Diagnostic value of 18F-FDG-PET or PET-CT in recurrent cervical cancer: a systematic review and meta-analysis

被引:47
作者
Chu, Yanxia [1 ]
Zheng, Ai [1 ]
Wang, Fei [2 ]
Lin, Wei [1 ]
Yang, Xiaoyun [1 ]
Han, Ling [1 ]
Chen, Yali [1 ]
Bai, Liping [1 ]
机构
[1] Sichuan Univ, W China Univ Hosp 2, Dept Obstet & Gynecol, Chengdu 610041, Sichuan, Peoples R China
[2] Peoples Hosp Shanxi Prov, Dept Obstet & Gynecol, Xian 710068, Shanxi, Peoples R China
关键词
cervix; meta-analysis; recurrence; tomography; SQUAMOUS-CELL CARCINOMA; POSITRON-EMISSION-TOMOGRAPHY; UTERINE CERVIX; SCC ANTIGEN; FDG-PET/CT; FOLLOW-UP; IMPACT; THERAPY; F-18-FLUORODEOXYGLUCOSE; MALIGNANCIES;
D O I
10.1097/MNM.0000000000000026
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
ObjectivesAccurate detection of recurrent cervical cancer remains a clinical difficulty. This study aims to assess the diagnostic value of PET or PET-computed tomography (PET-CT) using F-18-fluorodeoxyglucose (F-18-FDG) in recurrent cervical cancer using a meta-analysis.Study designAll published studies in English evaluating the diagnostic value of PET or PET-CT in detecting recurrent cervical cancer were collected. The methodological quality of the included studies was evaluated. Pooled sensitivity, specificity, diagnostic odds ratio, and summary receiver-operating characteristic curves were obtained using statistical software. Twenty studies were included in the meta-analysis.ResultsThe meta-analysis showed that the pooled sensitivity and specificity of PET and PET-CT to detect distant metastasis in recurrent cervical cancer were 0.87 [95% confidence interval (CI): 0.80-0.92] and 0.97 (95% CI: 0.96-0.98), respectively. The pooled sensitivity and specificity for local regional recurrence were 0.82 (95% CI: 0.72-0.90) and 0.98 (95% CI: 0.96-0.99), respectively.Conclusion(18)F-FDG-PET and PET-CT are valuable methods for the assessment of recurrent cervical cancer.
引用
收藏
页码:144 / 150
页数:7
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