[1]高雅,刘海峰,冯雯,等.MRA诊断颅内动脉瘤弹簧圈栓塞术后复发的meta分析[J].介入放射学杂志,2020,29(01):9-14.
　GAO Ya,LIU Haifeng,FENG Wen,et al.Diagnosis of recurrent intracranial aneurysm after coil embolism by MRA: a meta analysis[J].journal interventional radiology,2020,29(01):9-14.
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MRA诊断颅内动脉瘤弹簧圈栓塞术后复发的meta分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年01
页码:
9-14
栏目:
神经介入
出版日期:
2020-02-10

文章信息/Info

Title:
Diagnosis of recurrent intracranial aneurysm after coil embolism by MRA: a meta analysis
作者:
高雅; 刘海峰; 冯雯; 张艳利; 王莉莉; 雷军强
Author(s):
GAO Ya;  LIU Haifeng;  FENG Wen;  ZHANG Yanli;  WANG Lili;  LEI Junqiang.
Department of Radiology, First Hospital of Lanzhou University, Lanzhou, Gansu Province 730000, China
关键词:
【关键词】　磁共振血管成像; 颅内动脉瘤; 弹簧圈栓塞术; meta分析
文献标志码:
A
摘要:
【摘要】　目的?系统评价磁共振血管成像（MRA）诊断颅内动脉瘤弹簧圈栓塞术（CIA）后复发的应用价值。 方法?计算机系统检索PubMed、EMbase、Cochrane Library、Web of Science、CBM、WanFang、VIP和CNKI等数据库，收集MRA诊断CIA后复发相关临床研究文献，截止至2018年8月。2名研究人员严格按照纳入和排除标准独立筛选文献和提取数据，并通过QUADAS-2标准评估偏倚风险，Stata 12.0软件作meta分析。 结果?共纳入15篇文献20项研究，包括803例患者894枚可疑复发颅内动脉瘤。Meta分析结果表明，MRA诊断CIA后复发的灵敏度（Sen）汇总为0.85（95%CI 0.77～0.90），特异度（Spe）汇总为0.95（95%CI 0.91～0.98），阳性似然比（PLR）汇总为18.20（95%CI 8.87～37.32），阴性似然比（NLR）汇总为0.16（95%CI 0.10～0.25），诊断比值比（DOR）汇总为113.86（95%CI 44.67～290.18）和受试者特征（ROC）曲线下面积（AUC）为0.96（95%CI 0.93～0.97）。亚组分析结果显示，1.5T MRA Sen和Spe分别大于3.0T MRA（0.87对0.72，P＜0.01；0.97对0.90，
P＜0.05）。 结论?MRA对CIA后复发有明确的诊断价值。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：2018-11-26）
（本文编辑：边佶）
更新日期/Last Update: 2020-02-08