磁共振成像诊断肺栓塞价值的Meta分析_《中国循证医学杂志》

作者：

卢星如 ¹ , 张皓 ¹ , 王浩 ¹ ,  王刚 ¹ , 包海荣 ² , 王文辉 ³ , 郭奇宏 ¹

1. 兰州大学第一医院放射科（兰州 730000）；2. 兰州大学第一医院呼吸内科（兰州 730000）；3. 兰州大学第一医院介入医学科（兰州 730000）;

关键词：

磁共振成像肺栓塞 CT 肺血管造影 Meta分析系统评价诊断性试验

DOI：

10.7507/1672-2531.20130028

视频：

导出 下载 收藏 扫码 引用

摘要 全文 图表 视频 参考文献 施引文献 补充材料

目的　系统评价磁共振成像（MRI）诊断肺栓塞的价值，以期为临床决策提供依据。
方法　计算机检索PubMed、EMbase、Cochrane图书馆、CBM、CNKI和VIP等数据库，查找MRI与金标准（CT肺血管造影）比较诊断肺栓塞的诊断性试验，对纳入研究进行资料提取并应用QUADAS条目进行方法学质量评估后，采用Meta-Disc 1.4软件进行Meta分析，计算合并敏感度和特异度，并绘制汇总受试者工作特征曲线（SROC曲线）和计算曲线下面积，以评价MRI诊断肺栓塞的价值。
结果　共纳入6篇英文文献，595例患者。异质性检验结果显示各纳入研究结果间存在统计学异质性，采用随机效应模型进行Meta分析，结果显示其合并敏感度、特异度分别为0.87［95%CI（0.80，0.91）］和0.98［95%CI（0.96，0.99）］，SROC曲线下面积（AUC）为0.988 7。
结论　MRI是一种比较好的评价肺栓塞的无创性检查方法，有较高的敏感度和特异度，具有很好的临床应用价值。

引用本文： 卢星如,张皓,王浩,王刚,包海荣,王文辉,郭奇宏. 磁共振成像诊断肺栓塞价值的Meta分析. 中国循证医学杂志, 2013, 13(2): 160-164. doi: 10.7507/1672-2531.20130028 复制

1.	Stang P, Morris L, Kempf J, et al. The coprescription of contraindicated drugs with statins: continuing potential for increased risk of adverse events. Am J Ther, 2007, 14(1): 30-40.
2.	Cziraky MJ, Willey VJ, McKenney JM, et al. Statin safety: an assessment using an administrative claims database. American Journal of Cardiology, 2006, 97(8A): 61-68.
3.	Wittram C, Kalra MK, Maher MM, et al. Acute and chronic pulmonary emboli: angiography-CT correlation. AJR Am J Roentgenol, 2006, 186(6 Suppl 2): 421-429.
4.	Russo V, Piva T, Lovato L, et al. Multidetector CT: a new gold standard in the diagnosis of pulmonary embolism? State of the art and diagnostic algorithms. Radiol Med, 2005, 109(1-2): 49-61; quiz 62-63.
5.	Straus SE. Evidence-based medicine: how to practice and teach EBM.3rd ed. Edinburgh; New York: Elsevier/Churchill Livingstone, 2005.
6.	Whiting P, Rutjes AW, Reitsma JB, et al. The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodol, 2003, 3: 25-38.
7.	Zamora J, Abraira V, Muriel A, et al. Meta-DiSc: a software for meta-analysis of test accuracy data. BMC Med Res Methodol, 2006, 12: 6-31.
8.	Rajaram S, Swift AJ, Capener D, et al. Diagnostic accuracy of contrast-enhanced MR angiography and unenhanced proton MR imaging compared with CT pulmonary angiography in chronic thromboembolic pulmonary hypertension. European Radiology, 2012, 22(2): 310-317.
9.	Ishiyama M, Matsusako M, Oikado K, et al. Three-dimensional T2-weighted imaging using the dark blood method for detecting pulmonary embolisms: comparison with computed tomography angiography. Jpn J Radiol, 2011, 29(9): 667-672.
10.	Stein PD, Chenevert TL, Fowler SE, et al. Gadolinium-enhanced magnetic resonance angiography for pulmonary embolism: a multicenter prospective study (PIOPED III). Ann Intern Med, 2010, 152(7): 434-443, W142-143.
11.	Kluge A, Luboldt W, Bachmann G. Acute pulmonary embolism to the subsegmental level: diagnostic accuracy of three MRI techniques compared with 16-MDCT. AJR Am J Roentgenol, 2006, 187(1): 7-14.
12.	Pleszewski B, Chartrand-Lefebvre C, Qanadli SD, et al. Gadolinium-enhanced pulmonary magnetic resonance angiography in the diagnosis of acute pulmonary embolism: a prospective study on 48 patients. Clin Imaging, 2006, 30(3): 166-172.
13.	Ohno Y, Higashino T, Takenaka D, et al. MR angiography with sensitivity encoding (SENSE) for suspected pulmonary embolism: comparison with MDCT and ventilation-perfusion scintigraphy. AJR Am J Roentgenol, 2004, 183(1): 91-98.

1. Stang P, Morris L, Kempf J, et al. The coprescription of contraindicated drugs with statins: continuing potential for increased risk of adverse events. Am J Ther, 2007, 14(1): 30-40.
2. Cziraky MJ, Willey VJ, McKenney JM, et al. Statin safety: an assessment using an administrative claims database. American Journal of Cardiology, 2006, 97(8A): 61-68.
3. Wittram C, Kalra MK, Maher MM, et al. Acute and chronic pulmonary emboli: angiography-CT correlation. AJR Am J Roentgenol, 2006, 186(6 Suppl 2): 421-429.
4. Russo V, Piva T, Lovato L, et al. Multidetector CT: a new gold standard in the diagnosis of pulmonary embolism? State of the art and diagnostic algorithms. Radiol Med, 2005, 109(1-2): 49-61; quiz 62-63.
5. Straus SE. Evidence-based medicine: how to practice and teach EBM.3rd ed. Edinburgh; New York: Elsevier/Churchill Livingstone, 2005.
6. Whiting P, Rutjes AW, Reitsma JB, et al. The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodol, 2003, 3: 25-38.
7. Zamora J, Abraira V, Muriel A, et al. Meta-DiSc: a software for meta-analysis of test accuracy data. BMC Med Res Methodol, 2006, 12: 6-31.
8. Rajaram S, Swift AJ, Capener D, et al. Diagnostic accuracy of contrast-enhanced MR angiography and unenhanced proton MR imaging compared with CT pulmonary angiography in chronic thromboembolic pulmonary hypertension. European Radiology, 2012, 22(2): 310-317.
9. Ishiyama M, Matsusako M, Oikado K, et al. Three-dimensional T2-weighted imaging using the dark blood method for detecting pulmonary embolisms: comparison with computed tomography angiography. Jpn J Radiol, 2011, 29(9): 667-672.
10. Stein PD, Chenevert TL, Fowler SE, et al. Gadolinium-enhanced magnetic resonance angiography for pulmonary embolism: a multicenter prospective study (PIOPED III). Ann Intern Med, 2010, 152(7): 434-443, W142-143.
11. Kluge A, Luboldt W, Bachmann G. Acute pulmonary embolism to the subsegmental level: diagnostic accuracy of three MRI techniques compared with 16-MDCT. AJR Am J Roentgenol, 2006, 187(1): 7-14.
12. Pleszewski B, Chartrand-Lefebvre C, Qanadli SD, et al. Gadolinium-enhanced pulmonary magnetic resonance angiography in the diagnosis of acute pulmonary embolism: a prospective study on 48 patients. Clin Imaging, 2006, 30(3): 166-172.
13. Ohno Y, Higashino T, Takenaka D, et al. MR angiography with sensitivity encoding (SENSE) for suspected pulmonary embolism: comparison with MDCT and ventilation-perfusion scintigraphy. AJR Am J Roentgenol, 2004, 183(1): 91-98.

上一篇
粪便基因甲基化对结直肠肿瘤诊断价值的Meta分析
下一篇
酶免疫法对沙眼衣原体诊断价值的Meta分析

《中国循证医学杂志》

磁共振成像诊断肺栓塞价值的Meta分析

摘要 全文 图表 视频 参考文献 施引文献 补充材料

上一篇

下一篇

Format

Content

《中国循证医学杂志》

磁共振成像诊断肺栓塞价值的Meta分析

摘要 全文 图表 视频 参考文献 施引文献 补充材料

上一篇

下一篇

Format

Content

摘要全文图表视频参考文献施引文献补充材料