Diagnostic Performance of Noninvasive Imaging Using Computed Tomography, Magnetic Resonance Imaging, and Positron Emission Tomography for the Detection of Ovarian Cancer: a Meta-analysis

作者：Xiaoxiao Li, Luqin Wang, Pengfei Guo, Qiangkun Sun, Yating Zhang, Cheng Chen, Yulong Zhang · 发表于：Research Square · 年份：2022 · DOI：10.21203/rs.3.rs-1904418/v1 · 被引用次数：1 · 研究领域：Ovarian cancer diagnosis and treatment、Radiomics and Machine Learning in Medical Imaging、Ultrasound and Hyperthermia Applications

Abstract Objective The aim of this meta-analysis was to compare the diagnostic value of noninvasive imaging methods computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) in the detection of ovarian cancer (OC). Methods PubMed, Embase, and Ovid were comprehensively searched from the date of inception to 31st, March, 2022. Pooled sensitivity, specificity, positive likelihood ratio (+ LR), negative likelihood ratio (- LR), diagnostic odds ratio (DOR), and area under the curve (AUC) of summary receiver operating characteristic (SROC) with their respective 95% confidence intervals (CIs) were calculated. Results Sixty-one articles including 4284 patients met the inclusion criteria of this study. Pooled estimates of sensitivity, specificity, and AUC of SROC with respective 95% CIs of CT on patient level were 0.83 (0.73, 0.90), 0.69 (0.54, 0.81), and 0.84 (0.80, 0.87). The overall sensitivity, specificity, SROC value with respective 95% CIs of MRI were 0.95 (0.91, 0.97), 0.81 (0.76, 0.85), and 0.90 (0.87, 0.92) on patient level. Pooled estimates of sensitivity, specificity, SROC value of PET/CT on patient level were 0.92 (0.88, 0.94), 0.88 (0.83, 0.92), and 0.96 (0.94, 0.97). Conclusion Noninvasive imaging modalities including CT, MRI, PET (PET/CT, PET/MRI) yielded favorable diagnostic performance in the detection of OC. Hybrid implement of different tools (PET/CT or PET/MRI) is more accurate for identifying metastatic and recurrent OC.