Diagnostic performance of apparent diffusion coefficient (ADC) for differentiating endometrial carcinoma from benign les
- PDF / 1,662,533 Bytes
- 14 Pages / 595.276 x 790.866 pts Page_size
- 71 Downloads / 183 Views
REVIEW
Diagnostic performance of apparent diffusion coefficient (ADC) for differentiating endometrial carcinoma from benign lesions: a systematic review and meta‑analysis Yashar Moharamzad1 · Amir H. Davarpanah2 · Ali Yaghobi Joybari1 · Fatemeh Shahbazi1 · Leila Esmaeilian Toosi3 · Melika Kooshkiforooshani3 · Ali Ansari4 · Morteza Sanei Taheri1,5 Received: 21 June 2020 / Revised: 20 August 2020 / Accepted: 30 August 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract To determine the diagnostic performance of mean ADC values in the characterization of endometrial carcinoma (EC) from benign lesions by systematic review of the literature and performing meta-analysis. A systematic search of major electronic bibliographic databases was performed to find studies that used ADC values for differentiating EC from benign lesions. Two reviewers independently screened the titles and abstracts of the search results and then by reading the full texts selected the pertinent studies for final analyses. A bivariate random-effects model with pooled sensitivity and specificity values with 95% CI (confidence interval) was used. Summary receiver operating characteristic (SROC) curve and area under curve (AUC) were created. Between-study heterogeneity was measured using I squared (I2) index. Eleven studies including 269 ECs and 208 benign lesions were analyzed. Pooled average (95% CI) ADC in EC and benign lesions groups were, respectively, 0.82 (0.77–0.87) × 10–3 mm2/s and 1.41 (1.29–1.52) × 10–3 mm2/s. The combined (95% CI) sensitivity and specificity of mean ADC values for differentiating EC from benign lesions were 93% (87–96%; I2 = 41.19%) and 94% (88–97%; I2 = 46.91%), respectively. The AUC (95% CI) of the SROC curve was 98% (96–99%). ADC values had good diagnostic accuracy for differentiating EC from benign lesions. In order to recommend ADC measurement for detecting endometrial lesions in routine clinical practice, more primary studies, especially trials and comparative studies including hysteroscopically-guided biopsy method, with larger sample sizes are still required. Keywords Endometrial neoplasms · Diffusion magnetic resonance imaging · Meta-analysis · Sensitivity and specificity
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00261-020-02734-w) contains supplementary material, which is available to authorized users. * Morteza Sanei Taheri [email protected] 1
School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2
Department of Radiology and Imaging Sciences, Emory University Hospital, Emory University School of Medicine, Atlanta, GA 30322, USA
3
School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4
Department of Mathematics, K. N. Toosi University of Technology, Tehran, Iran
5
Department of Radiology, Shohada Hospital, Tajrish Sq., 1445613131 Tehran, Iran
Abbreviations ADC Apparent diffusion coefficient DW-MRI Diffusion-weighted MRI EC Endometrial carcinoma SROC S
Data Loading...
