兰州大学学报（医学版）2025，Vol.51Issue(2)：37-48,12.DOI:10.13885/j.issn.1000-2812.2025.02.006
磁共振成像在宫颈癌分期中诊断准确性的系统评价再评价
An overview of systematic reviews of the diagnostic accuracy of magnetic resonance imaging in the staging of cervical cancer
摘要
Abstract
Objective To systematically evaluate the accuracy of magnetic resonance imaging(MRI)in the staging diagnosis of cervical cancer,and analyse the methodological quality,reporting quality and evidence quality of the related systematic reviews/Meta-analyses,aiming at assessing the diagnostic value of MRI and providing a scientific basis for the rational application of MRI in clinical practice.Methods We searched the China National Knowledge Infrastructure,Wanfang Data Knowledge Service Platform,Chinese Biomedical Literature Database,Pubmed,Embase,Web of Science and Cochrane Library databases,and collected system-atic reviews/Meta-analyses up to May 20,2024 on the diagnostic accuracy of MRI in cervical cancer staging.Two researchers independently completed literature screening and data extraction.We assessed the method-ological quality,reporting quality and evidence quality of the included literature using the ROBIS tool,PRIS-MA reporting specifications and the GRADE system.Results A total of 20 systematic evaluations/Meta-analy-ses were included with a generally low methodological quality,quality of reporting,and quality of evidence grading.Positron emission tomography/computed tomography and diffusion-weighted imaging outperformed MRI in the diagnosis of lymph node metastasis in cervical cancer,while MRI showed high diagnostic accura-cy in paracervical infiltration,bladder invasion,rectal invasion,and endometrial invasion.Conclusion MRI shows high value in the diagnosis of the staging of cervical cancer,but the currently included literature needs improvement in terms of methodological,reporting quality and quality level of evidence.Therefore,more high-quality systematic reviews/Meta-analyses are needed in the future to further validate the diagnostic effi-cacy of MRI.关键词
磁共振成像/宫颈癌分期/诊断/敏感度/特异度/系统评价再评价Key words
magnetic resonance imaging/cervical cancer staging/diagnosis/sensitivity/specificity/overview of systematic reviews分类
临床医学引用本文复制引用
张玫,李腾飞,田金徽,郑卿勇,许建国,崔雅婷..磁共振成像在宫颈癌分期中诊断准确性的系统评价再评价[J].兰州大学学报（医学版）,2025,51(2):37-48,12.基金项目
甘肃省卫生行业科研计划项目(GSWSKY2017-38) （GSWSKY2017-38）
