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18F-FDG PET or PET/CT for detecting extrahepatic metastases or recurrent hepatocellular carcinoma: A systematic review and meta-analysis

Abstract

Aim: Positron emission tomography (PET) using F18-flurodeoxy-glucose (FDG) has been widely used for reflecting cellular metabolism. However, the feasibility of FDG PET in the diagnosis of hepatocellular carcinoma (HCC) is limited. The aim of the study was to assess the ability of FDG PET (PET/CT) in the detection of extrahepatic metastases or recurrent HCC. Materials and methods: We conducted MEDLINE, EMBASE and COCHRANE searches (last update, April 2011). Eight eligible articles were identified evaluating F18-FDG PET (PET/CT) in extrahepatic metastases or recurrent HCC. Two authors independently evaluated the methodological quality of each study. We estimated pooled sensitivities, specificities, summary receiver-operating-characteristic (SROC) curves, and summary likelihood ratios. Results: Eight eligible studies were enrolled in this study. The pooled estimates of sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio of FDG PET (PET/CT) in the detection of metastatic HCC were 76.6%, 98.0%, 14.68, and 0.28, respectively. The pooled estimates of sensitivity, specificity, LR+ and LR− of FDG PET (PET/CT) in the detection of recurrent HCC were 81.7%, 88.9%, 4.72, and 0.19, respectively. Conclusion: Based on the results of this systematic review, F-18 FDG PET (PET/CT) was useful in ruling in extrahepatic metastases of HCC and valuable for ruling out the recurrent  More>>
Authors:
Lin, Chun-Yi; [1]  Chen, Jin-Hua; [2]  Liang, Ji-An; [3]  School of Medicine, China Medical University, Taichung, Taiwan (China)]; Lin, Cheng-Chieh; [4]  Department of Community Medicine and Health Examination Center, China Medical University Hospital, Taichung, Taiwan (China)]; Jeng, Long-Bin; [4]  Organ Transplantation Center, China Medical University Hospital, Taichung, Taiwan (China)]; Kao, Chia-Hung; [4]  Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan (China)]
  1. Department of Nuclear Medicine, Show Chwan Memorial Hospital, Changhua, Taiwan (China)
  2. Biostatistics Center and Graduate Institute of Biostatistics, Taichung, Taiwan (China)
  3. Department of Radiation Oncology, China Medical University Hospital, Taichung, Taiwan (China)
  4. School of Medicine, China Medical University, Taichung, Taiwan (China)
Publication Date:
Sep 15, 2012
Product Type:
Journal Article
Resource Relation:
Journal Name: European Journal of Radiology; Journal Volume: 81; Journal Issue: 9; Other Information: Copyright (c) 2011 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved.; Country of input: International Atomic Energy Agency (IAEA)
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; DIAGNOSIS; FLUORINE 18; GLUCOSE; HEPATOMAS; METABOLISM; METASTASES; PONDS; POSITRON COMPUTED TOMOGRAPHY; REVIEWS; SENSITIVITY; SPECIFICITY
OSTI ID:
22267561
Country of Origin:
Netherlands
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 0720-048X; CODEN: EJRADR; Other: PII: S0720-048X(11)00658-9; TRN: NL13R1399088792
Availability:
Available from http://dx.doi.org/10.1016/j.ejrad.2011.08.004
Submitting Site:
NLN
Size:
page(s) 2417-2422
Announcement Date:
Oct 06, 2014

Citation Formats

Lin, Chun-Yi, Chen, Jin-Hua, Liang, Ji-An, School of Medicine, China Medical University, Taichung, Taiwan (China)], Lin, Cheng-Chieh, Department of Community Medicine and Health Examination Center, China Medical University Hospital, Taichung, Taiwan (China)], Jeng, Long-Bin, Organ Transplantation Center, China Medical University Hospital, Taichung, Taiwan (China)], Kao, Chia-Hung, and Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan (China)]. 18F-FDG PET or PET/CT for detecting extrahepatic metastases or recurrent hepatocellular carcinoma: A systematic review and meta-analysis. Netherlands: N. p., 2012. Web. doi:10.1016/J.EJRAD.2011.08.004.
Lin, Chun-Yi, Chen, Jin-Hua, Liang, Ji-An, School of Medicine, China Medical University, Taichung, Taiwan (China)], Lin, Cheng-Chieh, Department of Community Medicine and Health Examination Center, China Medical University Hospital, Taichung, Taiwan (China)], Jeng, Long-Bin, Organ Transplantation Center, China Medical University Hospital, Taichung, Taiwan (China)], Kao, Chia-Hung, & Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan (China)]. 18F-FDG PET or PET/CT for detecting extrahepatic metastases or recurrent hepatocellular carcinoma: A systematic review and meta-analysis. Netherlands. https://doi.org/10.1016/J.EJRAD.2011.08.004
Lin, Chun-Yi, Chen, Jin-Hua, Liang, Ji-An, School of Medicine, China Medical University, Taichung, Taiwan (China)], Lin, Cheng-Chieh, Department of Community Medicine and Health Examination Center, China Medical University Hospital, Taichung, Taiwan (China)], Jeng, Long-Bin, Organ Transplantation Center, China Medical University Hospital, Taichung, Taiwan (China)], Kao, Chia-Hung, and Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan (China)]. 2012. "18F-FDG PET or PET/CT for detecting extrahepatic metastases or recurrent hepatocellular carcinoma: A systematic review and meta-analysis." Netherlands. https://doi.org/10.1016/J.EJRAD.2011.08.004.
@misc{etde_22267561,
title = {18F-FDG PET or PET/CT for detecting extrahepatic metastases or recurrent hepatocellular carcinoma: A systematic review and meta-analysis}
author = {Lin, Chun-Yi, Chen, Jin-Hua, Liang, Ji-An, School of Medicine, China Medical University, Taichung, Taiwan (China)], Lin, Cheng-Chieh, Department of Community Medicine and Health Examination Center, China Medical University Hospital, Taichung, Taiwan (China)], Jeng, Long-Bin, Organ Transplantation Center, China Medical University Hospital, Taichung, Taiwan (China)], Kao, Chia-Hung, and Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan (China)]}
abstractNote = {Aim: Positron emission tomography (PET) using F18-flurodeoxy-glucose (FDG) has been widely used for reflecting cellular metabolism. However, the feasibility of FDG PET in the diagnosis of hepatocellular carcinoma (HCC) is limited. The aim of the study was to assess the ability of FDG PET (PET/CT) in the detection of extrahepatic metastases or recurrent HCC. Materials and methods: We conducted MEDLINE, EMBASE and COCHRANE searches (last update, April 2011). Eight eligible articles were identified evaluating F18-FDG PET (PET/CT) in extrahepatic metastases or recurrent HCC. Two authors independently evaluated the methodological quality of each study. We estimated pooled sensitivities, specificities, summary receiver-operating-characteristic (SROC) curves, and summary likelihood ratios. Results: Eight eligible studies were enrolled in this study. The pooled estimates of sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio of FDG PET (PET/CT) in the detection of metastatic HCC were 76.6%, 98.0%, 14.68, and 0.28, respectively. The pooled estimates of sensitivity, specificity, LR+ and LR− of FDG PET (PET/CT) in the detection of recurrent HCC were 81.7%, 88.9%, 4.72, and 0.19, respectively. Conclusion: Based on the results of this systematic review, F-18 FDG PET (PET/CT) was useful in ruling in extrahepatic metastases of HCC and valuable for ruling out the recurrent HCC.}
doi = {10.1016/J.EJRAD.2011.08.004}
journal = []
issue = {9}
volume = {81}
journal type = {AC}
place = {Netherlands}
year = {2012}
month = {Sep}
}