Table 3. Meta-Regression Analysis of the Accuracy of the Viable Category Using LR-TR and mRECIST Criteria.
Criterion | Covariates (Number of Studies) | Sensitivity (95% CI) | Specificity (95% CI) | p-Value | |
---|---|---|---|---|---|
LR-TR viable | Most common etiology of liver disease | 0.21 | |||
Hepatitis B (n = 3) | 62 (53, 71) | 93 (88, 97) | |||
Hepatitis C (n = 2) | 39 (22, 57) | 91 (81, 100) | |||
MRI contrast agent | 0.62 | ||||
Hepatobiliary agent (n = 2) | 58 (39, 76) | 94 (90, 98) | |||
Extracellular agent or both (n = 3) | 59 (39, 78) | 90 (82, 98) | |||
Type of LRT | > 0.99 | ||||
TARE only (n = 1) | 100 (100, 100) | 100 (100, 100) | |||
Others (n = 4)* | 57 (57, 57) | 92 (92, 92) | |||
Image analysis | 0.46 | ||||
Multiple independent reviewers (n = 3) | 64 (48, 80) | 94 (89, 98) | |||
Multiple reviewers with consensus (n = 2) | 50 (33, 68) | 91 (84, 99) | |||
Percentage of viable HCC | 0.50 | ||||
≥ 50% (n = 2) | 58 (33, 84) | 95 (90, 99) | |||
< 50% (n = 3) | 58 (43, 73) | 90 (84, 97) | |||
mRECIST viable | Most common etiology of liver disease | 0.01 | |||
Hepatitis B (n = 3) | 59 (50, 69) | 92 (87, 97) | |||
Hepatitis C (n = 2) | 43 (24, 63) | 69 (50, 88) | |||
MRI contrast agent | 0.08 | ||||
Hepatobiliary agent (n = 2) | 54 (39, 69) | 94 (90, 98) | |||
Extracellular agent or both (n = 3) | 55 (38, 73) | 78 (67, 89) | |||
Type of LRT | 0.01 | ||||
TARE only (n = 1) | 100 (100, 100) | 50 (14, 86) | |||
Others (n = 4)* | 54 (43, 65) | 91 (86, 97) | |||
Image analysis | 0.25 | ||||
Multiple independent reviewers (n = 3) | 68 (47, 89) | 85 (72, 99) | |||
Multiple reviewers with consensus (n = 2) | 48 (30, 66) | 86 (71, 100) | |||
Percentage of viable HCC | 0.09 | ||||
≥ 50% (n = 2) | 58 (10, 100) | 84 (66, 100) | |||
< 50% (n = 3) | 55 (41, 69) | 87 (75, 100) |
*Conventional TACE was used the most commonly in the four studies.
CI = confidence interval, HCC = hepatocellular carcinoma, LRT = locoregional therapy, LR-TR = Liver Imaging Reporting and Data System Treatment Response, mRECIST = modified Response Evaluation Criteria in Solid Tumors, TACE = transarterial chemoembolization, TARE = transarterial radioembolization