Objective: The aim of the current study was to methodically analyze the application value of shear-wave elastosonography (SWE) for diagnosis of prostatic cancer (PCa) via meta-analysis. Methods: Relevant studies concerning diagnosis of PCa using SWE, published before October 31, 2018, in China and other countries, were collected. These studies were filtered and estimated in terms of diagnostic criteria. Selected references were handled using Meta-disc 1.4, Revman 5.3, and Stata 14.0. Results: A total of 16 studies were finally included. After meta-analysis, the following values were drawn: PSNE = 0.84 [95% CI (0.76, 0.89)], PSPE = 0.85 [95% CI (0.78, 0.90)], PLR = 5.7 [95% CI (3.6, 8.9)], NLR = 0.19 [95% CI (0.12, 0.30)], DOR = 27.69 [95% CI (11.71, 65.48)], and AUC = 0.91 [95% CI (0.88, 0.93)]. Next, meta regression was analyzed, exploring heterogeneity. The number of ROIs in per-core and levels of research were significant factors affecting heterogeneity (p < 0.01 and p = 0.04, respectively). Conclusion: SWE exhibited a favorable diagnostic value for detection of PCa. However, no clear inference could be made concerning cut-off values due to inescapable heterogeneity. In future investigations, specific recommendations regarding experimental design, especially included and excluded covariates, should be considered.
第一作者单位:[1]Shihezi Univ, Med Coll, Affiliated Hosp 1, Dept Ultrasound, North 2 Rd, Shihezi 832008, Xinjiang, Peoples R China
通讯作者:
通讯机构:[4]Shihezi Univ, Med Coll, Dept Publ Hlth, Shihezi 832003, Xinjiang, Peoples R China[*1]Shihezi Univ, Med Coll, Dept Publ Hlth, North 2 Rd, Shihezi 832000, Xinjiang, Peoples R China
推荐引用方式(GB/T 7714):
Chen Ming,Cao Chun-Li,Cui Xin-Wu,et al.Shear-wave elastosonography for diagnosis of prostatic cancer: a meta-analysis[J].INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE.2019,12(8):9533-9547.
APA:
Chen, Ming,Cao, Chun-Li,Cui, Xin-Wu,Huang, Shu-Yan,Wang, Jia-Jia...&Li, Shu-Gang.(2019).Shear-wave elastosonography for diagnosis of prostatic cancer: a meta-analysis.INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,12,(8)
MLA:
Chen, Ming,et al."Shear-wave elastosonography for diagnosis of prostatic cancer: a meta-analysis".INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE 12..8(2019):9533-9547