| 经直肠剪切波弹性成像对前列腺癌诊断价值的Meta分析 |
| |
| 引用本文： | 丁新华,崔艾琳,李倩倩,徐莉莉,穆晶晶,童明辉. 经直肠剪切波弹性成像对前列腺癌诊断价值的Meta分析[J]. 中国介入影像与治疗学, 2017, 14(8): 499-503 |
| |
| 作者姓名： | 丁新华 崔艾琳 李倩倩 徐莉莉 穆晶晶 童明辉 |
| |
| 作者单位： | 兰州大学第二医院超声3科, 甘肃 兰州 730030,兰州大学第二医院超声3科, 甘肃 兰州 730030,兰州大学第二医院超声3科, 甘肃 兰州 730030,兰州大学第二医院超声3科, 甘肃 兰州 730030,兰州大学第二医院超声3科, 甘肃 兰州 730030,兰州大学第二医院超声3科, 甘肃 兰州 730030 |
| |
| 摘 要： | 目的采用Meta分析评价经直肠剪切波弹性成像在前列腺癌诊断中的应用价值。方法检索2016年12月以前有关经直肠剪切波弹性成像诊断前列腺癌的中、英文文献,按照诊断性试验的纳入标准筛选文献,采用Meta-Disc 1.4及Stata 12.0软件对纳入的文献进行Meta分析。结果共纳入8篇文献,其中经直肠剪切波弹性成像诊断前列腺癌的研究有5篇,汇总分析后,其诊断前列腺癌的合并敏感度(SEN)为0.80[95%CI(0.75,0.84)],合并特异度(SPE)为0.75[95%CI(0.71,0.79)],阳性似然比(PLR)为3.60[95%CI(2.57,5.05)],阴性似然比(NLR)为0.17[95%CI(0.08,0.37)],SROC曲线下面积(AUC)为0.895。经直肠剪切波弹性成像辅助下穿刺诊断前列腺癌的研究亦是5篇,汇总分析后,其合并SEN为0.86[95%CI(0.83,0.88)],SPE为0.84[95%CI(0.82,0.85)],PLR为5.81[95%CI(3.07,10.99)],NLR为0.14[95%CI(0.04,0.49)],SROC曲线下面积(AUC)为0.924。结论经直肠剪切波弹性成像在前列腺癌诊断中有较好临床应用价值,且可作为经直肠超声引导下前列腺穿刺的辅助方法。
|
| 关 键 词： | 剪切波 弹性成像技术 前列腺肿瘤 活组织检测 Meta分析 |
| 收稿时间： | 2017-03-04 |
| 修稿时间： | 2017-05-23 |
Transrectal shear wave elastograpy in diagnosis of prostate cancers:Meta-analysis |
| |
| DING Xinhu,CUI Ailin,LI Qianqian,XU Lili,MU Jingjing and TONG Minghui. Transrectal shear wave elastograpy in diagnosis of prostate cancers:Meta-analysis[J]. Chinese Journal of Interventional Imaging and Therapy, 2017, 14(8): 499-503 |
| |
| Authors: | DING Xinhu CUI Ailin LI Qianqian XU Lili MU Jingjing TONG Minghui |
| |
| Affiliation: | The Third Department of Ultrasound, Lanzhou University Second Hospital, Lanzhou 730030, China,The Third Department of Ultrasound, Lanzhou University Second Hospital, Lanzhou 730030, China,The Third Department of Ultrasound, Lanzhou University Second Hospital, Lanzhou 730030, China,The Third Department of Ultrasound, Lanzhou University Second Hospital, Lanzhou 730030, China,The Third Department of Ultrasound, Lanzhou University Second Hospital, Lanzhou 730030, China and The Third Department of Ultrasound, Lanzhou University Second Hospital, Lanzhou 730030, China |
| |
| Abstract: | Objective To systematically analyze and assess the overall value of transrectal shear wave elastograpy in diagnosis of prostate cancer (PCa) using Meta-analysis. Methods Relevant Chinese and foreign papers diagnosing PCa with transrectal shear wave elastograpy published before December 2016 were searched. The references were evaluated and screened according to the criteria of diagnostic research. The selected references were analyzed by Meta-Disc 1.4 and Stata 12.0 statistical software. Results Eight articles were included in the present Meta-analysis. Five of these literatures were about transrectal shear wave elastograpy in diagnosis of PCa, the summarized sensitivity (SEN) and summarized specificity (SPE) in diagnosis of PCa were 0.80 (95%CI[0.75, 0.84]) and 0.75 (95%CI[0.71, 0.79]), respectively; the positive likelihood ratios (PLR) and negative likelihood ratios (NLR) were 3.60 (95%CI[2.57, 5.05]) and 0.17 (95%CI[0.08, 0.37]), respectively; the area under SROC curves was 0.895. Five of these literatures were about transrectal shear wave elastograpy supplemental prostatic biopsy in diagnosis of PCa, the summarized SEN and SPE were 0.86 (95%CI[0.83, 0.88]) and 0.84 (95%CI[0.82, 0.85]) respectively; the PLR and NLR were 5.81 (95%CI[3.07, 10.99]) and 0.14 (95%CI[0.04, 0.49]) respectively; the area under SROC curves were 0.924. Conclusion Transrectal shear wave elastograpy has better clinical value in detection of PCa and can be used to supplemental prostatic biopsy. |
| |
| Keywords: | Shear wave Elastography imaging technique Prostatic neoplasms Biopsy Meta-analysis |
| 本文献已被 CNKI 等数据库收录！ |
| 点击此处可从《中国介入影像与治疗学》浏览原始摘要信息 |
|
点击此处可从《中国介入影像与治疗学》下载全文 |
|
