Evidence mapPaperPMID 32005510Full record

ArticleUltrasound in medicine & biology2020

Diagnostic Accuracy of Shear Wave Elastography as a Non-invasive Biomarker of High-Risk Non-alcoholic Steatohepatitis in Patients with Non-alcoholic Fatty Liver Disease.

Arinc Ozturk, Ramin Mohammadi, Theodore T Pierce, Sagar Kamarthi, Manish Dhyani, Joseph R Grajo, Kathleen E Corey, Raymond T Chung, Atul K Bhan, Jagpreet Chhatwal and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Ultrasound in medicine & biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07172997 (Evaluating Non-Invasive Approaches for Screening, Diagnosis, and Monitoring of Metabolic Dysfunction-Associated Steatotic Liver Disease), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07172997 active not recruitingnot on this mapstarted 2025, after this paper: background citation

Evaluating Non-Invasive Approaches for Screening, Diagnosis, and Monitoring of Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) in Bariatric Patients & Identifying Biomarkers for Predicting Type 2 Diabetes Remission

Typeobservational_patient_registrySponsorRoyal College of Surgeons in Ireland - Medical University of BahrainRan2025 to 2027Enrolled163ConditionsMASLD, T2DM (Type 2 Diabetes Mellitus), Non-alcoholic Fatty Liver Disease (NAFLD), ObesityArmsBariatric Surgery
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Accuracy of Non-Invasive Imaging Techniques for the Diagnosis of MASH in Patients With MASLD: A Systematic Review.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Liver fibrosis assessment: MR and US elastography.Abdominal radiology (New York) · 2022
    Review
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Arinc OzturkCenter for Ultrasound Research & Translation, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ramin MohammadiDepartment of Mechanical and Industrial Engineering, Northeastern University, Boston, MA, USA.
Theodore T PierceCenter for Ultrasound Research & Translation, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Sagar KamarthiDepartment of Mechanical and Industrial Engineering, Northeastern University, Boston, MA, USA.
Manish DhyaniDepartment of Radiology, Lahey Hospital & Medical Center, Burlington, MA, USA.
Joseph R GrajoDivision of Abdominal Imaging, Department of Radiology, University of Florida College of Medicine, Gainesville, FL, USA.
Kathleen E CoreyLiver Center, Division of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.
Raymond T ChungLiver Center, Division of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.
Atul K BhanDepartment of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Jagpreet ChhatwalInstitute for Technology Assessment, Massachusetts General Hospital, Boston, MA, USA.
Anthony E SamirCenter for Ultrasound Research & Translation, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA. Electronic address: asamir@mgh.harvard.edu.
Massachusetts General Hospital · USNortheastern University · USLahey Medical Center · USUniversity of Florida · US

Funding

Development of a Machine Learning Model to Integrate Clinical, Laboratory, Sonographic, and Elastographic Data for Noninvasive Liver Tissue Characterization in NAFLDR01DK119860 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Anthony Edward Samir · 2022 to 2023
$897k
NIBIB NIH HHS HHSN268201300071CNIBIB NIH HHS K23 EB020710NIDDK NIH HHS R01 DK119860
6 · The paper itself

Abstract

In this study, we evaluated the diagnostic accuracy of shear wave elastography (SWE) for differentiating high-risk non-alcoholic steatohepatitis (hrNASH) from non-alcoholic fatty liver and low-risk non-alcoholic steatohepatitis (NASH). Patients with non-alcoholic fatty liver disease scheduled for liver biopsy underwent pre-biopsy SWE. Ten SWE measurements were obtained. Biopsy samples were reviewed using the NASH Clinical Research Network Scoring System and patients with hrNASH were identified. Receiver operating characteristic curves for SWE-based hrNASH diagnosis were charted. One hundred sixteen adult patients underwent liver biopsy at our institution for the evaluation of non-alcoholic fatty liver disease. The area under the receiver operating characteristic curve of SWE for hrNASH diagnosis was 0.73 (95% confidence interval: 0.61-0.84, p < 0.001). The Youden index-based optimal stiffness cutoff value for hrNASH diagnosis was calculated as 8.4 kPa (1.67 m/s), with a sensitivity of 77% and specificity of 66%. SWE may be useful for the detection of NASH patients at risk of long-term liver-specific morbidity and mortality.

Indexed as

BiomarkersBiopsy, Large-Core NeedleElasticity Imaging TechniquesFemaleHumansLiverMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseReproducibility of ResultsSensitivity and SpecificityBiomarkersHigh-risk non-alcoholic steatohepatitisLiver biopsyNon-alcoholic steatohepatitisShear wave elastography

Identifiers

PMID32005510
PMCPMC7034057
OpenAlexW3003669131

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.