostic odds ratio (DOR). Heterogeneity was investigated by meta-regression and sub-group analyses. RESULTS We included 18 prospective studies (16 studies including 619 patients for primary outcome). Only one study was of low quality, and there was no apparent publication bias. Pooled sensitivity was 0.9 [95% confidence intervals (CI): 0.85-0.94], specificity was 0.85 (95% CI: 0.8-0.89), and DOR was 46.7 (95% CI: 26.2-83.2) with partial evidence of heterogeneity. The Area-Under-the-Curve of the summary Receiver-Operator-Curve was 0.93 (95% CI: 0.91-0.95, P |
Databáze: | OpenAIRE |
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