Diagnostic performance of apparent diffusion coefficient (ADC) for differentiating endometrial carcinoma from benign lesions: a systematic review and meta-analysis.
To determine the diagnostic performance of mean ADC values in the characterization of endometrial carcinoma (EC) from benign lesions by systematic review of the literature and performing meta-analysis. A systematic search of major electronic bibliographic databases was performed to find studies that...
| Publicado en: | Abdominal Radiology Vol. 46; no. 3; pp. 1115 - 1129 |
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| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Mar2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149129781&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149129781 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2366004X JT14 jtl: Abdominal Radiology issn: 2366004X maglogo: N pubinfo: dt: Mar2021 vid: 46 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 149129781 145750167 10.1007/s00261-020-02734-w 149129781 ppf: 1115 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Diagnostic performance of apparent diffusion coefficient (ADC) for differentiating endometrial carcinoma from benign lesions: a systematic review and meta-analysis. aug: au: Moharamzad, Yashar Davarpanah, Amir H. Yaghobi Joybari, Ali Shahbazi, Fatemeh Esmaeilian Toosi, Leila Kooshkiforooshani, Melika Ansari, Ali Sanei Taheri, Morteza affil: School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran sug: ab: To determine the diagnostic performance of mean ADC values in the characterization of endometrial carcinoma (EC) from benign lesions by systematic review of the literature and performing meta-analysis. A systematic search of major electronic bibliographic databases was performed to find studies that used ADC values for differentiating EC from benign lesions. Two reviewers independently screened the titles and abstracts of the search results and then by reading the full texts selected the pertinent studies for final analyses. A bivariate random-effects model with pooled sensitivity and specificity values with 95% CI (confidence interval) was used. Summary receiver operating characteristic (SROC) curve and area under curve (AUC) were created. Between-study heterogeneity was measured using I squared (I2) index. Eleven studies including 269 ECs and 208 benign lesions were analyzed. Pooled average (95% CI) ADC in EC and benign lesions groups were, respectively, 0.82 (0.77–0.87) × 10–3 mm2/s and 1.41 (1.29–1.52) × 10–3 mm2/s. The combined (95% CI) sensitivity and specificity of mean ADC values for differentiating EC from benign lesions were 93% (87–96%; I2 = 41.19%) and 94% (88–97%; I2 = 46.91%), respectively. The AUC (95% CI) of the SROC curve was 98% (96–99%). ADC values had good diagnostic accuracy for differentiating EC from benign lesions. In order to recommend ADC measurement for detecting endometrial lesions in routine clinical practice, more primary studies, especially trials and comparative studies including hysteroscopically-guided biopsy method, with larger sample sizes are still required. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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