Diagnostic value of ultrasound elastography in polycystic ovary syndrome: a systematic review and meta-analysis

Objective The main purpose of this systematic review and meta-analysis was to investigate the diagnostic value of ultrasound elastography in the evaluation of polycystic ovary syndrome (PCOS).Methods A comprehensive and methodical investigation was carried out in the databases of PubMed, EMBASE, Coc...

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Main Authors: Zhongtan Ruan, Zhen Yu, Qianyu Qin, Ying Tang
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Gynecological Endocrinology
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Online Access:https://www.tandfonline.com/doi/10.1080/09513590.2024.2352139
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author Zhongtan Ruan
Zhen Yu
Qianyu Qin
Ying Tang
author_facet Zhongtan Ruan
Zhen Yu
Qianyu Qin
Ying Tang
author_sort Zhongtan Ruan
collection DOAJ
description Objective The main purpose of this systematic review and meta-analysis was to investigate the diagnostic value of ultrasound elastography in the evaluation of polycystic ovary syndrome (PCOS).Methods A comprehensive and methodical investigation was carried out in the databases of PubMed, EMBASE, Cochrane, Scopus, Web of Science, and China National Knowledge Infrastructure, covering the entire duration of these databases until October 18, 2023. The primary purpose of this research was to evaluate and contrast ovarian tissue elasticity in people with and without PCOS. The elasticity of ovarian tissue was quantified using standardized mean difference (SMD).Results A total of eight studies were ultimately selected for systematic evaluation and meta-analysis. Five studies used shear wave elastography (SWE) as a diagnostic tool, and it was discovered that women with PCOS had higher levels of ovarian shear wave elasticity than their healthy counterparts. The SMD was determined to be 1.86 kilopascal (95% CI: 1.27 to 2.44). Three studies were conducted using strain elastography (SE) to compare the ovarian strain ratio of patients with PCOS to that of a healthy control group. The SMD for the PCOS group was 2.07 (95% CI: 1.79 to 2.34), which indicated that the ovarian strain ratio was significantly higher in that group.Conclusion This systematic review and meta-analysis found that women with PCOS had stiffer ovarian tissue than women without the disorder. Ultrasound elastography may provide clinicians with value beyond 2D ultrasound in the diagnosis of PCOS.
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spelling doaj-art-7206dd7d028e47c2ab226a331ff15e4f2025-08-20T02:32:00ZengTaylor & Francis GroupGynecological Endocrinology0951-35901473-07662024-12-0140110.1080/09513590.2024.2352139Diagnostic value of ultrasound elastography in polycystic ovary syndrome: a systematic review and meta-analysisZhongtan Ruan0Zhen Yu1Qianyu Qin2Ying Tang3Department of Ultrasound, Sichuan University West China Second University Hospital, Chengdu, ChinaDepartment of Ultrasound, Sichuan University West China Second University Hospital, Chengdu, ChinaDepartment of Ultrasound, Sichuan University West China Second University Hospital, Chengdu, ChinaDepartment of Ultrasound, Sichuan University West China Second University Hospital, Chengdu, ChinaObjective The main purpose of this systematic review and meta-analysis was to investigate the diagnostic value of ultrasound elastography in the evaluation of polycystic ovary syndrome (PCOS).Methods A comprehensive and methodical investigation was carried out in the databases of PubMed, EMBASE, Cochrane, Scopus, Web of Science, and China National Knowledge Infrastructure, covering the entire duration of these databases until October 18, 2023. The primary purpose of this research was to evaluate and contrast ovarian tissue elasticity in people with and without PCOS. The elasticity of ovarian tissue was quantified using standardized mean difference (SMD).Results A total of eight studies were ultimately selected for systematic evaluation and meta-analysis. Five studies used shear wave elastography (SWE) as a diagnostic tool, and it was discovered that women with PCOS had higher levels of ovarian shear wave elasticity than their healthy counterparts. The SMD was determined to be 1.86 kilopascal (95% CI: 1.27 to 2.44). Three studies were conducted using strain elastography (SE) to compare the ovarian strain ratio of patients with PCOS to that of a healthy control group. The SMD for the PCOS group was 2.07 (95% CI: 1.79 to 2.34), which indicated that the ovarian strain ratio was significantly higher in that group.Conclusion This systematic review and meta-analysis found that women with PCOS had stiffer ovarian tissue than women without the disorder. Ultrasound elastography may provide clinicians with value beyond 2D ultrasound in the diagnosis of PCOS.https://www.tandfonline.com/doi/10.1080/09513590.2024.2352139Polycystic ovary syndromePCOSultrasound elastographyshear wave elasticityovarian strain ratioMeta-analysis
spellingShingle Zhongtan Ruan
Zhen Yu
Qianyu Qin
Ying Tang
Diagnostic value of ultrasound elastography in polycystic ovary syndrome: a systematic review and meta-analysis
Gynecological Endocrinology
Polycystic ovary syndrome
PCOS
ultrasound elastography
shear wave elasticity
ovarian strain ratio
Meta-analysis
title Diagnostic value of ultrasound elastography in polycystic ovary syndrome: a systematic review and meta-analysis
title_full Diagnostic value of ultrasound elastography in polycystic ovary syndrome: a systematic review and meta-analysis
title_fullStr Diagnostic value of ultrasound elastography in polycystic ovary syndrome: a systematic review and meta-analysis
title_full_unstemmed Diagnostic value of ultrasound elastography in polycystic ovary syndrome: a systematic review and meta-analysis
title_short Diagnostic value of ultrasound elastography in polycystic ovary syndrome: a systematic review and meta-analysis
title_sort diagnostic value of ultrasound elastography in polycystic ovary syndrome a systematic review and meta analysis
topic Polycystic ovary syndrome
PCOS
ultrasound elastography
shear wave elasticity
ovarian strain ratio
Meta-analysis
url https://www.tandfonline.com/doi/10.1080/09513590.2024.2352139
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AT qianyuqin diagnosticvalueofultrasoundelastographyinpolycysticovarysyndromeasystematicreviewandmetaanalysis
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