非小细胞肺癌患者的胸部分期:关于[18F]FDG PET/MRI和[18F]FDG PET/CT诊断准确性的系统综述和荟萃分析。

IF 0.6 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
NUCLEAR MEDICINE REVIEW Pub Date : 2023-01-01 Epub Date: 2022-12-30 DOI:10.5603/NMR.a2022.0037
Batool Shahraki Mojahed, Khadije Saravani, Fateme Parooie
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引用次数: 0

摘要

研究背景本研究旨在评估[18F]FDG PET/MR与[18F]FDG PET/CT在非小细胞肺癌(NSCLS)患者胸部分期中的诊断准确性:本研究遵循系统综述首选报告项目(Preferred Reporting Items for Systematic Reviews,PRISMA)。截至 2021 年 6 月,通过 Embase(Elsevier)、PubMed 和 Cochrane 图书馆数据库收集了所有可用研究。本研究只纳入同一组同时采用[18F]FDG PET/MRI和[18F]FDG PET/CT技术的研究。统计分析使用 Stata v.12 进行:[18F]FDG正电子发射计算机断层显像/MRI和[18F]FDG正电子发射计算机断层显像/CT对T和N分期的总体准确率分别为92%(95% CI:89-95,I2:93.4%)和78%(95% CI:74-82,I2:98.5%)。而[18F]FDG PET/MRI 的相应比率分别为 91% (95% CI: 88-94 , I2 : 96.5%) 和 89% (95% CI: 84-94 , I2 : 88.1%) :本荟萃分析表明,[18F]FDG PET/CT和[18F]FDG PET/MRI在检测NSCLC患者的N期和T期方面表现相对相同。因此,[18F]FDG PET/MRI 可以替代[18F]FDG PET/CT 诊断胸部晚期 NSCLC,特别是 N 分期,因为它能提供更高的软组织对比度。需要进行更可靠的研究,以比较这些成像技术和各种优化的[18F]FDG PET/MRI方案的诊断性能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Thoracic staging in patients with non-small cell lung cancer: A systematic review and meta-analysis on diagnostic accuracy of [18F]FDG PET/MRI and [18F]FDG PET/CT.

Background: This study aimed to evaluate the diagnostic accuracy of [18F]FDG PET/MR versus [18F]FDG PET/CT in the thoracic staging of patients with non-small cell lung cancer (NSCLS).

Material and methods: The Preferred Reporting Items for Systematic Reviews (PRISMA) were followed in conducting the present study. All available research was collected through Embase (Elsevier), PubMed, as well as Cochrane Library databases up to June 2021. Only studies covering both [18F]FDG PET/MRI and [18F]FDG PET/CT techniques in the same group were included. Statistical analysis was done using Stata v.12.

Results: The overall accuracy of [18F]FDG PET/CT in T and N staging was 92% (95% CI: 89-95 , I2 : 93.4%) and 78% (95% CI: 74-82 , I2 : 98.5%) respectively. While, the corresponding rates for [18F]FDG PET/MRI were 91% (95% CI: 88-94 , I2 : 96.5%) and 89% (95% CI: 84-94 , I2 : 88.1%) respectively.

Conclusions: The present meta-analysis showed that [18F]FDG PET/CT and [18F]FDG PET/MRI exhibit relatively the same performance in detecting N and T stages in patients with NSCLC. Thus, [18F]FDG PET/MRI can be a worthy alternative for [18F]FDG PET/CT in the diagnosis of advanced of NSCLC in the chest area, more specifically in N-staging, since it provides higher soft-tissue contrast. There is a need for more reliable research for comparing the diagnostic performance of these imaging techniques and various optimized [18F]FDG PET/MRI protocols.

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来源期刊
NUCLEAR MEDICINE REVIEW
NUCLEAR MEDICINE REVIEW RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
1.40
自引率
0.00%
发文量
53
审稿时长
24 weeks
期刊介绍: Written in English, NMR is a biannual international periodical of scientific and educational profile. It is a journal of Bulgarian, Czech, Hungarian, Macedonian, Polish, Romanian, Russian, Slovak, Ukrainian and Yugoslav Societies of Nuclear Medicine. The periodical focuses on all nuclear medicine topics (diagnostics as well as therapy), and presents original experimental scientific papers, reviews, case studies, letters also news about symposia and congresses. NMR is indexed at Index Copernicus (7.41), Scopus, EMBASE, Index Medicus/Medline, Ministry of Education 2007 (4 pts.).
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