Table 3. Summary of Studies Assessing Hepatic Steatosis Using B-Mode Ultrasound-Guided Attenuation Imaging.
Study | N | Technique | Reference Standard | r | Target Degree of Steatosis | Optimal Cutoff (dB/cm/MHz) | AUROC | Sen (%) | Spe (%) |
---|---|---|---|---|---|---|---|---|---|
Bae et al. [20] | 108 | ATI (Canon) | Biopsy | 0.66 | ≥ S1 (5%) | 0.64 | 0.84 | 75 | 77 |
≥ 10% | 0.66 | 0.88 | 80 | 83 | |||||
≥ S2 | 0.70 | 0.89 | 86 | 81 | |||||
≥ S3 | 0.75 | 0.93 | 100 | 82 | |||||
Tada et al. [98] | 148 | ATI (Canon) | Biopsy | No data | ≥ S1 (5%) | 0.66 | 0.85 | 68 | 88 |
≥ S2 | 0.67 | 0.91 | 92 | 84 | |||||
≥ S3 | 0.68 | 0.91 | 100 | 75 | |||||
Jeon et al. [92] | 87 | ATI (Canon) | MRI-PDFF | 0.66 | ≥ 5% | 0.59 | 0.76 | 88 | 62 |
≥ 10% | 0.65 | 0.88 | 85 | 72 | |||||
Dioguardi Burgio et al. [93] | 101 | ATI (Canon) | Biopsy | 0.58 | ≥ S1 (5%) | 0.69 | 0.81 | 76 | 86 |
≥ S2 | 0.72 | 0.89 | 96 | 74 | |||||
Jesper et al. [94] | 27 | ATI (Canon) | Biopsy | 0.65 | ≥ S2 | 0.64 | 0.98 | 90 | 94 |
≥ S3 | 0.68 | 0.98 | 100 | 90 | |||||
Tada et al. [95] | 119 | ATI (Canon) | MRI-PDFF | 0.70 | ≥ S1 (5.2%) | 0.63 | 0.81 | 68 | 86 |
≥ S2 (11.3%) | 0.73 | 0.87 | 79 | 91 | |||||
≥ S3 (17.1%) | 0.75 | 0.94 | 93 | 89 | |||||
Ferraioli et al. [91] | 72 | ATI-Pen (Canon) | MRI-PDFF | 0.78 | ≥ 5% | 0.69 | 0.90 | 79 | 96 |
ATI-Gen (Canon) | MRI-PDFF | 0.83 | ≥ 5% | 0.62 | 0.92 | 81 | 96 | ||
Fujiwara et al. [21] | 163 | UGAP (GE Healthcare) | Biopsy | 0.78 | ≥ S1 (5%) | 0.53 | 0.90 | 81 | 87 |
≥ S2 | 0.60 | 0.95 | 86 | 82 | |||||
≥ S3 | 0.65 | 0.96 | 80 | 90 | |||||
Tada et al. [96] | 126 | UGAP (GE Healthcare) | MRI-PDFF | 0.75 | ≥ S1 (5.2%) | 0.60 | 0.92 | 86 | 89 |
≥ S2 (11.3%) | 0.69 | 0.87 | 83 | 81 | |||||
≥ S3 (17.1%) | 0.69 | 0.89 | 97 | 71 | |||||
Tamaki et al. [22] | 351 | ATT (Hitachi) | Biopsy | 0.47 | ≥ S1 (5%) | 0.62 | 0.79 | 72 | 72 |
≥ S2 | 0.67 | 0.87 | 82 | 82 | |||||
≥ S3 | 0.73 | 0.96 | 87 | 89 | |||||
Jeon et al. [97] | 120 | TAI (Samsung) | MRI-PDFF | 0.66 | ≥ 5% | 0.88 | 0.86 | 78 | 79 |
≥ 10% | 0.98 | 0.84 | 64 | 93 |
AUROC = area under the receiver operating characteristic curve, PDFF = proton density fat fraction, r = correlation coefficient, Sen = sensitivity, Spe = specificity