中国现代医学杂志2016，Vol.26Issue(5)：63-70,8.DOI:10.3969/j.issn.1005-8982.2016.05.013
64排螺旋CT冠状动脉成像评价冠状动脉狭窄准确性的Meta分析
Accuracy of 64-row coronary computed tomography angiography for diagnosis of coronary artery stenosis：meta-analysis
贺丽英 1潘克梫 1刘桂梅 1孙蕴 1要文娟1
作者信息
- 1. 清华大学医院 放射科，北京 100084
- 折叠
摘要
Abstract
Objective To assess the overall value of 64-row coronary computed tomography angiography (64-row CCTA) in diagnosis of coronary artery stenosis with invasive coronary angiography (ICA) as the gold standard. Methods A search in Cochrane Library, OVID, PubMed and CNKI was performed to identify relevant English and Chinese language articles. Criteria for inclusion were established based on validity criteria for diagnostic research published by the Cochrane Methods Group on Screening and Diagnostic Tests. Subsequently, the characteristics of the included articles were appraised and extracted. Statistical analysis was performed employing RevMan 5.3, Meta-Disc 1.4. Heterogeneity of the included articles was tested, which was used to select proper effect model. Pooled weighted sensitivity and specificity were calculated. Summary Receiver Operating Characteristic (SROC) curve was drawn and the area under the curve (AUC) was calculated. Results Of the 479 retrieved articles, 69 were included. The pooled weighted sensitivity and specificity with 95% confidence interval (95% CI) were 0.92 (0.91-0.92) and 0.95 (0.95-0.96), respectively. The area under the SROC curve was 98.60%. Conclusions 64-row CCTA has a highly accurate sensitivity and specificity with a strong ROC curve making it an alternative non-invasive method in the diagnosis of coronary artery stenosis.关键词
冠状动脉狭窄/冠状动脉血管造影术/体层摄影术/X线计算机/Meta分析Key words
coronary stenosis/coronary angiography/tomography/X-ray computed/meta-analysis分类
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贺丽英,潘克梫,刘桂梅,孙蕴,要文娟..64排螺旋CT冠状动脉成像评价冠状动脉狭窄准确性的Meta分析[J].中国现代医学杂志,2016,26(5):63-70,8.
