The diagnostic accuracy of CT-guided percutaneous core needle biopsy and fine needle aspiration in pulmonary lesions: a meta-analysis
| Autor: | N. Fan, Mei‑Yan Liao, H.-F. Zhang, X.-T. Zeng, F. Xing |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Image-Guided Biopsy
Lung Diseases Core needle medicine.medical_specialty Percutaneous Biopsy Fine-Needle Sensitivity and Specificity 030218 nuclear medicine & medical imaging Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Biopsy medicine Humans Radiology Nuclear Medicine and imaging medicine.diagnostic_test Receiver operating characteristic business.industry General Medicine Fine-needle aspiration 030220 oncology & carcinogenesis Meta-analysis Biopsy Large-Core Needle Radiology Differential diagnosis Tomography X-Ray Computed business |
| Zdroj: | Clinical Radiology. 71:e1-e10 |
| ISSN: | 0009-9260 |
| DOI: | 10.1016/j.crad.2015.09.009 |
| Popis: | Aim To determine and compare the diagnostic value of computed tomography (CT)-guided percutaneous core needle biopsy (PCNB) and percutaneous fine-needle aspiration biopsy (PNAB) in pulmonary lesions. Materials and methods PubMed, EMBASE, and the Web of Science were systematically searched for relevant studies that investigated the diagnostic accuracy of CT-guided PCNB and/or PNAB for pulmonary lesions up to December 2014. After study selection, data extraction, and quality assessment, the sensitivity (SEN), specificity (SPE), diagnostic odds rate (DOR), positive likelihood ratios (PLR), negative likelihood ratios (NLR), and summary receiver operating characteristic (SROC) curves were calculated using the Meta-Disc 1.4 software. Results Nineteen publications, including 21 independent studies, met the inclusion criteria. Of them, 15 studies were included in the PCNB group and six studies in the PNAB group. The pooled SEN, SPE, DOR, PLR, NLR, and SROC were 0.95, 0.99, 54.72, 0.06, 821.90, and 0.98 in the PCNB group and 0.90, 0.99, 24.71, 0.14, 210.72, and 0.98 in the PNAB group, respectively. Conclusion Based on current evidence, both PCNB and PNAB can be used as diagnostic methods to distinguish benign and malignant pulmonary lesions; the difference between PCNB and PNAB regarding diagnostic accuracy of benign or malignant pulmonary lesions is not obvious. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect