Abstract
Differentiating radiation necrosis from glioma recurrence remains a great challenge. Several advanced imaging modalities have been developed to differentiate between these two entities with disparate outcomes. We conducted a meta-analysis to evaluate the diagnostic quality of diffusion MRI in differentiating glioma recurrence from radiation necrosis. PubMed, Embase and Chinese Biomedical databases were systematically searched to identify published articles about evaluation of diffusion MRI for the differential diagnosis of glioma recurrence from radiation necrosis. Pooled sensitivity (SEN), specificity (SPE), negative likelihood ratio (NLR), positive likelihood ratio (PLR), and diagnostic odds ratio (DOR) were calculated. Nine studies involving 284 patients (288 lesions) met all inclusion and exclusion criteria. Quantitative synthesis of studies showed that the pooled weighted values were determined to be SEN: 0.82 (95% CI: 0.75, 0.87); SPE: 0.84 (95% CI: 0.76, 0.91); PLR: 5.10 (95% CI: 3.27, 7.95); NLR: 0.21 (95% CI: 0.15, 0.29); and DOR: 23.90 (95% CI: 12.44, 45.89). This meta-analysis shows that diffusion MRI has moderate diagnostic performance in differentiating glioma recurrence from radiation necrosis using quantitative A...Continue Reading
References
Sep 24, 1999·JAMA : the Journal of the American Medical Association·J G LijmerP M Bossuyt
Feb 22, 2003·European Journal of Radiology·Roland Bammer
Sep 6, 2003·BMJ : British Medical Journal·Julian P T HigginsDouglas G Altman
Nov 15, 2003·Journal of Clinical Epidemiology·Afina S GlasPatrick M M Bossuyt
Aug 9, 2005·Journal of Clinical Epidemiology·Jonathan J DeeksLes Irwig
Feb 10, 2007·International Journal of Radiation Oncology, Biology, Physics·Qing-Shi ZengDe-Chao Feng
May 3, 2008·The Lancet Oncology·Dieta BrandsmaMartin J van den Bent
Oct 17, 2009·Neuroradiology·Eiji MatsusueKenneth R Maravilla
Jun 24, 2010·Neuroradiology·Jun-Ling XuDa-peng Shi
Mar 2, 2011·Seminars in Radiation Oncology·Elizabeth R Gerstner, A Gregory Sorensen
Oct 19, 2011·Annals of Internal Medicine·Penny F WhitingUNKNOWN QUADAS-2 Group
Feb 11, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·I Caroline, M A Rosenthal
Nov 6, 2012·AJNR. American Journal of Neuroradiology·T NihashiT Terasawa
Jun 25, 2013·International Journal of Radiation Oncology, Biology, Physics·Samuel T ChaoJohn H Suh
Jan 11, 2014·La Radiologia medica·Alfonso Di CostanzoGioacchino Tedeschi
May 23, 2014·Magnetic Resonance Imaging·George A AlexiouMaria I Argyropoulou
Dec 3, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Hui ZhangBai-nan Xu
Dec 3, 2014·European Journal of Radiology·Hui ZhangBai-Nan Xu
Citations
Oct 7, 2015·PloS One·Xiaoyu JiangJoel R Garbow
May 8, 2018·Journal of Magnetic Resonance Imaging : JMRI·Stefanie C ThustMarion Smits
Dec 9, 2017·AJNR. American Journal of Neuroradiology·N ZakhariT B Nguyen
May 23, 2020·Cancer Management and Research·Xin-Yi GaoYan-Ping Yu
Jun 17, 2019·European Journal of Nuclear Medicine and Molecular Imaging·Jan-Michael WernerNorbert Galldiks
Aug 13, 2020·International Journal of Molecular Sciences·Silvia ValtortaRosa Maria Moresco
Nov 18, 2016·Iranian Journal of Radiology : a Quarterly Journal Published by the Iranian Radiological Society·Mahsa Raisi-NafchiJalal Jalal-Shokouhi
Mar 15, 2018·European Radiology·S C ThustM Smits
Jun 6, 2020·Medicine·Yang YuDan Tong
Feb 5, 2021·Scientific Reports·Yae Won ParkSeung-Koo Lee
Oct 17, 2020·AJNR. American Journal of Neuroradiology·P Alcaide-LeonJ E Villanueva-Meyer
Feb 19, 2021·Current Oncology Reports·Wynton B OvercastMichael C Veronesi
Nov 4, 2021·Expert Review of Anticancer Therapy·Xiaoli DuWenbo Li