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We calculated the pooled Kappa index. Ten researches that came across all of the inclusion criteria were most notable meta-analysis. A total of 608 carotid plaques had been evaluated through both SMI and CEUS. The pooled summary Kappa index ended up being 0.743 (95% confidence period (CI) = 0.696-0.79 with statistical significance (z = 31.14, P less then 0.01). We discovered no evidence of publication prejudice (t = -1.21, P = 0.261). Our meta-analysi