[The value of narrow-band imaging with magnifying endoscopy in diagnosis of early gastric cancer: a meta-analysis].
Zhejiang Da Xue Xue Bao Yi Xue Ban
; 44(4): 435-42, 2015 07.
Article
en Zh
| MEDLINE
| ID: mdl-26555423
ABSTRACT
OBJECTIVE:
To assess the diagnostic value of narrow-band imaging with magnifying endoscopy (NBI-ME) for early gastric cancer (EGC).METHODS:
We searched PubMed, Embase, Web of Science and the Cochrane Library for literature of NBI-ME in diagnosis of EGC, and then performed meta-analysis.RESULTS:
A total of 12 articles involving 2 278 samples from 2 048 patients were included. The overall sensitivity of NBI-ME for diagnosis of EGC was 0.84 [95% CI 0.80~0.87], specificity was 0.96 (95% CI 0.95~0.97),and area under the symmetric receiver operator characteristic curve (AUC) was 0.9592. The AUC value of the NBI-ME plus conventional white light endoscopy (C-WLE) subgroup (0.9706) was higher than that of NBI-ME alone (0.8162). The incremental yield of NBI-ME plus C-WLE over C-WLE was significant (IY = 9.4%, P = 0.011), while NBI-ME alone over C-WLE was not significant (IY = 0.8%, P = 0.498).CONCLUSIONS:
The results show that NBI-ME plus C-WLE is an effective and preferable method for diagnosis of EGC; however, NBI-ME alone is not superior to C-WLE.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neoplasias Gástricas
/
Gastroscopía
/
Detección Precoz del Cáncer
/
Imagen de Banda Estrecha
Tipo de estudio:
Diagnostic_studies
/
Screening_studies
/
Systematic_reviews
Límite:
Humans
Idioma:
Zh
Revista:
Zhejiang Da Xue Xue Bao Yi Xue Ban
Asunto de la revista:
MEDICINA
Año:
2015
Tipo del documento:
Article
País de afiliación:
China