Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/34567
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    標題: Preoperative Apparent Diffusion Coefficient Values for Differentiation between Low and High Grade Meningiomas: An Updated Systematic Review and Meta-Analysis
    作者: Tsai, Yueh-Ting
    Hung, Kuo-Chuan
    Shih, Yun-Ju
    Lim, Sher-Wei
    Yang, Cheng-Chun
    Kuo, Yu-Ting
    Chen, Jeon-Hor
    Ko, Ching-Chung
    貢獻者: Chi Mei Hospital
    Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy & Science
    Kaohsiung Medical University
    Kaohsiung Medical University Hospital
    University of California System
    University of California Irvine
    I Shou University
    E-Da Hospital
    Department of Health and Nutrition, Chia Nan University of Pharmacy & Science
    National Sun Yat Sen University
    關鍵字: atypical meningiomas
    histological-subtypes
    malignant meningiomas
    brain-tumors
    mri
    benign
    classification
    index
    日期: 2022
    上傳時間: 2023-12-11 13:58:15 (UTC+8)
    出版者: MDPI
    摘要: The meta-analysis aimed to compare the preoperative apparent diffusion coefficient (ADC) values between low-grade meningiomas (LGMs) and high-grade meningiomas (HGMs). Medline, Cochrane, Scopus, and Embase databases were screened up to January 2022 for studies investigating the ADC values of meningiomas. The study endpoint was the reported ADC values for LGMs and HGMs. Further subgroup analyses between 1.5T and 3T MRI scanners, ADC threshold values, ADC in different histological LGMs, and correlation coefficients (r) between ADC and Ki-67 were also performed. The quality of studies was evaluated by the quality assessment of diagnostic accuracy studies (QUADAS-2). A chi 2-based test of homogeneity was performed using Cochran's Q statistic and inconsistency index (I-2). Twenty-five studies with a total of 1552 meningiomas (1102 LGMs and 450 HGMs) were included. The mean ADC values (x10(-3) mm(2)/s) were 0.92 and 0.79 for LGMs and HGMs, respectively. Compared with LGMs, significantly lower mean ADC values for HGMs were observed with a pooled difference of 0.13 (p < 0.00001). The results were consistent in both 1.5T and 3T MRI scanners. For ADC threshold values, pooled sensitivity of 69%, specificity of 82%, and AUC of 0.84 are obtained for differentiation between LGMs and HGMs. The mean ADC (x10(-3) mm(2)/s) in different histological LGMs ranged from 0.87 to 1.22. Correlation coefficients (r) of mean ADC and Ki-67 ranged from -0.29 to -0.61. Preoperative ADC values are a useful tool for differentiating between LGMs and HGMs. Results of this study provide valuable information for planning treatments in meningiomas.
    關聯: DIAGNOSTICS, v.12, n.3, pp.630
    顯示於類別:[醫務管理系(所)] 期刊論文
    [保健營養系(所) ] 期刊論文

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