Diagnostic Accuracy of Imaging Findings in Pleural Empyema: Systematic Review and Meta-Analysis.
computed tomography
empyema
meta-analysis
pleural findings
structured reporting
Journal
Journal of imaging
ISSN: 2313-433X
Titre abrégé: J Imaging
Pays: Switzerland
ID NLM: 101698819
Informations de publication
Date de publication:
28 Dec 2021
28 Dec 2021
Historique:
received:
29
11
2021
revised:
17
12
2021
accepted:
23
12
2021
entrez:
20
1
2022
pubmed:
21
1
2022
medline:
21
1
2022
Statut:
epublish
Résumé
Computed tomography (CT) diagnosis of empyema is challenging because current literature features multiple overlapping pleural findings. We aimed to identify informative findings for structured reporting. The screening according to inclusion criteria (P: Pleural empyema, I: CT C: culture/gram-stain/pathology/pus, O: Diagnostic accuracy measures), data extraction, and risk of bias assessment of studies published between 01-1980 and 10-2021 on Pubmed, Embase, and Web of Science (WOS) were performed independently by two reviewers. CT findings with pooled diagnostic odds ratios (DOR) with 95% confidence intervals, not including 1, were considered as informative. Summary estimates of diagnostic accuracy for CT findings were calculated by using a bivariate random-effects model and heterogeneity sources were evaluated. Ten studies with a total of 252 patients with and 846 without empyema were included. From 119 overlapping descriptors, five informative CT findings were identified: Pleural enhancement, thickening, loculation, fat thickening, and fat stranding with an AUC of 0.80 (hierarchical summary receiver operating characteristic, HSROC). Potential sources of heterogeneity were different thresholds, empyema prevalence, and study year.
Identifiants
pubmed: 35049844
pii: jimaging8010003
doi: 10.3390/jimaging8010003
pmc: PMC8778997
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
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