التفاصيل البيبلوغرافية
| العنوان: |
Accuracy of Presurgical Functional MR Imaging for Language Mapping of Brain Tumors: A Systematic Review and Meta-Analysis |
| المؤلفون: |
Jen Tsung Yang, Chun-Yuh Yang, Jason M. Johnson, Yuan Hsiung Tsai, John D. Hazle, Sujit S. Prabhu, Sheng-Wei Chang, Ho Ling Liu, Yen Chu Huang, Jiann-Der Lee, Hsu-Huei Weng, Cheng-Ta Yang, Kyle R. Noll, Donald F. Schomer, Ying-Huang Tsai |
| المصدر: |
Radiology. 286(2) |
| سنة النشر: |
2017 |
| مصطلحات موضوعية: |
Pathology, medicine.medical_specialty, Preoperative care, Brain mapping, Sensitivity and Specificity, 03 medical and health sciences, 0302 clinical medicine, Text mining, Preoperative Care, medicine, Humans, Radiology, Nuclear Medicine and imaging, 030212 general & internal medicine, Brain Mapping, Receiver operating characteristic, medicine.diagnostic_test, business.industry, Brain Neoplasms, Magnetic resonance imaging, Publication bias, Magnetic Resonance Imaging, Confidence interval, ROC Curve, Meta-analysis, Nuclear medicine, business, Publication Bias, 030217 neurology & neurosurgery |
| الوصف: |
Purpose To compare functional magnetic resonance (MR) imaging for language mapping (hereafter, language functional MR imaging) with direct cortical stimulation (DCS) in patients with brain tumors and to assess factors associated with its accuracy. Materials and Methods PubMed/MEDLINE and related databases were searched for research articles published between January 2000 and September 2016. Findings were pooled by using bivariate random-effects and hierarchic summary receiver operating characteristic curve models. Meta-regression and subgroup analyses were performed to evaluate whether publication year, functional MR imaging paradigm, magnetic field strength, statistical threshold, and analysis software affected classification accuracy. Results Ten articles with a total of 214 patients were included in the analysis. On a per-patient basis, the pooled sensitivity and specificity of functional MR imaging was 44% (95% confidence interval [CI]: 14%, 78%) and 80% (95% CI: 54%, 93%), respectively. On a per-tag basis (ie, each DCS stimulation site or "tag" was considered a separate data point across all patients), the pooled sensitivity and specificity were 67% (95% CI: 51%, 80%) and 55% (95% CI: 25%, 82%), respectively. The per-tag analysis showed significantly higher sensitivity for studies with shorter functional MR imaging session times (P = .03) and relaxed statistical threshold (P = .05). Significantly higher specificity was found when expressive language task (P = .02), longer functional MR imaging session times (P < .01), visual presentation of stimuli (P = .04), and stringent statistical threshold (P = .01) were used. Conclusion Results of this study showed moderate accuracy of language functional MR imaging when compared with intraoperative DCS, and the included studies displayed significant methodologic heterogeneity. © RSNA, 2017 Online supplemental material is available for this article. |
| تدمد: |
1527-1315 |
| الوصول الحر: |
https://explore.openaire.eu/search/publication?articleId=doi_dedup___::87e50f2a58632f40fc3ca7d3fed34b7cTest
https://pubmed.ncbi.nlm.nih.gov/28980887Test |
| حقوق: |
OPEN |
| رقم الانضمام: |
edsair.doi.dedup.....87e50f2a58632f40fc3ca7d3fed34b7c |
| قاعدة البيانات: |
OpenAIRE |
