桃体不对称和恶性病:对诊断准确性的元分析
Esther Yanxin Gao1,2, Alicia Su Yun See2,3, Benjamin Kye Jyn Tan1,2
1Department of Otorhinolaryngology-Head & Neck Surgery, Singapore General Hospital, Singapore.
桃体不对称性显示高特异性 (96.4%),但适度敏感性 (77.2%) 检测桃体恶性瘤. 如果没有其他临床症状,恶性瘤的概率非常低 (<1%).
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 在瘤学瘤学.
- 诊断的准确性 诊断的准确性
背景情况:
- 桃体恶性瘤是一种严重的疾病.
- 早期和准确的诊断对于有效的治疗至关重要.
- 桃体不对称是潜在的临床症状,需要进行调查.
研究的目的:
- 评估桃体不对称性在识别桃体恶性瘤的诊断效用.
- 量化桃体不对称的灵敏度,特异性和预测值.
主要方法:
- 观察性研究的系统审查和元分析.
- 在PubMed,Embase,Scopus和Cochrane图书馆进行了搜索.
- 包括报告桃体不对称的诊断准确性结果的研究.
主要成果:
- 包括29项研究,5178名参与者;整体证据质量很高.
- 敏感度: 77.2%,特异性: 96.4%. 它们具有非常高的灵敏度.
- 积极的概率比 (LR+):21.44,负的概率比 (LR-):0.24.
- 积极预测值 (PPV) 根据临床背景显著变化 (0.16%没有高风险特征,38.5%有淋巴腺病).
结论:
- 桃体不对称是桃体恶性瘤的特定指标,但具有中度敏感性.
- 在没有其他可疑的临床特征的情况下,仅桃体不对称就表明恶性瘤的可能性非常低 (<1%).
更多相关视频
06:26Meta-analysis of Voxel-Based Neuroimaging Studies using Seed-based d Mapping with Permutation of Subject Images SDM-PSI
Published on: November 27, 2019
04:34Meta-Analysis of the Effectiveness and Safety of Shugan Jieyu Capsules for the Treatment of Insomnia
Published on: February 17, 2023
相关概念视频
Improving Translational Accuracy
Improving Translational Accuracy
Membrane Asymmetry Regulating Transporters
Flippase
Eukaryotic flippases are type-IV P-type ATPases or P4-ATPases belonging to P-type ATPase family proteins that are membrane-bound pumps involved in the ATP-mediated transport of ions and molecules across the membrane. Flippases flip specific phospholipids from the outer to the inner leaflet of a membrane. All P4-ATPases have one...
Uncertainty in Measurement: Accuracy and Precision
Accuracy and Precision
Directing Effect of Substituents: meta-Directing Groups
