Diagnostic value of automated breast volume scanning versus hand-held ultrasound for benign and malignant lesions in breast: a Meta-analysis
10.3760/cma.j.cn115355-20220423-00244
- VernacularTitle:自动乳腺全容积成像系统与手持超声对乳腺良、恶性病变诊断价值的Meta分析
- Author:
Mingli SHI
1
;
Xilin ZHANG
;
Liqun SHI
;
Jiangling WANG
;
Xiaohui ZHOU
Author Information
1. 华东疗养院物理诊断科,无锡 214065
- Keywords:
Breast neoplasms;
Meta-analysis;
Automated breast volume scanning;
Hand-held ultrasound
- From:
Cancer Research and Clinic
2022;34(10):774-780
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically assess the diagnostic value of automated breast volume scanning (ABVS) versus hand-held ultrasound (HHUS) in benign and malignant breast lesions.Methods:The Cochrane Library, PubMed, Embase, Ovid, China National Knowledge Infrastructure (CNKI), VIP, Wanfang, China Biology Medicine (CBM) and other databases were searched from the beginning of database construction to January 2022. Relevant literatures were screened and included, and the characteristics of the literatures were extracted. Meta-disc 1.4 statistic software was used to analyze the pooled diagnostic odds ratio (DOR), specificity, sensitivity, 95% CI, the summary receiver operating characteristic (SROC) curve and the area under the curve of ABVS and HHUS. The heterogeneity and publication bias were also evaluated. Results:A total of 26 studies were included. Heterogeneity test showed no threshold value effect; random effect model was used to pool specificity, sensitivity and DOR.The pooled sensitivity of ABVS and HHUS was 0.86 (95% CI 0.84-0.87), 0.80 (95% CI 0.78-0.82), respectively; I2 was 89.7% and 82.3%, respectively; the pooled specificity of ABVS and HHUS was 0.91 (95% CI 0.90-0.92), 0.84 (95% CI 0.83-0.86), I2 was 89.7% and 92.2%, respectively. AUC of ABVS, HHUS, and joint diagnosis of the two was 0.954, 0.883, 0.958, respectively. No evidence of publication bias was shown in the funnel plot analysis. Conclusion:ABVS has a higher clinical value compared with HHUS in the diagnosis of benign and malignant breast lesions.