The Current Diagnostic Accuracy on Free Peritoneal Fluid in Computed Tomography to Determinate the Necessity of Surgery in Blunt Bowel and Mesenteric Trauma—Systemic Review and Meta-Analysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Literature Search
2.2. Data Collection and Validity Assessment
2.3. Statistical Analysis
3. Results
3.1. Search Strategy
3.2. Study Characteristics
3.3. Meta-Analysis
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Author | Year | CT Technique | Equipment Type | TP | FN | FP | TN | n | Sensitivity | Specificity | Weigh Specificity | Weight Sensitivity |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Molinelli et al. [20] | 2018 | 120 kVp, 60–450 mAs, collimation: 1.2 mm × 40, pitch: 1.20. | Somatom Sensation 40 (Siemens) | 18 | 2 | 24 | 10 | 54 | 0.9 | 0.294 | 6.494 | 7.625 |
Zingg et al. [24] | 2018 | 120 kVp, 300 mA, table speed: 55 mm per rotation (0.8 s), pitch: 1.375 | Light Speed VCT 64 Pro (GE Healthcare) | 17 | 2 | 98 | 545 | 662 | 0.895 | 0.848 | 7.803 | 7.364 |
Faget et al. [14] | 2015 | 120 kVp, 130 –700 mAs | LightSpeed VCT 16/ 64 detector scanner (GE Healthcare) | 17 | 39 | 4 | 496 | 556 | 0.304 | 0.992 | 7.801 | 5.677 |
McNutt et al. [6] | 2014 | N/A | Somatom Sensation 40 (Siemens) | 33 | 27 | 6 | 44 | 110 | 0.55 | 0.88 | 7.504 | 7.71 |
Gonser-Hafertepen et al. [25] | 2014 | N/A | 64-slice he- lical MDCT (GE Healthcare) | 11 | 2 | 11 | 132 | 156 | 0.846 | 0.923 | 7.7 | 6.606 |
Mahmood et al. [26] | 2014 | N/A | 64-slice scanners (Siemens) | 29 | 0 | 72 | 20 | 121 | 1 | 0.217 | 6.939 | 7.67 |
Park et al. [27] | 2013 | 120 kVp, 180–380 mAs, nose index: 19, feed/rotation: 39.4 mm, pitch factor: 0.98 | LightSpeed VCT (GE Healthcare) /Somatom Sensation 64 (Siemens) | 19 | 59 | 1 | 27 | 106 | 0.244 | 0.964 | 7.135 | 6.672 |
Livingston et al. [28] | 2001 | N/A | N/A | 7 | 8 | 83 | 1936 | 2034 | 0.467 | 0.959 | 7.834 | 5.847 |
Steenburg et al. [29] | 2015 | 120 kVp, 300 mAs | 64-slice helical MDCT scanner (Phillips Healthcare) | 14 | 1 | 55 | 56 | 126 | 0.933 | 0.505 | 7.472 | 7.572 |
Yang et al. [30] | 2016 | N/A | 64-detector helical CT scanner (Siemens) | 67 | 6 | 68 | 10 | 151 | 0.918 | 0.128 | 6.985 | 7.829 |
Wu et al. [31] | 2017 | 120 kVp, table speed: 11.25 mm/rotation, 5-mm prospective thickness, 5-mm pro- spective interval | LightSpeed QX/i Scanner (GE Healthcare) | 11 | 2 | 20 | 73 | 106 | 0.846 | 0.785 | 7.573 | 7.297 |
Firetto et al. [17] | 2018 | N/A | Somatom Definition Flash, (Siemens)/LightSpeed (GE Healthcare) | 19 | 2 | 6 | 7 | 34 | 0.905 | 0.538 | 5.618 | 7.693 |
Bhagvan et al. [32] | 2013 | N/A | High Speed Advantage (GE Healthcare)/ Volume Zoom (Siemens)/Sensation 16 (Siemens) | 11 | 1 | 59 | 6 | 77 | 0.917 | 0.092 | 6.473 | 6.73 |
Be`ge et al. [33] | 2014 | 120 kV, 200 mAs | Sensation 64 cardiac scanner (Siemens) | 17 | 6 | 9 | 11 | 43 | 0.739 | 0.55 | 6.67 | 7.708 |
Parameter | Estimate | 2.5% CI | 97.5% CI |
---|---|---|---|
Sensitivity | 0.793 | 0.635 | 0.894 |
Specificity | 0.733 | 0.468 | 0.896 |
False Positive Rate | 0.267 | 0.104 | 0.532 |
Diagnostic Odds Ratio | 10.531 | 5.556 | 19.961 |
Log Likelihood Ratio + ve | 2.972 | 1.47 | 6.006 |
Log Likelihood Ratio − ve | 0.282 | 0.188 | 0.424 |
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Chen, S.-A.; Wang, C.-Y.; Hsu, C.-P.; Lin, J.-Y.; Cheng, C.-T.; Ouyang, C.-H.; Huang, J.-F.; Liao, C.-H. The Current Diagnostic Accuracy on Free Peritoneal Fluid in Computed Tomography to Determinate the Necessity of Surgery in Blunt Bowel and Mesenteric Trauma—Systemic Review and Meta-Analysis. Diagnostics 2021, 11, 2028. https://doi.org/10.3390/diagnostics11112028
Chen S-A, Wang C-Y, Hsu C-P, Lin J-Y, Cheng C-T, Ouyang C-H, Huang J-F, Liao C-H. The Current Diagnostic Accuracy on Free Peritoneal Fluid in Computed Tomography to Determinate the Necessity of Surgery in Blunt Bowel and Mesenteric Trauma—Systemic Review and Meta-Analysis. Diagnostics. 2021; 11(11):2028. https://doi.org/10.3390/diagnostics11112028
Chicago/Turabian StyleChen, Szu-An, Chen-Yu Wang, Chih-Po Hsu, Jia-Yen Lin, Chi-Tung Cheng, Chun-Hsiang Ouyang, Jen-Fu Huang, and Chien-Hung Liao. 2021. "The Current Diagnostic Accuracy on Free Peritoneal Fluid in Computed Tomography to Determinate the Necessity of Surgery in Blunt Bowel and Mesenteric Trauma—Systemic Review and Meta-Analysis" Diagnostics 11, no. 11: 2028. https://doi.org/10.3390/diagnostics11112028