Review Article

Diagnostic Performance of PET or PET/CT with Different Radiotracers in Patients with Suspicious Lung Cancer or Pleural Tumours according to Published Meta-Analyses

Table 1

Characteristics and main findings of included meta-analyses on the diagnostic performance of PET or PET/CT with different radiotracers for evaluation of patients with suspicious lung cancer or pleural tumours.

TopicAuthorsYearArticles includedPatients (p) or lesions (l) includedSensitivity (95% CI)Specificity (95% CI)LR+ (95% CI)LR−(95% CI)DOR (95% CI)

18F-FDG PET or PET/CT for lung cancer screeningChien et al. [4]201349199 (p)83% (75–89)91% (86–95)NRNRNR

Characterization of SPNs by single time point 18F-FDG PET or PET/CTZhang et al. [14]20138415 (p)77% (71.9–82.3)59% (50.6–66.2)1.97 (1.32–2.93)0.37 (0.29–0.49)6.39 (3.4–12)
430 (l)
Deppen et al. [5]2014708511 (l)89% (86–91)75% (71–79)NRNRNR
Wang et al. [6]201541330 (p)98.7%58.2%NRNRNR
Li et al. [16]20157301 (p)92% (86–95)50% (41–58)2.01 (1.38–2.93)0.17 (0.10–0.29)10.72 (5.51–20.87)
Wang et al. [17]201610351 (p)89%66%NRNRNR
Ruilong et al. [7]2017121297 (p)82% (76–87)81% (66–90)4.3 (2.3–7.9)0.22 (0.16–0.3)17.6 (8.2–37.7)
1301 (l)
Li et al. [8]2018201557 (p)89% (87–91)70% (66–73)3.33 (2.35–4.71)0.18 (0.13–0.25)22.43 (12.5–40.1)
Divisi et al. [9]2018121463 (p)81.9% (79.4–84.3)62.4% (58.2–66.5)2.19 (1.95–2.44)0.29 (0.25–0.33)7.05 (5.5–8.9)
Jia et al. [10]201923NR89% (85–92)78% (66–86)3.97 (2.57–6.13)0.15 (0.10–0.20)24 (12.7–45.5)
Basso Dias et al. [11]20195735 (p)78% (70–84)81% (72–88)4.1 (2.6–6.5)0.8 (0.19–0.40)15 (7–32)

Characterization of SPNs by dual time point 18F-FDG PET or PET/CTLin et al. [12]201211778 (p)NRNRNRNRNR
Barger and Nandalur [13]201210816 (p)85% (82–89)77% (72–81)2.7 (1.4–5.2)0.26 (0.14–0.49)11 (3.8–32.2)
890 (l)
Zhang et al. [14]20138415 (p)79% (74–84)73% (65–79)2.61 (1.96–3.47)0.29 (0.21–0.41)10.25 (5.8–18.1)
430 (l)
Zhao et al. [15]201613962 (p)80% (76–84)75% (71–79)2.57 (1.54–4.29)0.28 (0.16–0.5)10.01 (3.8–26.2)

Characterization of SPNs by 18F-FLT PET or PET/CTLi et al. [16]20157301 (p)81% (74–87)70% (61–77)4.01 (1.62–9.88)0.27 (0.20–0.37)12.58 (6.8–23.2)
Wang et al. [17]201517548 (p)80% (74–85%)82% (74–88)NRNRNR

Characterization of pleural lesions by 18F-FDG PET or PET/CTTreglia et al. [18]201411NR95% (92–97)82% (76–88)5.3 (2.4–11.8)0.09 (0.05–0.14)74 (34–161)
Treglia et al. [19]20148360 (p)86% (80–91)80% (73–85)3.7 (2.8–4.9)0.18 (0.09–0.34)27 (13–56)
Porcel et al. [20]201511NR91% (86–94)67% (56–77)2.83 (2.04–3.98)0.14 (0.08–0.22)22 (10.2–41.7)

18F-FDG = fluorine-18 fluorodeoxyglucose; 18F-FLT = fluorine-18 fluorothymidine; LR+ = positive likelihood ratio; LR− = negative likelihood ratio; DOR = diagnostic odds ratio; 95% CI = 95% confidence interval; NR = not reported; SPNs = solitary pulmonary nodules; PET = positron emission tomography; CT = computed tomography.