Open AccessClinical utility of contrast‐enhanced ultrasonography in the diagnosis of benign and malignant small renal masses among Asian population
Author(s) -
Shen Lin,
Li Yanyan,
Li Na,
Zhao Yajie,
Zhou Qin,
Li Zhanzhan
Publication year - 2019
Publication title -
cancer medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.403
H-Index - 53
ISSN - 2045-7634
DOI - 10.1002/cam4.2635
Subject(s) - diagnostic odds ratio , medicine , odds ratio , confidence interval , likelihood ratios in diagnostic testing , funnel plot , meta analysis , publication bias , subgroup analysis , area under the curve , population , gastroenterology , radiology , environmental health
We assessed the clinical utility of contrast‐enhanced ultrasonography (CEUS) in the diagnosis of benign and malignant small renal masses using a meta‐analysis of diagnostic test. We performed a comprehensive online search in the following database including PubMed, Embase, Web of Science, Wanfang, and Chinese National Knowledge Infrastructure from the inception to August 25, 2019. the following index were calculated for assessing the diagnostic ability, including sensitivity, specificity, diagnostic odds ratio (DOR), negative likelihood ratio (NLR), positive likelihood ratio (PLR), area under the curve (AUC) with 95% confidence intervals (CIs). Seventeen studies were included in the qualitative and quantitative analyses. The overall sensitivity was 0.93 with 95% CI of 0.88‐0.95. The specificity was 0.71 and the 95% CI was 0.60‐0.80. The pooled AUC was 0.91 (95% CI: 0.88‐0.93). The diagnostic odds ratio was 31 (95% CI: 21‐45). The NLR and PLR were 0.10 (95% CI: 0.07‐0.15) and 3.2(95% CI: 2.3‐4.4), respectively. There is a slight heterogeneity within studies. The subgroup analysis was also performed. For retrospective and perspective, the sensitivity and specificity were 0.93, 0.92 and 0.71, 0.73; For different diameter lesions, the sensitivity and specificity were 0.93, 0.94 and 0.64, 0.74; For sample size (≤median vs. >median), the sensitivity and specificity were 0.94, 0.93 and 0.67, 0.77. The Deek's funnel plot asymmetry test in indicated no publication bias. The CEUS have a high diagnostic ability in differentiating benign and malignant small renal masses among Asian population.