論文

査読有り
2018年7月

A meta-analysis supports core needle biopsy by radiologists for better histological diagnosis in soft tissue and bone sarcomas

MEDICINE
  • Kubo, Tadahiko
  • ,
  • Furuta, Taisuke
  • ,
  • Johan
  • ,
  • Muhammad P
  • ,
  • Sakuda, Tomohiko
  • ,
  • Ochi, Mitsuo
  • ,
  • Adachi, Nobuo

97
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記述言語
掲載種別
研究論文(学術雑誌)
DOI
10.1097/MD.0000000000011567
出版者・発行元
LIPPINCOTT WILLIAMS & WILKINS

Background: Although surgical biopsy has historically been considered to be the standard diagnostic biopsy for soft tissue and bone sarcomas, recent literature suggests that percutaneous core needle biopsy yields similar results. Therefore, an evaluation of the exact diagnostic accuracy and associated influential variables of core needle biopsy that is based on a large data set would be useful. Methods: We searched MEDLINE, Web of Science, and EMBASE to identify core needle biopsy studies for predicting final histological subtypes of musculoskeletal lesions. The diagnostic accuracies of core needle biopsy and of surgical biopsy were assessed and compared by using random-effect meta-analyses. The factors relevant to diagnostic accuracy were evaluated by meta-regression and subgroup analyses. Results: We selected 32 studies comprising 7209 musculoskeletal lesions. The pooled proportion estimate for the diagnostic accuracy of core needle biopsy was 0.84 (95% confidential interval, CI: 0.81-0.87), which indicated an approximate 84% concordance between core needle biopsy results and final histological diagnoses. The findings of meta-regression and subgroup analyses suggested that radiol

リンク情報
DOI
https://doi.org/10.1097/MD.0000000000011567