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- Title
Diagnostic Evaluation of 18F-FDG PET/CT Imaging in Recurrent or Residual Urinary Bladder Cancer: A Meta-Analysis.
- Authors
Minmin XUE; Liping LIU; Guanghui DU; Zhigang FU; Xue, Minmin; Liu, Liping; Du, Guanghui; Fu, Zhigang
- Abstract
<bold>Purpose: </bold>To assess the diagnostic accuracy of fluorine-18 fluorodeoxyglucose positron emission tomography combined with the computed tomography (18F-FDG PET/CT) in the detection of recurrent or residual urinary bladder cancer with meta-analysis.<bold>Methods: </bold>We searched PubMed/MEDLINE, Embase, Web of Science, CBM, CNKI, VIP, and Wanfang databases through October 2019. Two reviewers independently screened the full articles. The imaging findings were confirmed by either histopathology or clinical follow-up. Sensitivity, specificity likelihood ratio and diagnostic odds ratio were pooled with 95 % confidence intervals (CI). Overall test performance was summarized by a summary receiver operating characteristic (ROC) curve. The Meta-DiSc software (version 1.4) was used to perform the meta-analysis.<bold>Results: </bold>The meta-analysis included 7 studies. The pooled sensitivity and specificity of PET/CT for the detection of recurrent or residual urinary bladder cancer was 94.0% (95% CI: 91.0%-96.0%) and 92.0% (95% CI: 88.0%- 95.0%), respectively. Positive likelihood ratio, negative likelihood ratio and diagnostic odds ratio were 9.77 (95% CI: 4.91-19.41), 0.99(95% CI: 0.06-0.13) and 95.09 (95% CI: 47.96-188.53), respectively. When residual urinary bladder cancer was excluded, sensitivity changed slightly.<bold>Conclusion: </bold>This meta-analysis suggested that the diagnostic accuracy of PET/CT was good in detecting recurrent or residual urinary bladder cancer.
- Subjects
BLADDER; BLADDER cancer; COMPUTED tomography; POSITRON emission tomography computed tomography; RECEIVER operating characteristic curves; BLADDER tumors; RESEARCH; META-analysis; CARCINOGENESIS; RESEARCH methodology; CANCER relapse; MEDICAL cooperation; EVALUATION research; COMPARATIVE studies; RADIOPHARMACEUTICALS; DEOXY sugars
- Publication
Urology Journal, 2020, Vol 17, Issue 6, p562
- ISSN
1735-1308
- Publication type
journal article
- DOI
10.22037/uj.v0i0.5538