The diagnostic value of quantitative analysis of ASL, DSC-MRI and DKI in the grading of cerebral gliomas: a meta-analysis

Abstract Objective To perform quantitative analysis on the efficacy of using relative cerebral blood flow (rCBF) in arterial spin labeling (ASL), relative cerebral blood volume (rCBV) in dynamic magnetic sensitivity contrast-enhanced magnetic resonance imaging (DSC-MRI), and mean kurtosis (MK) in di...

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Main Authors: Jixin Luan, Mingzhen Wu, Xiaohui Wang, Lishan Qiao, Guifang Guo, Chuanchen Zhang
Format: Article
Language:English
Published: BMC 2020-08-01
Series:Radiation Oncology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13014-020-01643-y
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author Jixin Luan
Mingzhen Wu
Xiaohui Wang
Lishan Qiao
Guifang Guo
Chuanchen Zhang
author_facet Jixin Luan
Mingzhen Wu
Xiaohui Wang
Lishan Qiao
Guifang Guo
Chuanchen Zhang
author_sort Jixin Luan
collection DOAJ
description Abstract Objective To perform quantitative analysis on the efficacy of using relative cerebral blood flow (rCBF) in arterial spin labeling (ASL), relative cerebral blood volume (rCBV) in dynamic magnetic sensitivity contrast-enhanced magnetic resonance imaging (DSC-MRI), and mean kurtosis (MK) in diffusion kurtosis imaging (DKI) to grade cerebral gliomas. Methods Literature regarding ASL, DSC-MRI, or DKI in cerebral gliomas grading in both English and Chinese were searched from PubMed, Embase, Web of Science, CBM, China National Knowledge Infrastructure (CNKI), and Wanfang Database as of 2019. A meta-analysis was performed to evaluate the efficacy of ASL, DSC-MRI, and DKI in the grading of cerebral gliomas. Result A total of 54 articles (11 in Chinese and 43 in English) were included. Three quantitative parameters in the grading of cerebral gliomas, rCBF in ASL, rCBV in DSC-MRI, and MK in DKI had the pooled sensitivity of 0.88 [95% CI (0.83,0.92)], 0.92 [95% CI (0.83,0.96)], 0.88 [95% CI (0.82,0.92)], and the pooled specificity of 0.91 [95% CI (0.84,0.94)], 0.81 [95% CI (0.73,0.88)], 0.86 [95% CI (0.78,0.91)] respectively. The pooled area under the curve (AUC) were 0.95 [95% CI (0.93,0.97)], 0.91 [95% CI (0.89,0.94)], 0.93 [95% CI (0.91,0.95)] respectively. Conclusion Quantitative parameters rCBF, rCBV and MK have high diagnostic accuracy for preoperative grading of cerebral gliomas.
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spelling doaj.art-c7996accae6d467e8b19a29ce92fb6312022-12-21T19:18:43ZengBMCRadiation Oncology1748-717X2020-08-0115111510.1186/s13014-020-01643-yThe diagnostic value of quantitative analysis of ASL, DSC-MRI and DKI in the grading of cerebral gliomas: a meta-analysisJixin Luan0Mingzhen Wu1Xiaohui Wang2Lishan Qiao3Guifang Guo4Chuanchen Zhang5Department of Radiology, Liaocheng People’s Hospital, Shandong First Medical University & Shandong Academy of Medical SciencesDepartment of Radiology, Liaocheng People’s Hospital, Shandong First Medical University & Shandong Academy of Medical SciencesDepartment of Science and Education, Liaocheng People’s Hospital, Shandong First Medical University & Shandong Academy of Medical SciencesSchool of Mathematics, Liaocheng UniversityDepartment of Radiology, Liaocheng People’s Hospital, Shandong First Medical University & Shandong Academy of Medical SciencesDepartment of Radiology, Liaocheng People’s Hospital, Shandong First Medical University & Shandong Academy of Medical SciencesAbstract Objective To perform quantitative analysis on the efficacy of using relative cerebral blood flow (rCBF) in arterial spin labeling (ASL), relative cerebral blood volume (rCBV) in dynamic magnetic sensitivity contrast-enhanced magnetic resonance imaging (DSC-MRI), and mean kurtosis (MK) in diffusion kurtosis imaging (DKI) to grade cerebral gliomas. Methods Literature regarding ASL, DSC-MRI, or DKI in cerebral gliomas grading in both English and Chinese were searched from PubMed, Embase, Web of Science, CBM, China National Knowledge Infrastructure (CNKI), and Wanfang Database as of 2019. A meta-analysis was performed to evaluate the efficacy of ASL, DSC-MRI, and DKI in the grading of cerebral gliomas. Result A total of 54 articles (11 in Chinese and 43 in English) were included. Three quantitative parameters in the grading of cerebral gliomas, rCBF in ASL, rCBV in DSC-MRI, and MK in DKI had the pooled sensitivity of 0.88 [95% CI (0.83,0.92)], 0.92 [95% CI (0.83,0.96)], 0.88 [95% CI (0.82,0.92)], and the pooled specificity of 0.91 [95% CI (0.84,0.94)], 0.81 [95% CI (0.73,0.88)], 0.86 [95% CI (0.78,0.91)] respectively. The pooled area under the curve (AUC) were 0.95 [95% CI (0.93,0.97)], 0.91 [95% CI (0.89,0.94)], 0.93 [95% CI (0.91,0.95)] respectively. Conclusion Quantitative parameters rCBF, rCBV and MK have high diagnostic accuracy for preoperative grading of cerebral gliomas.http://link.springer.com/article/10.1186/s13014-020-01643-yGliomasGradingMRIMeta-analysis
spellingShingle Jixin Luan
Mingzhen Wu
Xiaohui Wang
Lishan Qiao
Guifang Guo
Chuanchen Zhang
The diagnostic value of quantitative analysis of ASL, DSC-MRI and DKI in the grading of cerebral gliomas: a meta-analysis
Radiation Oncology
Gliomas
Grading
MRI
Meta-analysis
title The diagnostic value of quantitative analysis of ASL, DSC-MRI and DKI in the grading of cerebral gliomas: a meta-analysis
title_full The diagnostic value of quantitative analysis of ASL, DSC-MRI and DKI in the grading of cerebral gliomas: a meta-analysis
title_fullStr The diagnostic value of quantitative analysis of ASL, DSC-MRI and DKI in the grading of cerebral gliomas: a meta-analysis
title_full_unstemmed The diagnostic value of quantitative analysis of ASL, DSC-MRI and DKI in the grading of cerebral gliomas: a meta-analysis
title_short The diagnostic value of quantitative analysis of ASL, DSC-MRI and DKI in the grading of cerebral gliomas: a meta-analysis
title_sort diagnostic value of quantitative analysis of asl dsc mri and dki in the grading of cerebral gliomas a meta analysis
topic Gliomas
Grading
MRI
Meta-analysis
url http://link.springer.com/article/10.1186/s13014-020-01643-y
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