MRI、MDCT檢測腎癌下腔靜脈癌栓及癌栓侵犯血管壁價值的系統評價_《中國循證醫學雜志》

作者：

張歌 ¹ , 周印 ² ,  劉榮波 ²

1. 四川大學華西臨床醫學院（成都 610041）；2. 四川大學華西醫院放射科（成都 610041）;

關鍵詞：

腎腫瘤癌栓下腔靜脈 MRI MDCT 系統評價

DOI：

10.7507/1672-2531.20130007

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　對MRI、MDCT檢測下腔靜脈癌栓及癌栓侵犯血管壁的價值進行系統評價。
方法　計算機檢索PubMed、EMbase、Cochrane圖書館、MELINE（Ovid）、CBM、CNKI、VIP及WanFang Data的相關英文及中文文獻，檢索時限為2000年1月～2012年2月。按照納入和排除標準選擇文獻、提取資料和評價納入研究的方法學質量后，采用RevMan 5、Meta-disc 1.4軟件對納入文獻進行異質性檢驗及Meta分析。
結果　共納入6篇文獻，244例患者，246例腎癌。Meta分析結果顯示：MRI和MDCT組的敏感度分別為0.963、0.952，特異度分別為0.969、0.979，+LR分別為9.759、15.57，–LR分別為0.091、0.108，dOR分別為198.71、251.54。各組合并效應量間均無統計學差異（P gt;0.05）。MDCT組的SROC曲線下面積（AUC）為0.981 8，Q 0.940 7。
結論　MRI與MDCT診斷腎癌下腔靜脈癌栓的差異無統計學意義。由于現有資料有限，今后還應更多地進行關于癌栓侵犯血管壁的原始研究。

引用本文： 張歌,周印,劉榮波. MRI、MDCT檢測腎癌下腔靜脈癌栓及癌栓侵犯血管壁價值的系統評價. 中國循證醫學雜志, 2013, 13(1): 21-25. doi: 10.7507/1672-2531.20130007 復制

1. Kabala JE. The kidneys and ureters. In: Sutton D, ed. Textbook of radiology and imaging. Churchill Livingstone: London; 2003: 953.

2. Kearney GP, Waters WB, Klein LA, et al. Results of inferior vena cava resection for renal cell carcinoma. J Urol, 1981, 125(6): 769-773.

3. Marshall FF, Dietrick DD, Baumgartner WA, et al. Surgical management of renal cell carcinoma with intracaval neoplastic extension above the hepatic veins. J Urol, 1988, 139(6): 1166-1172.

4. Hatcher PA, Anderson EE, Paulson DF, et al. Surgical management and prognosis of renal cell carcinoma invading the vena cava. J Urol, 1991, 145(1): 20-23; discussion 23-24.

5. Myneni L, Hricak H, Carroll PR. Magnetic resonance imaging of renal carcinoma with extension into the vena cava: staging accuracy and recent advances. Br J Urol, 1991, 68(6): 571-578.

6. Skinner DG, Pritchett TR, Lieskovsky G, et al. Vena caval involvement by renal cell carcinoma. Surgical resection provides meaningful long-term survival. Ann Surg, 1989, 210(3): 387-392; discussion 392-384.

7. Guo HF, Song Y, Na YQ. Value of abdominal ultrasound scan, CT and MRI for diagnosing inferior vena cava tumour thrombus in renal cell carcinoma. Chin Med J (Engl). 2009, 122(19): 2299-2302.

8. Belgrano E, Trombetta C, Siracusano S, et al. Surgical Management of Renal Cell Carcinoma (RCC) with Vena Cava Tumour Thrombus. European Urology Supplements, 2006, 5(8): 610-618.

9. Aslam Sohaib SA, Teh J, Nargund VH, et al. Assessment of tumor invasion of the vena caval wall in renal cell carcinoma cases by magnetic resonance imaging. J Urol, 2002, 167(3): 1271-1275.

10. Khan AR, Anwar K, Fatima N, et al. Comparison of CT scan and colour flow Doppler ultrasound in detecting venous tumour thrombous in renal cell carcinoma. J Ayub Med Coll Abbottabad, 2008, 20(3): 47-50.

11. Hallscheidt PJ, Fink C, Haferkamp A, et al. Preoperative staging of renal cell carcinoma with inferior vena cava thrombus using multidetector CT and MRI: prospective study with histopathological correlation. J Comput Assist Tomogr, 2005, 29(1): 64-68.

12. Ergen FB, Hussain HK, Caoili EM, et al. MRI for Preoperative Staging of Renal Cell Carcinoma Using the 1997 TNM Classification: Comparison with Surgical and Pathologic Staging. AJR, 2004, 182: 217-225.

13. Nazim SM, Ather MH, Hafeez K, et al. Accuracy of multidetector CT scans in staging of renal carcinoma. Int J Surg, 2011, 9(1): 86-90.

14. Guzzo TJ, Pierorazio PM, Schaeffer EM, et al. The accuracy of multidetector computerized tomography for evaluating tumor thrombus in patients with renal cell carcinoma. J Urol, 2009, 181(2): 486-490; discussion 491.

15. Cuevas C, Raske M, Bush WH, et al. Imaging primary and secondary tumor thrombus of the inferior vena cava: multi-detector computed tomography and magnetic resonance imaging. Curr Probl Diagn Radiol, 2006, 35(3): 90-101.

16. Yeh BM, Kurzman P, Foster E, et al. Clinical relevance of retrograde inferior vena cava or hepatic vein opacification during contrast-enhanced CT. AJR Am J Roentgenol, 2004, 183(5): 1227-1232.

17. Wotkowicz C, Wszolek MF, Libertino JA. Resection of renal tumors invading the vena cava. Urol Clin North Am, 2008, 35(4): 657-671; viii.

18. Jibiki M, Iwai T, Inoue Y, et al. Surgical strategy for treating renal cell carcinoma with thrombus extending into the inferior vena cava. Journal of Vascular Surgery, 2004, 39(4): 829-835.

19. Stern PR, Perkov D, Smiljanic R, et al. Venous spread of renal cell carcinoma: MDCT. Abdom Imaging, 2007, 32(4): 530-537.

20. Sheth S, Fishman EK. Imaging of the inferior vena cava with MDCT. AJR Am J Roentgenol, 2007, 189(5): 1243-1251.

1. Kabala JE. The kidneys and ureters. In: Sutton D, ed. Textbook of radiology and imaging. Churchill Livingstone: London; 2003: 953.

2. Kearney GP, Waters WB, Klein LA, et al. Results of inferior vena cava resection for renal cell carcinoma. J Urol, 1981, 125(6): 769-773.

3. Marshall FF, Dietrick DD, Baumgartner WA, et al. Surgical management of renal cell carcinoma with intracaval neoplastic extension above the hepatic veins. J Urol, 1988, 139(6): 1166-1172.

4. Hatcher PA, Anderson EE, Paulson DF, et al. Surgical management and prognosis of renal cell carcinoma invading the vena cava. J Urol, 1991, 145(1): 20-23; discussion 23-24.

5. Myneni L, Hricak H, Carroll PR. Magnetic resonance imaging of renal carcinoma with extension into the vena cava: staging accuracy and recent advances. Br J Urol, 1991, 68(6): 571-578.

6. Skinner DG, Pritchett TR, Lieskovsky G, et al. Vena caval involvement by renal cell carcinoma. Surgical resection provides meaningful long-term survival. Ann Surg, 1989, 210(3): 387-392; discussion 392-384.

7. Guo HF, Song Y, Na YQ. Value of abdominal ultrasound scan, CT and MRI for diagnosing inferior vena cava tumour thrombus in renal cell carcinoma. Chin Med J (Engl). 2009, 122(19): 2299-2302.

8. Belgrano E, Trombetta C, Siracusano S, et al. Surgical Management of Renal Cell Carcinoma (RCC) with Vena Cava Tumour Thrombus. European Urology Supplements, 2006, 5(8): 610-618.

9. Aslam Sohaib SA, Teh J, Nargund VH, et al. Assessment of tumor invasion of the vena caval wall in renal cell carcinoma cases by magnetic resonance imaging. J Urol, 2002, 167(3): 1271-1275.

10. Khan AR, Anwar K, Fatima N, et al. Comparison of CT scan and colour flow Doppler ultrasound in detecting venous tumour thrombous in renal cell carcinoma. J Ayub Med Coll Abbottabad, 2008, 20(3): 47-50.

11. Hallscheidt PJ, Fink C, Haferkamp A, et al. Preoperative staging of renal cell carcinoma with inferior vena cava thrombus using multidetector CT and MRI: prospective study with histopathological correlation. J Comput Assist Tomogr, 2005, 29(1): 64-68.

12. Ergen FB, Hussain HK, Caoili EM, et al. MRI for Preoperative Staging of Renal Cell Carcinoma Using the 1997 TNM Classification: Comparison with Surgical and Pathologic Staging. AJR, 2004, 182: 217-225.

13. Nazim SM, Ather MH, Hafeez K, et al. Accuracy of multidetector CT scans in staging of renal carcinoma. Int J Surg, 2011, 9(1): 86-90.

14. Guzzo TJ, Pierorazio PM, Schaeffer EM, et al. The accuracy of multidetector computerized tomography for evaluating tumor thrombus in patients with renal cell carcinoma. J Urol, 2009, 181(2): 486-490; discussion 491.

15. Cuevas C, Raske M, Bush WH, et al. Imaging primary and secondary tumor thrombus of the inferior vena cava: multi-detector computed tomography and magnetic resonance imaging. Curr Probl Diagn Radiol, 2006, 35(3): 90-101.

16. Yeh BM, Kurzman P, Foster E, et al. Clinical relevance of retrograde inferior vena cava or hepatic vein opacification during contrast-enhanced CT. AJR Am J Roentgenol, 2004, 183(5): 1227-1232.

17. Wotkowicz C, Wszolek MF, Libertino JA. Resection of renal tumors invading the vena cava. Urol Clin North Am, 2008, 35(4): 657-671; viii.

18. Jibiki M, Iwai T, Inoue Y, et al. Surgical strategy for treating renal cell carcinoma with thrombus extending into the inferior vena cava. Journal of Vascular Surgery, 2004, 39(4): 829-835.

19. Stern PR, Perkov D, Smiljanic R, et al. Venous spread of renal cell carcinoma: MDCT. Abdom Imaging, 2007, 32(4): 530-537.

20. Sheth S, Fishman EK. Imaging of the inferior vena cava with MDCT. AJR Am J Roentgenol, 2007, 189(5): 1243-1251.

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腹腔鏡與開腹行左半肝切除治療原發性肝癌近期療效及安全性的系統評價

1資料與方法

1.1一般資料

1.2方法

1.3察指標和判定標準

1.4統計學方法

2結果

2.1兩組患者療效比較

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3討論

《中國循證醫學雜志》

MRI、MDCT檢測腎癌下腔靜脈癌栓及癌栓侵犯血管壁價值的系統評價

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1.	Kabala JE. The kidneys and ureters. In: Sutton D, ed. Textbook of radiology and imaging. Churchill Livingstone: London; 2003: 953.
2.	Kearney GP, Waters WB, Klein LA, et al. Results of inferior vena cava resection for renal cell carcinoma. J Urol, 1981, 125(6): 769-773.
3.	Marshall FF, Dietrick DD, Baumgartner WA, et al. Surgical management of renal cell carcinoma with intracaval neoplastic extension above the hepatic veins. J Urol, 1988, 139(6): 1166-1172.
4.	Hatcher PA, Anderson EE, Paulson DF, et al. Surgical management and prognosis of renal cell carcinoma invading the vena cava. J Urol, 1991, 145(1): 20-23; discussion 23-24.
5.	Myneni L, Hricak H, Carroll PR. Magnetic resonance imaging of renal carcinoma with extension into the vena cava: staging accuracy and recent advances. Br J Urol, 1991, 68(6): 571-578.
6.	Skinner DG, Pritchett TR, Lieskovsky G, et al. Vena caval involvement by renal cell carcinoma. Surgical resection provides meaningful long-term survival. Ann Surg, 1989, 210(3): 387-392; discussion 392-384.
7.	Guo HF, Song Y, Na YQ. Value of abdominal ultrasound scan, CT and MRI for diagnosing inferior vena cava tumour thrombus in renal cell carcinoma. Chin Med J (Engl). 2009, 122(19): 2299-2302.
8.	Belgrano E, Trombetta C, Siracusano S, et al. Surgical Management of Renal Cell Carcinoma (RCC) with Vena Cava Tumour Thrombus. European Urology Supplements, 2006, 5(8): 610-618.
9.	Aslam Sohaib SA, Teh J, Nargund VH, et al. Assessment of tumor invasion of the vena caval wall in renal cell carcinoma cases by magnetic resonance imaging. J Urol, 2002, 167(3): 1271-1275.
10.	Khan AR, Anwar K, Fatima N, et al. Comparison of CT scan and colour flow Doppler ultrasound in detecting venous tumour thrombous in renal cell carcinoma. J Ayub Med Coll Abbottabad, 2008, 20(3): 47-50.
11.	Hallscheidt PJ, Fink C, Haferkamp A, et al. Preoperative staging of renal cell carcinoma with inferior vena cava thrombus using multidetector CT and MRI: prospective study with histopathological correlation. J Comput Assist Tomogr, 2005, 29(1): 64-68.
12.	Ergen FB, Hussain HK, Caoili EM, et al. MRI for Preoperative Staging of Renal Cell Carcinoma Using the 1997 TNM Classification: Comparison with Surgical and Pathologic Staging. AJR, 2004, 182: 217-225.
13.	Nazim SM, Ather MH, Hafeez K, et al. Accuracy of multidetector CT scans in staging of renal carcinoma. Int J Surg, 2011, 9(1): 86-90.
14.	Guzzo TJ, Pierorazio PM, Schaeffer EM, et al. The accuracy of multidetector computerized tomography for evaluating tumor thrombus in patients with renal cell carcinoma. J Urol, 2009, 181(2): 486-490; discussion 491.
15.	Cuevas C, Raske M, Bush WH, et al. Imaging primary and secondary tumor thrombus of the inferior vena cava: multi-detector computed tomography and magnetic resonance imaging. Curr Probl Diagn Radiol, 2006, 35(3): 90-101.
16.	Yeh BM, Kurzman P, Foster E, et al. Clinical relevance of retrograde inferior vena cava or hepatic vein opacification during contrast-enhanced CT. AJR Am J Roentgenol, 2004, 183(5): 1227-1232.
17.	Wotkowicz C, Wszolek MF, Libertino JA. Resection of renal tumors invading the vena cava. Urol Clin North Am, 2008, 35(4): 657-671; viii.
18.	Jibiki M, Iwai T, Inoue Y, et al. Surgical strategy for treating renal cell carcinoma with thrombus extending into the inferior vena cava. Journal of Vascular Surgery, 2004, 39(4): 829-835.
19.	Stern PR, Perkov D, Smiljanic R, et al. Venous spread of renal cell carcinoma: MDCT. Abdom Imaging, 2007, 32(4): 530-537.
20.	Sheth S, Fishman EK. Imaging of the inferior vena cava with MDCT. AJR Am J Roentgenol, 2007, 189(5): 1243-1251.

《中國循證醫學雜志》

MRI、MDCT檢測腎癌下腔靜脈癌栓及癌栓侵犯血管壁價值的系統評價

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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下一篇

Format

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