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Diagnosis of residual and recurrent cancer after TACE of hepatocellular carcinoma by contrast MRI: a Meta analysis |
CIDAN Wang-jiu, LU Zai-ming, LIN Kun, WANG Xiao-ming |
Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China |
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Abstract Objective: To evaluate the value of contrast MRI in the detection of residual and recurrent cancer after percutaneous transarterial chemoembolization(TACE) with Meta-analysis methods. Methods: Relevant about Chinese and English studies on diagnosis of residual and recurrent cancer by contrast MRI after TACE in Cochrane liabrary, Pubmed, Embase, Springer, CNKI, Wanfang DATA, CBM were searched. Through the test for heterogeneity, statistical analysis software was utilized to calculate the comprehensive sensitivity, specificity and diagnostic odds ratio. Result: Three English articles and three Chinese articles were enrolled in this study, with a total of 315 lesions included. There was no heterogeneity between each study and fixed effects model was adopted, with combined sensitivity, specificity, DOR 92%(95%CI: 88%~96%), 98%(95%CI: 95%~100%), 307.13(95%CI: 90.31~1 044.54) comparatively. SROC AUC was 0.984 5, Q index was 0.946 0. Conclusion: Sensitivity and specificity of contrast MR in the diagnosis of residual and recurrent cancer after TACE for liver cancer are high.
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Received: 10 February 2014
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