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Role of 18F-fluorodeoxyglucose positron emission tomography or positron emission tomography/computed tomography for the detection of recurrent disease after treatment of malignant melanoma

Oncology Aug 29, 2019

Lee JW, et al. - Via a systematic review and meta-analysis, researchers assessed the diagnostic performance of 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography (PET) or PET/computed tomography (PET/CT) for recurrence detection post-treatment of malignant melanoma (MM). From PubMed and EMBASE databases, relevant studies were identified. Across studies, sensitivities and specificities and positive and negative likelihood ratios (LR+ and LR–) were inquired, and summary receiver operating characteristic (SROC) curves were constructed. For 18F-FDG-PET or PET/CT, the pooled sensi­tivity across 14 results from 11 studies was 0.94 with heterogeneity (I2 = 57.95) and pooled specificity was 0.91 without heterogeneity (I2 = 27.24). An area under the curve of 0.96 (95% CI 0.93–0.97) was indicated by the hierarchical SROC curve. As per findings, 18F-FDG-PET or PET/CT was found to have high sensitivity and specificity for the detection of recurrent disease following treatment of MM. The utility of 18F-FDG-PET or PET/CT for exclusion and confirmation of recurrent disease following treatment of MM was indicated by the LR scattergram.
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