Ultrasound versus magnetic resonance imaging for Morton neuroma: systematic review and meta-analysis.
Eur Radiol
; 25(8): 2254-62, 2015 Aug.
Article
em En
| MEDLINE
| ID: mdl-25809742
ABSTRACT
OBJECTIVES:
To compare ultrasound (US) and magnetic resonance imaging (MRI) in the diagnosis of Morton's neuroma.METHODS:
Studies that assessed the diagnostic accuracy of US and MRI for Morton's neuroma were retrieved from major medical libraries independently by two reviewers up to 1 April 2014. Predefined inclusion and exclusion criteria were adopted.RESULTS:
277 studies were initially found, and the meta-analysis was conducted on 14 studies. US sensitivity was studied in five studies, MRI sensitivity in three studies, and bothin six studies. All studies used surgery as the reference standard. A high sensitivity (SE) of diagnostic testing was observed for both US (SE (95 % CI) = 0.91 (0.83-0.96)) and MRI (SE (95 % CI) = 0.90 (0.82-0.96)) with no significant differences between the two modalities in diagnosis (Q test p = 0.88). For MRI, specificity of test was 1.00 with a pooled estimation of 1.00 (0.73-1.00), while the pooled specificity was 0.854 (95 % CI 0.41-1.00) for US. No differences were observed between US and MRI in study design (p = 0.76).CONCLUSION:
This meta-analysis shows that the SE of US (0.91) is equal to (p = 0.88) that of MRI (0.90) for identification of Morton's neuroma. KEY POINTS ⢠For Morton's neuroma, US sensitivity is equal to MRI. ⢠US is as accurate as MRI in diagnosing Morton's neuroma. ⢠US may be the most cost-effective imaging method for Morton's neuroma.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias do Sistema Nervoso Periférico
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Doenças do Pé
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Neuroma
Tipo de estudo:
Diagnostic_studies
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Prognostic_studies
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Systematic_reviews
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article