| 心脏核磁共振成像对病毒性心肌炎诊断价值的系统评价 |
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| 引用本文： | 丁彬彬,张军平. 心脏核磁共振成像对病毒性心肌炎诊断价值的系统评价[J]. 中国循证医学杂志, 2011, 11(3): 273-277 |
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| 作者姓名： | 丁彬彬 张军平 |
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| 作者单位： | 天津中医药大学第一附属医院,天津,300193 |
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| 基金项目： | 十一五”国家科技支撑项目(编号:2007BAI20B07-05) |
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| 摘 要： | 目的采用Meta分析方法评价心脏核磁共振成像在病毒性心肌炎(VMC)诊断中的临床价值。方法计算机检索PubMed(1950～2009)、EMbase(1974～2009)和Cochrane图书馆(2009.12),纳入有关核磁共振成像诊断VMC的临床研究文献。根据QUADAS条目评价纳入文献质量,用Meta-Disc软件对其敏感性(SEN)、特异性(SPE)、阳性似然比(+LR)、阴性似然比(–LR)、诊断比值比(DOR)进行合并分析,并进行异质性检验,绘制综合受试者工作特征曲线(SROC)。结果最终纳入5篇文献。Meta分析结果显示:SEN合并为0.94,SPE合并为0.69,DOR合并为28.11,SROC曲线下面积(AUC)=0.871?9。结论现有研究证实,心脏核磁共振成像对病毒性心肌炎有高度敏感性(94%)和中度特异性(69%),心肌炎组中试验阳性的比值是非心肌炎组中试验阳性比值的28.11倍,说明诊断判别效果好。
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| 关 键 词： | 心脏核磁共振成像 病毒性心肌炎 系统评价 Meta分析 |
Diagnostic Value of Cardiac MRI for Viral Myocarditis: A Systematic Review |
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| DING Bin-bin,ZHANG Jun-ping. Diagnostic Value of Cardiac MRI for Viral Myocarditis: A Systematic Review[J]. Chinese Journal of Evidence-based Medicine, 2011, 11(3): 273-277 |
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| Authors: | DING Bin-bin ZHANG Jun-ping |
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| Affiliation: | DING Bin-bin,ZHANG Jun-ping* The First Teaching Hospital,Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China |
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| Abstract: | Objective To evaluate the clinical value of cardiac MRI for the diagnosis of viral myocarditis(VMC).Methods Such databases as PubMed(1950 to 2009),EMbase(1974 to 2009),and The Cochrane Library(December 2009) were searched to include clinical research reports of diagnosing viral myocarditis with MRI.QUADAS items were used to evaluate the quality of the included studies.The Meta-disc software was used to conduct merger analyses on sensitivity,specificity,positive likelihood ratio,and negative likelihood ratio... |
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| Keywords: | Cardiac MRI Viral myocarditis Systematic review Meta-analysis |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
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