https://scholars.lib.ntu.edu.tw/handle/123456789/540960
標題: | Image-enhanced endoscopy for detection of second primary neoplasm in patients with esophageal and head and neck cancer: A systematic review and meta-analysis | 作者: | Chung C.-S. Lo W.-C. YI-CHIA LEE MING-SHIANG WU HSIU-PO WANG Liao L.-J. |
公開日期: | 2016 | 出版社: | John Wiley and Sons Inc. | 卷: | 38 | 起(迄)頁: | E2343-E2349 | 來源出版物: | Head and Neck | 摘要: | Image-enhanced endoscopy is helpful for screening of a second primary neoplasm in patients with esophageal and head and neck cancer. The purpose of this meta-analysis was to determine the diagnostic efficacy of white-light imaging (WLI), narrow band imaging (NBI), and Lugol chromoendoscopy for second primary neoplasm detection. A review of the PubMed/Cochrane databases up to May 2014 was performed. Meta-analysis was done by Meta-DiSc software and the Quality Assessment of Diagnostic Accuracy Studies-2 tool. A total of 4918 patients from 16 prospective and randomized trials were enrolled. For WLI, NBI, and Lugol chromoendoscopy, the pooled sensitivities were 53% (95% confidence interval [CI] = 48% to 59%), 87% (95% CI = 83% to 90%), and 88% (95% CI = 85% to 91%), respectively; the pooled specificities were 99% (95% CI = 98% to 99%), 95% (95% CI = 94% to 96%), and 63% (95% CI = 61% to 66%), respectively; and the areas under the receiver-operating characteristic (ROC) curve were 66%, 97%, and 82%, respectively. NBI endoscopy has the most highly accurate diagnostic performance for detection of second primary neoplasms in high-risk patients. ? 2015 Wiley Periodicals, Inc.. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84947998884&doi=10.1002%2fhed.24277&partnerID=40&md5=eb26ea13a9b95bddaed37a87c031a3f7 https://scholars.lib.ntu.edu.tw/handle/123456789/540960 |
ISSN: | 1043-3074 | DOI: | 10.1002/hed.24277 | SDG/關鍵字: | lugol; cancer diagnosis; chromoendoscopy; diagnostic accuracy; endoscopy; esophagus cancer; head and neck cancer; health care utilization; high risk patient; high risk population; human; image enhancement; meta analysis; narrow band imaging; priority journal; quality control; Review; second cancer; sensitivity and specificity; systematic review; white light endoscopy; diagnostic imaging; esophagus tumor; head and neck tumor; pathology; randomized controlled trial (topic); second cancer; Endoscopy; Esophageal Neoplasms; Head and Neck Neoplasms; Humans; Narrow Band Imaging; Neoplasms, Second Primary; Randomized Controlled Trials as Topic |
顯示於: | 醫學系 |
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