Diagnostic value of 3D time-of-flight MRA in trigeminal neuralgia

被引：13
作者：
Cai, Jing [2 ]
Xin, Zhen-Xue [3 ]
Zhang, Yu-Qiang [4 ]
Sun, Jie [5 ]
Lu, Ji-Liang [6 ]
Xie, Feng [1 ]
机构：
[1] LanLing Peoples Hosp, Dept Neurosurg, Lanling 277700, Peoples R China
[2] LinYi Peoples Hosp, Dept Neurosurg, Linyi, Peoples R China
[3] Second Peoples Hosp Liaocheng City, Dept Neurosurg, Liaocheng, Peoples R China
[4] Linzi Dist Peoples Hosp Zibo City, Dept Neurosurg, Zibo, Peoples R China
[5] Penglai Tradit Chinese Med Hosp, Dept Neurosurg, Penglai, Peoples R China
[6] Yiyuan Peoples Hosp, Dept Radiol, Yiyuan, Peoples R China
来源：
JOURNAL OF CLINICAL NEUROSCIENCE | 2015年 / 22卷 / 08期
关键词：
3D time-of-flight MRA; Diagnostic value; Neuroimaging technique; Neurovascular compression; Trigeminal neuralgia; MAGNETIC-RESONANCE ANGIOGRAPHY; CHARACTERISTIC ROC CURVE; NEUROVASCULAR COMPRESSION; MICROVASCULAR DECOMPRESSION; SURGICAL FINDINGS; CONSECUTIVE PATIENTS; 3.0; T; RADIOSURGERY; INTENSITY; SIGNAL;
D O I：
10.1016/j.jocn.2015.02.023
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
The aim of this meta-analysis was to evaluate the diagnostic value of 3D time-of-flight magnetic resonance angiography (3D-TOF-MRA) in trigeminal neuralgia (TN). Relevant studies were identified by computerized database searches supplemented by manual search strategies. The studies were included in accordance with stringent inclusion and exclusion criteria. Following a multistep screening process, high quality studies related to the diagnostic value of 3D-TOF-MRA in TN were selected for meta-analysis. Statistical analyses were conducted using Statistical Analysis Software (version 8.2; SAS Institute, Cary, NC, USA) and Meta Disc (version 1.4; Unit of Clinical Biostatistics, Ramon y Cajal Hospital, Madrid, Spain). For the present meta-analysis, we initially retrieved 95 studies from database searches. A total of 13 studies were eventually enrolled containing a combined total of 1084 TN patients. The meta-analysis results demonstrated that the sensitivity and specificity of the diagnostic value of 3D-TOF-MRA in TN were 95% (95% confidence interval [CI] 0.93-0.96) and 77% (95% CI 0.66-0.86), respectively. The pooled positive likelihood ratio and negative likelihood ratio were 2.72 (95% CI 1.81-4.09) and 0.08 (95% CI 0.06-0.12), respectively. The pooled diagnostic odds ratio of 3D-TOF-MRA in TN was 52.92 (95% CI 26.39-106.11), and the corresponding area under the curve in the summary receiver operating characteristic curve based on the 3D-TOF-MRA diagnostic image of observers was 0.9695 (standard error 0.0165). Our results suggest that 3D-TOF-MRA has excellent sensitivity and specificity as a diagnostic tool for TN, and that it can accurately identify neurovascular compression in TN patients. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码：1343 / 1348
页数：6
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