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Head-to-head comparison of 18F-FDG PET/CT and 18F-FDG PET/MRI for lymph node metastasis staging in non-small cell lung cancer: a meta-analysis.
Zhang, Min; Liu, Zhikang; Yuan, Yuhang; Yang, Wenwen; Cao, Xiong; Ma, Minjie; Han, Biao.
Afiliación
  • Zhang M; Lanzhou University, The First Clinical Medical College, Lanzhou, China
  • Liu Z; Lanzhou University, The First Clinical Medical College, Lanzhou, China
  • Yuan Y; Lanzhou University, The First Clinical Medical College, Lanzhou, China
  • Yang W; Lanzhou University, The First Clinical Medical College, Lanzhou, China
  • Cao X; The First Hospital of Lanzhou University, Department of Thoracic Surgery, Lanzhou, China
  • Ma M; The First Hospital of Lanzhou University, Gansu Province International Cooperation Base for Research and Application of Key Technology of Thoracic Surgery, Lanzhou, China
  • Han B; The First Hospital of Lanzhou University, Department of Thoracic Surgery, Lanzhou, China
Diagn Interv Radiol ; 30(2): 99-106, 2024 03 06.
Article en En | MEDLINE | ID: mdl-38291975
ABSTRACT

PURPOSE:

The current meta-analysis aimed to compare the diagnostic performance of 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) with 18F-FDG PET/magnetic resonance imaging (MRI) in non-small cell lung cancer (NSCLC) lymph node metastasis staging.

METHODS:

We searched the PubMed, Web of Science, and Embase databases for relevant articles between November 1992 and September 2022. Studies evaluating the head-to-head comparison of 18F-FDG PET/CT and 18F-FDG PET/MRI for lymph node metastasis in patients with NSCLC were included. The quality of each study was assessed using the Quality Assessment of Diagnostic Performance Studies-2 tool.

RESULTS:

The analysis includes six studies with a total of 434 patients. The pooled sensitivity of 18F-FDG PET/CT and 18F-FDG PET/MRI was 0.78 [95% confidence interval (CI) 0.59-0.90] and 0.84 (95% CI 0.68-0.93), and the pooled specificity was 0.87 (95% CI 0.72-0.94) and 0.87 (95% CI 0.80-0.92), respectively. The accuracy of 18F-FDG PET/CT and 18F-FDG PET/MRI was 0.81 (95% CI 0.71-0.90) and 0.84 (95% CI 0.75-0.92), respectively. When the pre-test probability was set at 50%, the post-test probability for 18F-FDG PET/CT could increase to 85%, and the post-test probability for 18F-FDG PET/MRI could increase to 87%.

CONCLUSION:

18F-FDG PET/CT and 18F-FDG PET/MRI have similar diagnostic performance in detecting lymph node metastasis in NSCLC. However, the results of this study were from a small sample study, and further studies with larger sample sizes are needed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinoma de Pulmón de Células no Pequeñas / Neoplasias Pulmonares Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: Diagn Interv Radiol Asunto de la revista: DIAGNOSTICO POR IMAGEM / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Turquía

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinoma de Pulmón de Células no Pequeñas / Neoplasias Pulmonares Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: Diagn Interv Radiol Asunto de la revista: DIAGNOSTICO POR IMAGEM / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Turquía