Diagnostic performance of contrast-enhanced spectral mammography: Systematic review and meta-analysis

被引：100

作者：

Tagliafico, Alberto Stefano ^{[1
]}

Bignotti, Bianca ^{[2
]}

Rossi, Federica ^{[3
]}

Signori, Alessio ^{[4
]}

Sormani, Maria Pia ^{[4
]}

Valdora, Francesca ^{[1
]}

Calabrese, Massimo ^{[5
]}

Houssami, Nehmat ^{[6
]}

机构：

[1] Univ Genoa, Dept Expt Med, Inst Anat, Via LB Alberti, I-16132 Genoa, Italy

[2] Univ Genoa, Dept Hlth Sci, Dept Radiol, Via Pastore, I-16132 Genoa, Italy

[3] Univ Genoa, Sch Med, Via Pastore, I-16132 Genoa, Italy

[4] Univ Genoa, Dept Hlth Sci, Inst Stat, Via Pastore, I-16132 Genoa, Italy

[5] IRCCS Azienda Osped Univ San Martino IST, Dept Radiol, Largo Rosanna Benzi 10, I-16138 Genoa, Italy

[6] Univ Sydney, Sydney Med Sch, Sch Publ Hlth, Sydney, NSW 2006, Australia

来源：

BREAST | 2016年 / 28卷

关键词：

Accuracy; Sensitivity; Specificity; Contrast-enhanced spectral mammography; Systematic review; Meta-analysis; DIGITAL MAMMOGRAPHY; ACCURACY; INTERVAL; DENSITY;

D O I：

10.1016/j.breast.2016.04.008

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose: To estimate sensitivity and specificity of CESM for breast cancer diagnosis. Methods: Systematic review and meta-analysis of the accuracy of CESM in finding breast cancer in highly selected women. We estimated summary receiver operating characteristic curves, sensitivity and specificity according to quality criteria with QUADAS-2. Results: Six hundred four studies were retrieved, 8 of these reporting on 920 patients with 994 lesions, were eligible for inclusion. Estimated sensitivity from all studies was: 0.98 (95% CI: 0.96-1.00). Specificity was estimated from six studies reporting raw data: 0.58 (95% CI: 0.38-0.77). The majority of studies were scored as at high risk of bias due to the very selected populations. Conclusion: CESM has a high sensitivity but very low specificity. The source studies were based on highly selected case series and prone to selection bias. High-quality studies are required to assess the accuracy of CESM in unselected cases. (C) 2016 Elsevier Ltd. All rights reserved.

引用

页码：13 / 19

页数：7

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