CTPETPETCT对肿瘤腹膜转移诊断价值的Meta分析.pdfVIP

中国医学影像技术2010 年第 26 卷第 1 期　Chin J Med Imaging Technol ,2010 ,Vol 26 ,No 1 ·99 · 腹部影像学 CT, PET and PET/ CT in diagnosing of peritoneal metastases : Meta analysis W A N G Yuchun , L I U X iaosheng , X U J ianrong ( Department of R adiolog y , Renj i Hos pital , S hanghai J iao Tong Universit y ) School of Medicine , S hanghai 200001 , China [ Abstract] 　Objective 　To assess the value of CT , PET , PET/ CT in diagnosis of peritoneal metastases with Meta analysis. Methods 　Articles of CT , PET or PET/ CT on peritoneal metastases published in English or Chinese from Jan 2000 to May 2008 were collected , and histopathological and (or) surgical findings were taken as golden standards. The sensitivity , speci ficity , summary receiver operating characteristic ( SROC) curves , area under the curve ( AUC) and the heterogeneity were calculated with software of SAS 80 , MetaDiSc 14 and STA TA 100 Results 　The results of Meta analysis from 11selected articals showed that PET had the highest pooled specificity [096 , (091 —098) ] ; PET/ CT had highest pooled sensitivity [077 , (067 —085) ]. The AUC and Q of PET , PET/ CT and CT was (092 , 0 85) , (099 , 096) , (091 , 0 84) , respectively. AUC of PET/ CT was higher than that of CT ( Z = 233 , P 005) . Conclusion 　PET/ CT is a high ac curacy diagnostic tool for detecting peritoneal metastases.