Contrast-enhanced ultrasound (CEUS) for the diagnosis of axillary lymph nodes in breast cancer: A systematic review and meta-analysis

Objective: To evaluate the accuracy of contrast-enhanced ultrasound (CEUS) for the diagnosis of axillary lymph nodes in breast cancer. Methods: PubMed, EMBASE, The Cochrane Library, Chinese Biomedical Literature Database, the full database of China, Chinese National Knowledge Infrastructure, and Wan...

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Main Authors: Le Chong, Luhua Xia, Xiulan Wu, Hongyu Li, Zhiying Jia
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:WFUMB Ultrasound Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2949668324000223
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author Le Chong
Luhua Xia
Xiulan Wu
Hongyu Li
Zhiying Jia
author_facet Le Chong
Luhua Xia
Xiulan Wu
Hongyu Li
Zhiying Jia
author_sort Le Chong
collection DOAJ
description Objective: To evaluate the accuracy of contrast-enhanced ultrasound (CEUS) for the diagnosis of axillary lymph nodes in breast cancer. Methods: PubMed, EMBASE, The Cochrane Library, Chinese Biomedical Literature Database, the full database of China, Chinese National Knowledge Infrastructure, and Wanfang database databases were utilized. Perspective studies regarding CEUS diagnosis of axillary lymph nodes in breast cancer were included. QUADAS-2 was used to estimate the research quality by two reviewers independently. Metadisc1.4 software and Stata 14.0 were used to examine data from the included studies. The diagnostic value of CEUS was assessed by aspects such as summary sensitivity, specificity, receiver operating characteristic (SROC). Results: Fourteen studies were included and 1127 patients were included. A meta-analysis showed that the summary sensitivity of CEUS was 0.85 (95 % CI 0.82–0.87), the specificity was 0.86 (95 % CI 0.82–0.89), the diagnostic odds ratio was 31.15 (95 % CI 17.16–56.52) and the SROC was 0.9186. Conclusions: CEUS diagnosis of axillary lymph nodes in breast cancer has high sensitivity and specificity and it is the preferred method to diagnose axillary lymph nodes in breast cancer in clinical practice.
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spelling doaj-art-50e7dc5fe9f049ad8ab2a5acde723afc2025-08-20T02:38:46ZengElsevierWFUMB Ultrasound Open2949-66832024-12-012210005410.1016/j.wfumbo.2024.100054Contrast-enhanced ultrasound (CEUS) for the diagnosis of axillary lymph nodes in breast cancer: A systematic review and meta-analysisLe Chong0Luhua Xia1Xiulan Wu2Hongyu Li3Zhiying Jia4Department of Ultrasonography, The Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, ChinaDepartment of Nuclear Medicine, The Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, ChinaDepartment of Ultrasonography, The Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, ChinaDepartment of Breast Medicine, The Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, ChinaDepartment of Ultrasonography, The Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, China; Corresponding author.Objective: To evaluate the accuracy of contrast-enhanced ultrasound (CEUS) for the diagnosis of axillary lymph nodes in breast cancer. Methods: PubMed, EMBASE, The Cochrane Library, Chinese Biomedical Literature Database, the full database of China, Chinese National Knowledge Infrastructure, and Wanfang database databases were utilized. Perspective studies regarding CEUS diagnosis of axillary lymph nodes in breast cancer were included. QUADAS-2 was used to estimate the research quality by two reviewers independently. Metadisc1.4 software and Stata 14.0 were used to examine data from the included studies. The diagnostic value of CEUS was assessed by aspects such as summary sensitivity, specificity, receiver operating characteristic (SROC). Results: Fourteen studies were included and 1127 patients were included. A meta-analysis showed that the summary sensitivity of CEUS was 0.85 (95 % CI 0.82–0.87), the specificity was 0.86 (95 % CI 0.82–0.89), the diagnostic odds ratio was 31.15 (95 % CI 17.16–56.52) and the SROC was 0.9186. Conclusions: CEUS diagnosis of axillary lymph nodes in breast cancer has high sensitivity and specificity and it is the preferred method to diagnose axillary lymph nodes in breast cancer in clinical practice.http://www.sciencedirect.com/science/article/pii/S2949668324000223Contrast-enhanced ultrasound (CEUS)Diagnosisaxillary lymph nodesBreast cancer
spellingShingle Le Chong
Luhua Xia
Xiulan Wu
Hongyu Li
Zhiying Jia
Contrast-enhanced ultrasound (CEUS) for the diagnosis of axillary lymph nodes in breast cancer: A systematic review and meta-analysis
WFUMB Ultrasound Open
Contrast-enhanced ultrasound (CEUS)
Diagnosis
axillary lymph nodes
Breast cancer
title Contrast-enhanced ultrasound (CEUS) for the diagnosis of axillary lymph nodes in breast cancer: A systematic review and meta-analysis
title_full Contrast-enhanced ultrasound (CEUS) for the diagnosis of axillary lymph nodes in breast cancer: A systematic review and meta-analysis
title_fullStr Contrast-enhanced ultrasound (CEUS) for the diagnosis of axillary lymph nodes in breast cancer: A systematic review and meta-analysis
title_full_unstemmed Contrast-enhanced ultrasound (CEUS) for the diagnosis of axillary lymph nodes in breast cancer: A systematic review and meta-analysis
title_short Contrast-enhanced ultrasound (CEUS) for the diagnosis of axillary lymph nodes in breast cancer: A systematic review and meta-analysis
title_sort contrast enhanced ultrasound ceus for the diagnosis of axillary lymph nodes in breast cancer a systematic review and meta analysis
topic Contrast-enhanced ultrasound (CEUS)
Diagnosis
axillary lymph nodes
Breast cancer
url http://www.sciencedirect.com/science/article/pii/S2949668324000223
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