Use of narrowband imaging for the diagnosis and screening of laryngeal cancer: A systematic review and meta-analysis

被引：26
作者：
Kim, Do Hyun [1 ]
Kim, Yeonji [1 ]
Kim, Sung Won [1 ]
Hwang, Se Hwan [2 ]
机构：
[1] Catholic Univ Korea, Seoul St Marys Hosp, Dept Otolaryngol Head & Neck Surg, Coll Med, Seoul, South Korea
[2] Catholic Univ Korea, Bucheon St Marys Hosp, Dept Otolaryngol Head & Neck Surg, Coll Med, Seoul, South Korea
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2020年 / 42卷 / 09期
基金：
新加坡国家研究基金会;
关键词：
endoscope; laryngeal cancer; meta-analysis; narrow band imaging; white light; TEST ACCURACY; RELIABILITY; ENDOSCOPY; LESIONS; INTERRATER; SOCIETY; BIOPSY;
D O I：
10.1002/hed.26186
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
We evaluated the diagnostic accuracy of narrowband imaging (NBI) in terms of detecting laryngeal cancer compared to that of white light endoscopy (WLE). Two reviewers individually searched the six databases for studies published between the first record date and December 31, 2019. We recorded the numbers of true positives, true negatives, false positives, and false negatives. Quality Assessment of Diagnostic Accuracy Studies ver. 2 software was used to assess the studies. The extent of the inter-rater agreement was also measured. The diagnostic odds ratio (OR) associated with NBI was 87.463 (95% confidence interval [CI]: 46.968, 160.873). The area under the summary receiver operating characteristic curve was 0.954. NBI was more diagnostically accurate than WLE, which was associated with a diagnostic OR of 13.750. NBI affords high diagnostic accuracy, thus supporting a role for NBI in the diagnostic work-up of laryngeal cancer.
引用
收藏
页码：2635 / 2643
页数：9
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