[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