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• Clinical Article •
Comparison between values of multiparametric magnetic resonance imaging and ultrasonic elastography in diagnosis of prostate cancer: A meta-analysis
HE Shuang  FENG Qing  ZHANG Yajuan  ZHANG Liqiang  WEN Ming 

Cite this article as: He S, Feng Q, Zhang YJ, et al. Comparison between values of multiparametric magnetic resonance imaging and ultrasonic elastography in diagnosis of prostate cancer: A meta-analysis. Chin J Magn Reson Imaging, 2019, 10(8): 594-599. DOI:10.12015/issn.1674-8034.2019.08.007.


[Abstract] Objective: To compare the diagnostic value of multi-parametric magnetic resonance imaging (mp-MRI) and ultrasound elastography in prostate cancer by Meta analysis.Materials and Methods: To retrieve Pubmed, EMBASE, OVID, CNKI, CBM, Wanfang and VPCS databases, search of multi-parameter MRI and ultrasound elastography in the diagnosis of prostate cancer in both Chinese and English texts, the retrieval time from January 2013 to September 2013, extract relevant clinical data, using Stata12.0 and Meta-DiSc1.4 software for data analysis. The pooled sensitivity (Senpool), specificity (Spepool), positive likelihood ratio (+LRpool), negative likelihood ratio (-LRpool) and diagnostic ratio (DORpool) were respectively calculated, the receiver operating characteristic curves (ROC) of the subjects was plotted and the area under the curve (AUC) was calculated, then the summary receiver operating characteristic (SROC) curve of the two groups was drawn to visually compare the differences in diagnostic efficacy between the two groups.Results: A total of 25 studies, including 4886 patients. Meta analysis results showed that mp-MRI diagnostic Senpool=0.84[95%CI (0.77,0.89)], Spepool=0.76[95%CI (0.67,0.83)], +LRpool=3.52[95%CI (2.49,4.96)], -LRpool=0.21 [95%CI (0.14,0.32)], DORpool=16.77[95%CI (8.78,32.01)]; Ultrasound elastography diagnostic Senpool=0.84[95%CI (0.79,0.88)], Spepool=0.72[95%CI (0.63,0.79)], +LRpool=3.00[95%CI (2.26,3.87)], -LRpool=0.22[95%CI (0.17,0.30)], DORpool=13.22[95%CI (8.40,20.79)]. The area under the ROC curve (AUC) of mp-MRI and ultrasound elastography in the diagnosis of prostate cancer was 0.87[95%CI (0.84, 0.90)] and 0.86[95%CI (0.83, 0.89)].Conclusions: Both mp-MRI and ultrasound elastography have high diagnostic efficiency in the diagnosis of prostate cancer and can be used as important examination methods to supplement each other.
[Keywords] magnetic resonance imaging；ultrasound elastography；prostatic neoplasms；meta analysis

HE Shuang Department of Radiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China

FENG Qing Department of Radiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China

ZHANG Yajuan Department of Radiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China

ZHANG Liqiang Department of Radiology, the People's Hospital of Leshan, Leshan 614000, China

WEN Ming* Department of Radiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China

*Correspondence to: Wen M, E-mail: liuyucun65@163.com

Conflicts of interest   None.

Received  2019-01-19
Accepted  2019-02-21
DOI: 10.12015/issn.1674-8034.2019.08.007
Cite this article as: He S, Feng Q, Zhang YJ, et al. Comparison between values of multiparametric magnetic resonance imaging and ultrasonic elastography in diagnosis of prostate cancer: A meta-analysis. Chin J Magn Reson Imaging, 2019, 10(8): 594-599. DOI:10.12015/issn.1674-8034.2019.08.007.

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