Accuracy of whole-body FDG-PET and FDG-PET/CT in M staging of nasopharyngeal carcinoma: A systematic review and meta-analysis |
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Authors: | Ming-Che Chang Jin-Hua Chen Ji-An Liang Kuang-Tao Yang Kai-Yuan Cheng Chia-Hung Kao |
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Affiliation: | 1. Department of Nuclear Medicine and PET Center, Changhua Christian Hospital, No. 135, Nanxiao Street, Changhua 500, Taiwan;2. Department of Medical Imaging and Radiological Sciences, Central Taiwan University of Science and Technology, No. 666, Buzih Road, Beitun District, Taichung City 40601, Taiwan;3. Biostatistics Center and Graduate Institute of Biostatistics, China Medical University, No. 91, Hsueh-Shih Road, Taichung 404, Taiwan;4. School of Medicine, China Medical University, Taichung, Taiwan;5. Department of Radiation Oncology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung 404, Taiwan;6. Department of Nuclear Medicine and PET Center, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung 404, Taiwan |
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Abstract: |
BackgroundA meta-analysis was conducted to evaluate the accuracy of whole-body positron emission tomography (PET) or PET/CT in M staging of nasopharyngeal carcinoma (NPC).MethodsThrough a search of relevant English language studies from October 1996 to September 2011, pooled estimated sensitivity, specificity, positive likelihood ratios, negative likelihood ratios, and summary receiver operating characteristic (SROC) curves of whole-body PET or PET/CT in M staging of NPC were calculated.ResultsThree PET and 5 PET/CT studies were identified. The pooled sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio of FDG-PET or PET/CT were 0.83 (95% confidence interval [CI], 0.77–0.88), 0.97 (95% CI, 0.95–0.98), 23.38 (95% CI, 16.22–33.69), and 0.19 (95% CI, 0.13–0.25), respectively. The area under curve was 0.9764 and Q* index estimate was 0.9307 for FDG-PET or PET/CT.ConclusionCurrent evidence confirms the good diagnostic performance of the whole-body FDG-PET or PET/CT in M staging of NPC. |
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Keywords: | Nasopharyngeal carcinoma PET PET/CT Staging Meta-analysis |
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