Diagnostic Value of Magnetic Resonance Cholangiopancreatography for Biliary Strictures Post-Orthotopic Liver Transplantation: A Meta-Analysis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIUYang-yang , HUANGZi-xing , LIUXi-jiao , TANGJing , TANGHe-han , LILi ,  SONGBin

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China;

Corresponding author：

SONGBin, Email: cjr.songbin@vip.163.com

Keywords：

Magnetic resonance cholangiopancreatography; Orthotopic liver transplantation; Biliary strictures; Meta-analysis

DOI：

10.7507/1007-9424.20140125

Video：

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Objective To evaluate the diagnostic value of magnetic resonance cholangiopancreatography (MRCP) for biliary strictures post-orthotopic liver transplantation (OLT). Methods A systematic review was performed by searching electronic bibliographic databases, including the Cochrane Library, Medline, EMbase, CNKI, and WanFang from 1994 to 2014. The pooled sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio were used to describe the diagnostic value. Summary receiver operating characteristic (SROC) curve with area under the SROC curve (AUC) were used to summarize overall diagnostic performance. Results Six studies involving 261 subjects were eligible for the analysis. The summary estimates of pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and AUC of MRCP for the diagnosis of biliary strictures after OLT were 89% (95% CI:0.83-0.94), 94% (95% CI:0.88-0.98), 8.04 (95% CI:2.83-22.85), 0.11 (95% CI:0.04-0.37), and 0.961, respectively. Conclusion MRCP is a sensitive and specific technique to diagnose biliary strictures after OLT.

Citation： LIUYang-yang, HUANGZi-xing, LIUXi-jiao, TANGJing, TANGHe-han, LILi, SONGBin. Diagnostic Value of Magnetic Resonance Cholangiopancreatography for Biliary Strictures Post-Orthotopic Liver Transplantation: A Meta-Analysis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(4): 510-515. doi: 10.7507/1007-9424.20140125 Copy

1.	Ayoub WS, Esquivel CO, Martin P. Biliary complications follo-wing liver transplantation[J]. Dig Dis Sci, 2010, 55(6):1540-1546.
2.	Thethy S, Thomson B, Pleass H, et al. Management of biliary tract complications after orthotopic liver transplantation[J]. Clin Transplant, 2004, 18(6):647-653.
3.	Hampe T, Dogan A, Encke J, et al. Biliary complications after liver transplantation[J]. Clin Transplant, 2006, 20 Suppl 17:93-96.
4.	Kochhar G, Parungao JM, Hanouneh IA, et al. Biliary complications following liver transplantation[J]. World J Gastroenterol, 2013, 19(19):2841-2846.
5.	Seehofer D, Eurich D, Veltzke-Schlieker W, et al. Biliary comp-lications after liver transplantation:old problems and new challen-ges[J]. Am J Transplant, 2013, 13(2):253-265.
6.	Abbasoglu O, Levy MF, Vodapally MS, et al. Hepatic artery stenosis after liver transplantation-incidence, presentation, treatment, and long term outcome[J]. Transplantation, 1997, 63(2):250-255.
7.	Krishna M, Keaveny AP, Genco PV, et al. Clinicopathological review of 18 cases of liver allografts lost due to bile duct necrosis[J]. Transplant Proc, 2005, 37(5):2221-2223.
8.	Orons PD, Sheng R, Zajko AB. Hepatic artery stenosis in liver transplant recipients:prevalence and cholangiographic appearance of associated biliary complications[J]. AJR Am J Roentgenol, 1995, 165(5):1145-1149.
9.	Sheng R, Campbell WL, Zajko AB, et al. Cholangiographic features of biliary strictures after liver transplantation for primary sclerosing cholangitis:evidence of recurrent disease[J]. AJR Am J Roentgenol, 1996, 166(5):1109-1113.
10.	Arain MA, Attam R, Freeman ML. Advances in endoscopic mana-gement of biliary tract complications after liver transplantation[J]. Liver Transpl, 2013, 19(5):482-498.
11.	Tse F, Yuan Y, Moayyedi P, et al. Guide wire-assisted cannulation for the prevention of post-ERCP pancreatitis:a systematic review and meta-analysis[J]. Endoscopy, 2013, 45(8):605-618.
12.	Girometti R, Cereser L, Como G, et al. Biliary complications after orthotopic liver transplantation:MRCP findings[J]. Abdom Imaging, 2008, 33(5):542-554.
13.	Boraschi P, Donati F, Gigoni R, et al. MR cholangiography in orthotopic liver transplantation:sensitivity and specificity in detec-ting biliary complications[J]. Clin Transplant, 2010, 24(4):E82-87.
14.	Hekimoglu K, Ustundag Y, Dusak A, et al. MRCP vs. ERCP in the evaluation of biliary pathologies:review of current literature[J]. J Dig Dis, 2008, 9(3):162-169.
15.	Whiting P, Rutjes AW, Dinnes J, et al. Development and valida-tion of methods for assessing the quality of diagnostic accuracy studies[J]. Health Technol Assess, 2004, 8(25):iii, 1-234.
16.	Zamora J, Abraira V, Muriel A, et al. Meta-DiSc:a software for meta-analysis of test accuracy data[J]. BMC Med Res Methodol, 2006, 6:31.
17.	Beswick DM, Miraglia R, Caruso S, et al. The role of ultrasound and magnetic resonance cholangiopancreatography for the diagnosis of biliary stricture after liver transplantation[J]. Eur J Radiol, 2012, 81(9):2089-2092.
18.	Pecchi A, De Santis M, Gibertini MC, et al. Role of magnetic resonance imaging in the detection of anastomotic biliary strictures after liver transplantation[J]. Transplant Proc, 2011, 43(4):1132-1135.
19.	Kinner S, Dechene A, Paul A, et al. Detection of biliary stenoses in patients after liver transplantation:is there a different diagnostic accuracy of MRCP depending on the type of biliary anastomosis?[J]. Eur J Radiol, 2011, 80(2):e20-e28.
20.	Kitazono MT, Qayyum A, Yeh BM, et al. Magnetic resonance cholangiography of biliary strictures after liver transplantation:a prospective double-blind study[J]. J Magn Reson Imaging, 2007, 25(6):1168-1173.
21.	Fulcher AS, Turner MA. Orthotopic liver transplantation:evaluation with MR cholangiography[J]. Radiology, 1999, 211(3):715-722.
22.	Laghi A, Pavone P, Catalano C, et al. MR cholangiography of late biliary complications after liver transplantation[J]. AJR Am J Roentgenol, 1999, 172(6):1541-1546.
23.	Bismpa K, Zlika S, Fouzas I, et al. Imaging of complications of liver transplantation:multidetector computed tomography findings[J]. Transplant Proc, 2012, 44(9):2751-2753.
24.	Romagnuolo J, Bardou M, Rahme E, et al. Magnetic resonance cholangiopancreatography:a meta-analysis of test performance in suspected biliary disease[J]. Ann Intern Med, 2003, 139(7):547-557.
25.	Kaltenthaler EC, Walters SJ, Chilcott J, et al. MRCP compared to diagnostic ERCP for diagnosis when biliary obstruction is susp-ected:a systematic review[J]. BMC Med Imaging, 2006, 6:9.
26.	Jorgensen JE, Waljee AK, Volk ML, et al. Is MRCP equivalent to ERCP for diagnosing biliary obstruction in orthotopic liver transplant recipients? A meta-analysis[J]. Gastrointest Endosc, 2011, 73(5):955-962.
27.	Xu YB, Min ZG, Jiang HX, et al. Diagnostic value of magnetic resonance cholangiopancreatography for biliary complications in orthotopic liver transplantation:a meta-analysis[J]. Transplant Proc, 2013, 45(6):2341-2346.

1. Ayoub WS, Esquivel CO, Martin P. Biliary complications follo-wing liver transplantation[J]. Dig Dis Sci, 2010, 55(6):1540-1546.
2. Thethy S, Thomson B, Pleass H, et al. Management of biliary tract complications after orthotopic liver transplantation[J]. Clin Transplant, 2004, 18(6):647-653.
3. Hampe T, Dogan A, Encke J, et al. Biliary complications after liver transplantation[J]. Clin Transplant, 2006, 20 Suppl 17:93-96.
4. Kochhar G, Parungao JM, Hanouneh IA, et al. Biliary complications following liver transplantation[J]. World J Gastroenterol, 2013, 19(19):2841-2846.
5. Seehofer D, Eurich D, Veltzke-Schlieker W, et al. Biliary comp-lications after liver transplantation:old problems and new challen-ges[J]. Am J Transplant, 2013, 13(2):253-265.
6. Abbasoglu O, Levy MF, Vodapally MS, et al. Hepatic artery stenosis after liver transplantation-incidence, presentation, treatment, and long term outcome[J]. Transplantation, 1997, 63(2):250-255.
7. Krishna M, Keaveny AP, Genco PV, et al. Clinicopathological review of 18 cases of liver allografts lost due to bile duct necrosis[J]. Transplant Proc, 2005, 37(5):2221-2223.
8. Orons PD, Sheng R, Zajko AB. Hepatic artery stenosis in liver transplant recipients:prevalence and cholangiographic appearance of associated biliary complications[J]. AJR Am J Roentgenol, 1995, 165(5):1145-1149.
9. Sheng R, Campbell WL, Zajko AB, et al. Cholangiographic features of biliary strictures after liver transplantation for primary sclerosing cholangitis:evidence of recurrent disease[J]. AJR Am J Roentgenol, 1996, 166(5):1109-1113.
10. Arain MA, Attam R, Freeman ML. Advances in endoscopic mana-gement of biliary tract complications after liver transplantation[J]. Liver Transpl, 2013, 19(5):482-498.
11. Tse F, Yuan Y, Moayyedi P, et al. Guide wire-assisted cannulation for the prevention of post-ERCP pancreatitis:a systematic review and meta-analysis[J]. Endoscopy, 2013, 45(8):605-618.
12. Girometti R, Cereser L, Como G, et al. Biliary complications after orthotopic liver transplantation:MRCP findings[J]. Abdom Imaging, 2008, 33(5):542-554.
13. Boraschi P, Donati F, Gigoni R, et al. MR cholangiography in orthotopic liver transplantation:sensitivity and specificity in detec-ting biliary complications[J]. Clin Transplant, 2010, 24(4):E82-87.
14. Hekimoglu K, Ustundag Y, Dusak A, et al. MRCP vs. ERCP in the evaluation of biliary pathologies:review of current literature[J]. J Dig Dis, 2008, 9(3):162-169.
15. Whiting P, Rutjes AW, Dinnes J, et al. Development and valida-tion of methods for assessing the quality of diagnostic accuracy studies[J]. Health Technol Assess, 2004, 8(25):iii, 1-234.
16. Zamora J, Abraira V, Muriel A, et al. Meta-DiSc:a software for meta-analysis of test accuracy data[J]. BMC Med Res Methodol, 2006, 6:31.
17. Beswick DM, Miraglia R, Caruso S, et al. The role of ultrasound and magnetic resonance cholangiopancreatography for the diagnosis of biliary stricture after liver transplantation[J]. Eur J Radiol, 2012, 81(9):2089-2092.
18. Pecchi A, De Santis M, Gibertini MC, et al. Role of magnetic resonance imaging in the detection of anastomotic biliary strictures after liver transplantation[J]. Transplant Proc, 2011, 43(4):1132-1135.
19. Kinner S, Dechene A, Paul A, et al. Detection of biliary stenoses in patients after liver transplantation:is there a different diagnostic accuracy of MRCP depending on the type of biliary anastomosis?[J]. Eur J Radiol, 2011, 80(2):e20-e28.
20. Kitazono MT, Qayyum A, Yeh BM, et al. Magnetic resonance cholangiography of biliary strictures after liver transplantation:a prospective double-blind study[J]. J Magn Reson Imaging, 2007, 25(6):1168-1173.
21. Fulcher AS, Turner MA. Orthotopic liver transplantation:evaluation with MR cholangiography[J]. Radiology, 1999, 211(3):715-722.
22. Laghi A, Pavone P, Catalano C, et al. MR cholangiography of late biliary complications after liver transplantation[J]. AJR Am J Roentgenol, 1999, 172(6):1541-1546.
23. Bismpa K, Zlika S, Fouzas I, et al. Imaging of complications of liver transplantation:multidetector computed tomography findings[J]. Transplant Proc, 2012, 44(9):2751-2753.
24. Romagnuolo J, Bardou M, Rahme E, et al. Magnetic resonance cholangiopancreatography:a meta-analysis of test performance in suspected biliary disease[J]. Ann Intern Med, 2003, 139(7):547-557.
25. Kaltenthaler EC, Walters SJ, Chilcott J, et al. MRCP compared to diagnostic ERCP for diagnosis when biliary obstruction is susp-ected:a systematic review[J]. BMC Med Imaging, 2006, 6:9.
26. Jorgensen JE, Waljee AK, Volk ML, et al. Is MRCP equivalent to ERCP for diagnosing biliary obstruction in orthotopic liver transplant recipients? A meta-analysis[J]. Gastrointest Endosc, 2011, 73(5):955-962.
27. Xu YB, Min ZG, Jiang HX, et al. Diagnostic value of magnetic resonance cholangiopancreatography for biliary complications in orthotopic liver transplantation:a meta-analysis[J]. Transplant Proc, 2013, 45(6):2341-2346.

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Diagnostic Value of Magnetic Resonance Cholangiopancreatography for Biliary Strictures Post-Orthotopic Liver Transplantation: A Meta-Analysis

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