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J Med Imaging Radiat Oncol · Oct 2014
Meta AnalysisMeta-analysis of diagnosis of liver metastatic cancers: comparison of (18) FDG PET-CT and gadolinium-enhanced MRI.
- Jinlong Deng, Jiande Tang, and Naipeng Shen.
- Department of Medical Imaging Center, The Affiliated Hospital of Weifang Medical College, Weifang, China.
- J Med Imaging Radiat Oncol. 2014 Oct 1; 58 (5): 532-7.
IntroductionWe performed a meta-analysis to compare the performance of 18F-fluorodeoxyglucose ((18) FDG) positron emission tomography-CT (PET-CT) with that of gadolinium-enhanced MRI for the detection of liver metastatic cancers.MethodsThe MEDLINE and EMBASE databases were searched for relevant original articles. The histology and/or imaging follow-up data served as the reference standard. We calculated the pooled sensitivities, specificities, positive likelihood ratios, negative likelihood ratios and constructed summary receiver operating characteristic curves for (18) FDG PET-CT and gadolinium-enhanced MRI, respectively.ResultsTen studies (1105 patients) were included for this meta-analysis. (18) FDG PET-CT has similar patient-based specificity (1.00 and 0.99), positive likelihood ratios (253.1 and 138.2), negative likelihood ratios (0.16 and 0.10) and area under curves (0.99 and 0.99) with gadolinium-enhanced MRI. Gadolinium-enhanced MRI tends to have higher sensitivity (0.91 and 0.84) than (18) FDG PET-CT.ConclusionBoth (18) FDG PET-CT and gadolinium-enhanced MRI have excellent diagnostic performance for the detection of liver metastatic cancer.© 2014 The Royal Australian and New Zealand College of Radiologists.
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