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Comparison of autofluorescence imaging bronchoscopy and white light bronchoscopy for detection of lung cancers and precancerous lesions

BACKGROUND: The purpose of this paper was to compare the sensitivity, specificity, and overall diagnostic performance of autofluorescence imaging bronchoscopy (AFI) versus white light bronchoscopy (WLB) in the detection of lung cancers and precancerous lesions by meta-analysis. METHODS: We performed...

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Autores principales: Wang, Yan, Wang, Qing, Feng, Jing, Wu, Qi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3711948/
https://www.ncbi.nlm.nih.gov/pubmed/23874085
http://dx.doi.org/10.2147/PPA.S46749
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author Wang, Yan
Wang, Qing
Feng, Jing
Wu, Qi
author_facet Wang, Yan
Wang, Qing
Feng, Jing
Wu, Qi
author_sort Wang, Yan
collection PubMed
description BACKGROUND: The purpose of this paper was to compare the sensitivity, specificity, and overall diagnostic performance of autofluorescence imaging bronchoscopy (AFI) versus white light bronchoscopy (WLB) in the detection of lung cancers and precancerous lesions by meta-analysis. METHODS: We performed a literature search using the PubMed and EMBASE databases to identify studies published between March 1991 and March 2012. Article selection, quality assessment, and data extraction were then performed. The pooled sensitivity, specificity, diagnostic odds ratio, and area under the curve of the summary receiver operating characteristic for AFI versus WLB were calculated using Stata version 12.0 software. RESULTS: Six studies were included in the meta-analysis. The pooled sensitivity of AFI and WLB was 0.89 (95% confidence interval [CI] 0.81–0.94) and 0.67 (95% CI 0.46–0.83) and the pooled specificity of AFI and WLB was 0.64 (95% CI 0.37–0.84) and 0.84 (95% CI 0.74–0.91), respectively. The diagnostic odds ratio for AFI and WLB was 14.5 (95% CI 3.76–55.63) and 10.9 (95% CI 3.12–38.21), and the area under the curve for AFI and WLB was 0.89 (95% CI 0.86–0.92) and 0.85 (95% CI 0.81–0.88), respectively. The pooled positive and negative likelihood ratios were 2.5 (95% CI 1.21–4.97) and 0.17 (95% CI 0.08–0.36) for AFI, and the corresponding values for WLB were 4.3 (95% CI 2.13–8.52) and 0.39 (95% CI 0.21–0.73). The pooled positive likelihood ratio for AFI and WLB was not higher than 10, and the pooled negative likelihood ratio for AFI and WLB was not lower than 0.1. CONCLUSION: The sensitivity of AFI is higher than that of WLB, while the specificity of AFI is lower than that of WLB. The overall diagnostic performance of AFI is slightly better than that of WLB in detecting lung cancers and precancerous lesions. AFI should find its place in routine bronchoscopic examination and may improve the diagnostic outcome on endoscopy.
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spelling pubmed-37119482013-07-19 Comparison of autofluorescence imaging bronchoscopy and white light bronchoscopy for detection of lung cancers and precancerous lesions Wang, Yan Wang, Qing Feng, Jing Wu, Qi Patient Prefer Adherence Review BACKGROUND: The purpose of this paper was to compare the sensitivity, specificity, and overall diagnostic performance of autofluorescence imaging bronchoscopy (AFI) versus white light bronchoscopy (WLB) in the detection of lung cancers and precancerous lesions by meta-analysis. METHODS: We performed a literature search using the PubMed and EMBASE databases to identify studies published between March 1991 and March 2012. Article selection, quality assessment, and data extraction were then performed. The pooled sensitivity, specificity, diagnostic odds ratio, and area under the curve of the summary receiver operating characteristic for AFI versus WLB were calculated using Stata version 12.0 software. RESULTS: Six studies were included in the meta-analysis. The pooled sensitivity of AFI and WLB was 0.89 (95% confidence interval [CI] 0.81–0.94) and 0.67 (95% CI 0.46–0.83) and the pooled specificity of AFI and WLB was 0.64 (95% CI 0.37–0.84) and 0.84 (95% CI 0.74–0.91), respectively. The diagnostic odds ratio for AFI and WLB was 14.5 (95% CI 3.76–55.63) and 10.9 (95% CI 3.12–38.21), and the area under the curve for AFI and WLB was 0.89 (95% CI 0.86–0.92) and 0.85 (95% CI 0.81–0.88), respectively. The pooled positive and negative likelihood ratios were 2.5 (95% CI 1.21–4.97) and 0.17 (95% CI 0.08–0.36) for AFI, and the corresponding values for WLB were 4.3 (95% CI 2.13–8.52) and 0.39 (95% CI 0.21–0.73). The pooled positive likelihood ratio for AFI and WLB was not higher than 10, and the pooled negative likelihood ratio for AFI and WLB was not lower than 0.1. CONCLUSION: The sensitivity of AFI is higher than that of WLB, while the specificity of AFI is lower than that of WLB. The overall diagnostic performance of AFI is slightly better than that of WLB in detecting lung cancers and precancerous lesions. AFI should find its place in routine bronchoscopic examination and may improve the diagnostic outcome on endoscopy. Dove Medical Press 2013-07-05 /pmc/articles/PMC3711948/ /pubmed/23874085 http://dx.doi.org/10.2147/PPA.S46749 Text en © 2013 Wang et al, publisher and licensee Dove Medical Press Ltd This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Review
Wang, Yan
Wang, Qing
Feng, Jing
Wu, Qi
Comparison of autofluorescence imaging bronchoscopy and white light bronchoscopy for detection of lung cancers and precancerous lesions
title Comparison of autofluorescence imaging bronchoscopy and white light bronchoscopy for detection of lung cancers and precancerous lesions
title_full Comparison of autofluorescence imaging bronchoscopy and white light bronchoscopy for detection of lung cancers and precancerous lesions
title_fullStr Comparison of autofluorescence imaging bronchoscopy and white light bronchoscopy for detection of lung cancers and precancerous lesions
title_full_unstemmed Comparison of autofluorescence imaging bronchoscopy and white light bronchoscopy for detection of lung cancers and precancerous lesions
title_short Comparison of autofluorescence imaging bronchoscopy and white light bronchoscopy for detection of lung cancers and precancerous lesions
title_sort comparison of autofluorescence imaging bronchoscopy and white light bronchoscopy for detection of lung cancers and precancerous lesions
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3711948/
https://www.ncbi.nlm.nih.gov/pubmed/23874085
http://dx.doi.org/10.2147/PPA.S46749
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