ZWZhengyue Wang

Zhengyue Wang

*This is an algorithmically generated author record based on publicly available information.

Current Organizations / Institutes

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Zhengyue Wang has a total of 4 co-authors. Here are the top co-authors by number of shared publications:


Latest Publications

  • Diagnostic performance of liver imaging reporting and data system ancillary features for hepatocellular carcinoma: a systematic review and evidence synthesis

    by Xueyong Chang, Zhengyue Wang, Fangying Fan, Ping Liang, Jie Yu

    Objective To systematically review and evaluate the evidence supporting the role of Liver Imaging Reporting and Data System (LI-RADS) ancillary features (AFs) in optimizing hepatocellular carcinoma (HCC) diagnosis across magnetic resonance imaging (MRI), computed tomography (CT), and contrast-enhanced ultrasound (CEUS) modalities, with a focus on their incremental value in specific clinical scenarios. Methods A comprehensive literature search was performed across PubMed and Embase from 2011 to 2024 to identify studies on LI-RADS AFs. Significant ancillary features (SAFs)—a review-specific descriptive framework rather than an official LI-RADS category—were defined as features demonstrating a statistically significant contribution to HCC diagnosis or LI-RADS diagnostic performance in at least one included study (p < 0.05). Results A total of 101 articles were included. In terms of imaging modality distribution, MRI was predominant (91.1%, 92/101), while CT (21.8%, 22/101) and CEUS (9.9%, 10/101) studies were relatively limited. For LI-RADS categories LR-1 to LR-5, fourteen SAFs were identified on MRI (e.g., hepatobiliary phase hypointensity, diffusion restriction). For lesions ≤ 3 cm, the incremental value of applying a single guideline-recommended AF was marginal. In contrast, applying combinations of ≥ 4 AFs significantly improved sensitivity by 10.6–18.3% without a significant loss of specificity. Evidence for CT-based AFs was limited and inconsistent. For CEUS LR-1 to LR-5 observations, six AFs were identified, with exploratory markers showing potential incremental value, whereas the two official AFs showed inconsistent performance. For LR-M lesions, 14 SAFs significantly contributed to differentiating HCC from other hepatic malignancies (p < 0.05). In treatment response assessment (TRA), five SAFs—two of which are guideline-recommended—improved diagnostic sensitivity by 3.2–42.8% without loss of specificity. Conclusion LI-RADS AFs enhance HCC diagnostic accuracy when complementing major features, with the most robust evidence supporting MRI-based AFs. In contrast, AFs based on CT and CEUS require further validation.