Meta-analysis of 18FDG PET-CT for nodal staging in patients with esophageal cancer
We aimed to evaluate the value of 18FDG PET-CT for detection of regional nodal metastasis in patients with esophageal cancer before surgery. A computer search about PET-CT original articles was conducted from January 2000 to December 2012. The reference standard was histopathologic analysis. Two rev...
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| Published in | Surgical oncology Vol. 22; no. 2; pp. 112 - 116 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
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Elsevier Ltd
01.06.2013
Elsevier Limited |
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| Abstract | We aimed to evaluate the value of 18FDG PET-CT for detection of regional nodal metastasis in patients with esophageal cancer before surgery.
A computer search about PET-CT original articles was conducted from January 2000 to December 2012. The reference standard was histopathologic analysis. Two reviewers independently searched articles and extracted data. Sensitivity, specificity, diagnostic odds ratio, and likelihood ratio were pooled for PET-CT using bivariate models. Summary receiver operating characteristic (SROC) curves were also used to summarize overall test performance.
Across all seven studies on a per-station analysis (2232 stations), the pooled sensitivity and specificity with 95% confidence interval for PET-CT were 0.62 (0.40–0.79) and 0.96 (0.93–0.98). Across all 6 studies on a per-patient analysis (245 patients), corresponding values for PET-CT were 0.55 (0.34–0.74) and 0.76 (0.66–0.83).
18FDG PET-CT had lower sensitivity and accuracy for detection of regional nodal metastasis in patients with esophageal cancer before surgery. |
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| AbstractList | We aimed to evaluate the value of 18FDG PET-CT for detection of regional nodal metastasis in patients with esophageal cancer before surgery.
A computer search about PET-CT original articles was conducted from January 2000 to December 2012. The reference standard was histopathologic analysis. Two reviewers independently searched articles and extracted data. Sensitivity, specificity, diagnostic odds ratio, and likelihood ratio were pooled for PET-CT using bivariate models. Summary receiver operating characteristic (SROC) curves were also used to summarize overall test performance.
Across all seven studies on a per-station analysis (2232 stations), the pooled sensitivity and specificity with 95% confidence interval for PET-CT were 0.62 (0.40–0.79) and 0.96 (0.93–0.98). Across all 6 studies on a per-patient analysis (245 patients), corresponding values for PET-CT were 0.55 (0.34–0.74) and 0.76 (0.66–0.83).
18FDG PET-CT had lower sensitivity and accuracy for detection of regional nodal metastasis in patients with esophageal cancer before surgery. We aimed to evaluate the value of (18)FDG PET-CT for detection of regional nodal metastasis in patients with esophageal cancer before surgery. A computer search about PET-CT original articles was conducted from January 2000 to December 2012. The reference standard was histopathologic analysis. Two reviewers independently searched articles and extracted data. Sensitivity, specificity, diagnostic odds ratio, and likelihood ratio were pooled for PET-CT using bivariate models. Summary receiver operating characteristic (SROC) curves were also used to summarize overall test performance. Across all seven studies on a per-station analysis (2232 stations), the pooled sensitivity and specificity with 95% confidence interval for PET-CT were 0.62 (0.40-0.79) and 0.96 (0.93-0.98). Across all 6 studies on a per-patient analysis (245 patients), corresponding values for PET-CT were 0.55 (0.34-0.74) and 0.76 (0.66-0.83). (18)FDG PET-CT had lower sensitivity and accuracy for detection of regional nodal metastasis in patients with esophageal cancer before surgery. Background We aimed to evaluate the value of18FDG PET-CT for detection of regional nodal metastasis in patients with esophageal cancer before surgery. Methods A computer search about PET-CT original articles was conducted from January 2000 to December 2012. The reference standard was histopathologic analysis. Two reviewers independently searched articles and extracted data. Sensitivity, specificity, diagnostic odds ratio, and likelihood ratio were pooled for PET-CT using bivariate models. Results Across all seven studies on a per-station analysis (2232 stations), the pooled sensitivity and specificity with 95% confidence interval for PET-CT were 0.62 (0.40-0.79) and 0.96 (0.93-0.98). Across all 6 studies on a per-patient analysis (245 patients), corresponding values for PET-CT were 0.55 (0.34-0.74) and 0.76 (0.66-0.83). Conclusions 18FDG PET-CT had lower sensitivity and accuracy for detection of regional nodal metastasis in patients with esophageal cancer before surgery. BACKGROUNDWe aimed to evaluate the value of (18)FDG PET-CT for detection of regional nodal metastasis in patients with esophageal cancer before surgery.METHODSA computer search about PET-CT original articles was conducted from January 2000 to December 2012. The reference standard was histopathologic analysis. Two reviewers independently searched articles and extracted data. Sensitivity, specificity, diagnostic odds ratio, and likelihood ratio were pooled for PET-CT using bivariate models. Summary receiver operating characteristic (SROC) curves were also used to summarize overall test performance.RESULTSAcross all seven studies on a per-station analysis (2232 stations), the pooled sensitivity and specificity with 95% confidence interval for PET-CT were 0.62 (0.40-0.79) and 0.96 (0.93-0.98). Across all 6 studies on a per-patient analysis (245 patients), corresponding values for PET-CT were 0.55 (0.34-0.74) and 0.76 (0.66-0.83).CONCLUSIONS(18)FDG PET-CT had lower sensitivity and accuracy for detection of regional nodal metastasis in patients with esophageal cancer before surgery. |
| Author | Wang, Jin Wang, Wencai Huo, Xudong Shi, Woda Cheng, Hongchun |
| Author_xml | – sequence: 1 givenname: Woda surname: Shi fullname: Shi, Woda organization: Department of Cardio-Thoracic Surgery, the third People's hospital, Yancheng, 224001, China – sequence: 2 givenname: Wencai surname: Wang fullname: Wang, Wencai organization: Department of Cardio-Thoracic Surgery, the third People's hospital, Yancheng, 224001, China – sequence: 3 givenname: Jin surname: Wang fullname: Wang, Jin organization: Department of Cardio-Thoracic Surgery, the third People's hospital, Yancheng, 224001, China – sequence: 4 givenname: Hongchun surname: Cheng fullname: Cheng, Hongchun organization: Department of Cardio-Thoracic Surgery, the third People's hospital, Yancheng, 224001, China – sequence: 5 givenname: Xudong surname: Huo fullname: Huo, Xudong email: yancheng201301@sina.com organization: Department of Cardio-Thoracic Surgery, Yancheng Hospital, Medical School of Southeast University, No. 75 Juchang Road, Yancheng 224001, PR China |
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| Keywords | PET-CT Esophageal cancer Lymph nodes Meta-analysis |
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| Snippet | We aimed to evaluate the value of 18FDG PET-CT for detection of regional nodal metastasis in patients with esophageal cancer before surgery.
A computer search... We aimed to evaluate the value of (18)FDG PET-CT for detection of regional nodal metastasis in patients with esophageal cancer before surgery. A computer... Background We aimed to evaluate the value of18FDG PET-CT for detection of regional nodal metastasis in patients with esophageal cancer before surgery. Methods... BACKGROUNDWe aimed to evaluate the value of (18)FDG PET-CT for detection of regional nodal metastasis in patients with esophageal cancer before... |
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| SubjectTerms | Accuracy Bias Confidence intervals Esophageal cancer Esophageal Neoplasms - diagnosis Fluorodeoxyglucose F18 Humans Lymph nodes Lymphatic Metastasis Medical imaging Meta-analysis Meta-Analysis as Topic PET-CT Positron-Emission Tomography Quality standards Radiopharmaceuticals Studies Tomography Tomography, X-Ray Computed |
| Title | Meta-analysis of 18FDG PET-CT for nodal staging in patients with esophageal cancer |
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