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18F-FDOPA与18F-FDG PET/CT诊断脑肿瘤的系统评价

黄世明 罗燕薇 李彦峰 杨洋 岳建兰 林志春

武警医学2017,Vol.28Issue(6):573-577,5.
武警医学2017,Vol.28Issue(6):573-577,5.

18F-FDOPA与18F-FDG PET/CT诊断脑肿瘤的系统评价

A systematic comparison of 18F-FDOPA PET/CT with 18F-FDG PET/CT for diagnosis of brain tumors

黄世明 1罗燕薇 2李彦峰 2杨洋 3岳建兰 1林志春1

作者信息

  • 1. 300162 天津,武警后勤学院附属医院核医学科
  • 2. 300162,天津市心血管重塑与靶器官损伤重点实验室
  • 3. 121000,锦州医科大学武警后勤学院附属医院研究生培养基地
  • 折叠

摘要

Abstract

Objective To compare the diagnostic value of 18 F-FDOPA and 18 F-FDG PET/CT scan in patients with brain tumors by Meta analysis.Methods Data on diagnostic experiments related to the diagnostic value of ~ F-FDOPA and 18 F-FDG PET/CT scan for brain tumors was retrieved from CNKI,CSJD,WanFang Database,CBM,PubMed,Embase,Cochrane Library by October 2016.The diagnostic value of 18 F-FDOPA and 18F-FDG PET/CT scan for brain tumors was compared.Meta-DiSc 1.4 software was used to analyze the pooled sensitivity (SEN),specificity (SPE),positive likelihood ratio (+ LR),negative likelihood ratio (-LR),diagnostic odds ratio (DOR) under curve (AUC) the two different imaging agents.Results A total of four studies met the inclusion criteria.According to the results of 18F-FDOPA in diagnosis of brain tumors,the pooled SEN was 0.97(95% CI =0.90-1.00),SPE 0.67(95% CI =0.45-0.84),2.31(95%CI=1.40-3.81),0.07(95%CI=0.02-0.24),DOR 39.72(95%CI =8.94-176.48),SROC AUC 0.9725,and Q * value.According to the diagnostic results of 18F-FD,the pooled SEN was 0.51 (95% CI =0.39-0.63),0.75 (95% CI =0.53-0.90),2.31 (95% CI =0.70-3.61),0.07(95% CI =0.47-0.86),DOR 2.55(95% CI =0.82-7.92),SROC AUC 0.5848,and Q* value was 0.5638.Conclusions 18F-FDOPA PET/CT imaging is more sensitive than 18F-FDG in the diagnosis of brain tumors.18F-FDO-PA is of high diagnostic value for brain tumors and can be used as a reliable diagnostic method of brain tumors.

关键词

脑肿瘤/PET/CT/18F-FDOPA/18F-FDG

Key words

brain tumor/PET/CT/18F-FDOPA/18F-FDG

分类

特种医学

引用本文复制引用

黄世明,罗燕薇,李彦峰,杨洋,岳建兰,林志春..18F-FDOPA与18F-FDG PET/CT诊断脑肿瘤的系统评价[J].武警医学,2017,28(6):573-577,5.

基金项目

天津市自然科学基金(13JCYBJC22000) (13JCYBJC22000)

武警后勤学院附属医院种子基金(FYQ201601) (FYQ201601)

武警医学

OACSTPCD

1004-3594

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