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Diagnostic value of 18F-FDG PET/CT for EGFR gene mutation in non-small cell lung cancer:a Meta analysis |
YANG Yang1,2,HUANG Shiming1,GANG Bo2,CHEN Qinghua2,and LIN Zhichun1 |
1.Department of Nuclear Medicine,Affiliated Hospital of Logistics University of Chinese People's Armed Police Force, Tianjin 300162,China; 2.Hospital of Army 69230,Wusu Xinjiang 834700, China |
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Abstract Objective To evaluate the diagnostic value of 18F-FDG PET/CT for EGFR gene mutation in non-small cell lung cancer with Meta analysis.Methods Databases that had been searched included PubMed, EMbase, the Cochrane Library, Chinese Journal Full-text Database, Wanfang Database, Chinese Science and Technology Database. Diagnostic tests related to EGFR gene mutation in non-small cell lung cancer and involving 18F-FDG PET/CT were investigated and analyzed. Meta-analysis was performed using Meta DiSc 1.4 software after two reviewers independently screened the literature for inclusion and exclusion criteria, extracted the data and evaluated the methodological quality of the included studies.Results 16 articles and 3308 cases of non-small cell lung cancer patients were included. Meta-analysis results showed that the incorporated SEN averaged 0.57[95% CI (0.55,0.60)], incorporated SPE 0.65[95% CI (0.62,0.67) CI (1.49,2.23)], incorporated LR 0.67[95% CI (0.59,0.76)], and incorporated DOR 2.93[95% CI (2.08,4.15)], while AUC was 0.6678.Conclusions SUVmax of 18F-FDG PET/CT is of predictive value for the mutation of EGFR in NSCLC patients with better specificity than sensitivity, which can be used to predict the mutation of EGFR in NSCLC patients.
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Received: 09 February 2018
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