用图像指导的穿刺用于区分恶性和良性腹病变:系统性审查和元分析
Yi-Lin Hou1, Jia-Yue Sun1, Xue-Mei Wang1
1Department of Ultrasound, The First Hospital of China Medical University, Shenyang City, China.
European radiology
|November 20, 2025
概括
图像引导穿刺为诊断腹病变提供了一种安全和最少的侵入性方法. 这种技术在区分恶性和良性疾病方面表现出很高的准确性,作为侵入性活检的可靠替代品.
科学领域:
- 医疗成像医学成像
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 诊断腹病变是具有挑战性的,因为复杂性和传统方法的侵入性,如诊断性腹腔镜.
- 常规成像检查经常显示重叠的特征,使腹病变的准确诊断复杂化.
- 对腹病变需要准确的,最少侵入性的诊断工具.
研究的目的:
- 为了评估图像引导穿刺在区分恶性和良性腹病变的诊断性能.
- 为了比较图像引导穿刺的准确性与已建立的参考标准,如术后病理学和诊断性腹腔镜.
主要方法:
- 在主要的医学数据库 (PubMed,Embase,科学网,Cochrane图书馆,Ovid) 中进行了全面的文献搜索.
- 诊断准确性是通过计算聚合的灵敏度,特异性,诊断几率比 (DOR) 和曲线下的面积 (AUC) 来评估的.
- 根据成像方式,穿孔技术和研究质量 (QUADAS-2) 进行了子组分析.
主要成果:
- 分析了15项研究,包括1208名患者和1165名腹病变.
- 图像指导穿刺显示高聚合灵敏度 (93%) 和特异性 (95%) 区分恶性和良性腹病变.
- 综合诊断几率比 (DOR) 为149.02,曲线下的面积 (AUC) 为0.97,表明了出色的诊断性能.
结论:
- 图像引导穿刺是一种微创和安全的技术,对于腹病变具有高的诊断准确性.
- 在各种成像方式,穿孔方法和病变类型中,诊断疗效是一致的.
- 这种方法为诊断腹腔镜诊断腹膜病变提供了一种可靠且不那么侵入性的替代方案.
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