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氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描诊断人工关节周围感染准确性的系统评价与Meta分析

A Systematic Review and Meta-Analysis on the Accuracy of Fluorodeoxyglucose Positron Emission Tomography/ Computerized Tomography for Diagnosing Periprosthetic Joint Infections.

作者信息

Hu Mei, Chen Guangwen, Luo Lin, Shang Lan

机构信息

Department of Radiology, Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences, Chengdu, China.

出版信息

Front Surg. 2022 Jun 1;9:698781. doi: 10.3389/fsurg.2022.698781. eCollection 2022.

DOI:10.3389/fsurg.2022.698781
PMID:35722526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9198456/
Abstract

OBJECTIVE: Fluorodeoxyglucose Positron emission tomography/computerized tomography (FDG PET/CT) has become popular for diagnosing periprosthetic joint infections (PJI). However, the diagnostic accuracy for this technique has varied from report to report. This meta-analysis was performed to assess the accuracy of FDG PET/CT for PJI diagnosis. MATERIAL AND METHODS: We conducted a systematic search of online academic databases for all studies reporting the diagnostic accuracy of FDG PET/CT for PJI. Meta-analysis was performed using STATA software. RESULTS: 23 studies, containing data on 1,437 patients, met inclusion criteria. Pooled sensitivity and specificity of FDG PET/CT for diagnosing PJI were 85% (95% CI, 76%, 91%) and 86% (95% CI, 78%, 91%), respectively with an AUC of 0.92. LRP was 6.1 (95% CI, 3.8, 9.7) and LRN was 0.17 (0.11, 0.28), indicating that FDG PET/CT cannot be used for confirmation or exclusion of PJI. There was significant inter-study heterogeneity, but no significant publication bias was noted. CONCLUSIONS: Our study found that FDG PET/CT has an important role as a diagnostic tool for PJI with high sensitivity and specificity. Further studies exploring its accuracy in different PJI locations remain necessary.

摘要

目的：氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（FDG PET/CT）在诊断人工关节周围感染（PJI）方面已变得很普遍。然而，该技术的诊断准确性在不同报告中有所不同。本荟萃分析旨在评估FDG PET/CT诊断PJI的准确性。 材料与方法：我们对在线学术数据库进行了系统检索，以查找所有报告FDG PET/CT诊断PJI准确性的研究。使用STATA软件进行荟萃分析。 结果：23项研究符合纳入标准，包含1437例患者的数据。FDG PET/CT诊断PJI的合并敏感性和特异性分别为85%（95%CI，76%，91%）和86%（95%CI，78%，91%），AUC为0.92。阳性似然比为6.1（95%CI，3.8，9.7），阴性似然比为0.17（0.11，0.28），表明FDG PET/CT不能用于确诊或排除PJI。研究间存在显著异质性，但未发现显著的发表偏倚。 结论：我们的研究发现，FDG PET/CT作为一种诊断工具，在PJI诊断中具有重要作用，具有较高的敏感性和特异性。进一步研究其在不同PJI部位的准确性仍然很有必要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/4d604c3d4147/fsurg-09-698781-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/9309f8e157d0/fsurg-09-698781-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/f4ee80ac216c/fsurg-09-698781-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/257ad770366a/fsurg-09-698781-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/59f69d5b9c0e/fsurg-09-698781-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/7925fea091fa/fsurg-09-698781-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/7e5286ff6827/fsurg-09-698781-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/c29c86003409/fsurg-09-698781-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/52845226af73/fsurg-09-698781-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/4d604c3d4147/fsurg-09-698781-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/9309f8e157d0/fsurg-09-698781-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/f4ee80ac216c/fsurg-09-698781-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/257ad770366a/fsurg-09-698781-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/59f69d5b9c0e/fsurg-09-698781-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/7925fea091fa/fsurg-09-698781-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/7e5286ff6827/fsurg-09-698781-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/c29c86003409/fsurg-09-698781-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/52845226af73/fsurg-09-698781-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5334/9198456/4d604c3d4147/fsurg-09-698781-g009.jpg

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[5]
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[6]
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[7]
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[8]
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本文引用的文献

[1]
F-FDG PET for Diagnosing Infections in Prosthetic Joints.

PET Clin. 2020-4

[2]
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Bone Joint J. 2019-8

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18F FDG-PET/CT has poor diagnostic accuracy in diagnosing shoulder PJI.

Eur J Nucl Med Mol Imaging. 2019-7-11

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Eur J Nucl Med Mol Imaging. 2019-1-26

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Fluorodeoxyglucose positron emission tomography imaging for diagnosing periprosthetic hip infection: the importance of diagnostic criteria.

Int Orthop. 2018-9

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Clin Orthop Relat Res. 2017-5

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