The Accuracy of Near Infrared Autofluorescence in Identifying Parathyroid Gland During Thyroid and Parathyroid Surgery: A Meta-Analysis

ObjectiveWe aim to assess the accuracy of near infrared autofluorescence in identifying parathyroid gland during thyroid and parathyroid surgery.MethodA systematic literature search was conducted by using PubMed, Embase, and the Cochrane Library electronic databases for studies that were published u...

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Main Authors: Bin Wang, Chun-Rong Zhu, Hong Liu, Xin-Min Yao, Jian Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2021.701253/full
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author Bin Wang
Chun-Rong Zhu
Hong Liu
Xin-Min Yao
Jian Wu
author_facet Bin Wang
Chun-Rong Zhu
Hong Liu
Xin-Min Yao
Jian Wu
author_sort Bin Wang
collection DOAJ
description ObjectiveWe aim to assess the accuracy of near infrared autofluorescence in identifying parathyroid gland during thyroid and parathyroid surgery.MethodA systematic literature search was conducted by using PubMed, Embase, and the Cochrane Library electronic databases for studies that were published up to February 2021. The reference lists of the retrieved articles were also reviewed. Two authors independently assessed the methodological quality and extracted the data. A random-effects model was used to calculate the combined variable. Publication bias in these studies was evaluated with the Deeks’ funnel plots.ResultA total of 24 studies involving 2,062 patients and 6,680 specimens were included for the meta-analysis. The overall combined sensitivity and specificity, and the area under curve of near infrared autofluorescence were 0.96, 0.96, and 0.99, respectively. Significant heterogeneities were presented (Sen: I2 = 87.97%, Spe: I2 = 65.38%). In the subgroup of thyroid surgery, the combined sensitivity and specificity, and the area under curve of near infrared autofluorescence was 0.98, 0.99, and 0.99, respectively, and the heterogeneities were moderate (Sen: I2 = 59.71%, Spe: I2 = 67.65%).ConclusionNear infrared autofluorescence is an excellent indicator for identifying parathyroid gland during thyroid and parathyroid surgery.
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spelling doaj.art-af0a9bbfb13b40e6b5a2a60fc9bb40a12022-12-21T18:43:29ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922021-06-011210.3389/fendo.2021.701253701253The Accuracy of Near Infrared Autofluorescence in Identifying Parathyroid Gland During Thyroid and Parathyroid Surgery: A Meta-AnalysisBin Wang0Chun-Rong Zhu1Hong Liu2Xin-Min Yao3Jian Wu4Department of Thyroid and Breast Surgery, Chengdu Third People’s Hospital, Chengdu, ChinaDepartment of Chemistry, School of Basic Medical Science, North Sichuan Medical College, Nanchong, ChinaDepartment of Thyroid and Breast Surgery, Chengdu Third People’s Hospital, Chengdu, ChinaDepartment of Thyroid and Breast Surgery, Chengdu Third People’s Hospital, Chengdu, ChinaDepartment of Thyroid and Breast Surgery, Chengdu Third People’s Hospital, Chengdu, ChinaObjectiveWe aim to assess the accuracy of near infrared autofluorescence in identifying parathyroid gland during thyroid and parathyroid surgery.MethodA systematic literature search was conducted by using PubMed, Embase, and the Cochrane Library electronic databases for studies that were published up to February 2021. The reference lists of the retrieved articles were also reviewed. Two authors independently assessed the methodological quality and extracted the data. A random-effects model was used to calculate the combined variable. Publication bias in these studies was evaluated with the Deeks’ funnel plots.ResultA total of 24 studies involving 2,062 patients and 6,680 specimens were included for the meta-analysis. The overall combined sensitivity and specificity, and the area under curve of near infrared autofluorescence were 0.96, 0.96, and 0.99, respectively. Significant heterogeneities were presented (Sen: I2 = 87.97%, Spe: I2 = 65.38%). In the subgroup of thyroid surgery, the combined sensitivity and specificity, and the area under curve of near infrared autofluorescence was 0.98, 0.99, and 0.99, respectively, and the heterogeneities were moderate (Sen: I2 = 59.71%, Spe: I2 = 67.65%).ConclusionNear infrared autofluorescence is an excellent indicator for identifying parathyroid gland during thyroid and parathyroid surgery.https://www.frontiersin.org/articles/10.3389/fendo.2021.701253/fullnear infraredautofluorescenceparathyroid glandsurgerymeta-analysis
spellingShingle Bin Wang
Chun-Rong Zhu
Hong Liu
Xin-Min Yao
Jian Wu
The Accuracy of Near Infrared Autofluorescence in Identifying Parathyroid Gland During Thyroid and Parathyroid Surgery: A Meta-Analysis
Frontiers in Endocrinology
near infrared
autofluorescence
parathyroid gland
surgery
meta-analysis
title The Accuracy of Near Infrared Autofluorescence in Identifying Parathyroid Gland During Thyroid and Parathyroid Surgery: A Meta-Analysis
title_full The Accuracy of Near Infrared Autofluorescence in Identifying Parathyroid Gland During Thyroid and Parathyroid Surgery: A Meta-Analysis
title_fullStr The Accuracy of Near Infrared Autofluorescence in Identifying Parathyroid Gland During Thyroid and Parathyroid Surgery: A Meta-Analysis
title_full_unstemmed The Accuracy of Near Infrared Autofluorescence in Identifying Parathyroid Gland During Thyroid and Parathyroid Surgery: A Meta-Analysis
title_short The Accuracy of Near Infrared Autofluorescence in Identifying Parathyroid Gland During Thyroid and Parathyroid Surgery: A Meta-Analysis
title_sort accuracy of near infrared autofluorescence in identifying parathyroid gland during thyroid and parathyroid surgery a meta analysis
topic near infrared
autofluorescence
parathyroid gland
surgery
meta-analysis
url https://www.frontiersin.org/articles/10.3389/fendo.2021.701253/full
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