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Comparison of smear cytology with liquid-based cytology in pancreatic lesions: A systematic review and meta-analysis

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World Journal of Clinical Cases 2021年第14期9卷 3308-3319页

作者： Xiao-Hui Zhang Shi-Yang Ma Na Liu Zhong-Cao Wei Xu Gao Yu-Jie Hao Yi-Xin Liu Ya-Qin Cai Jin-Hai Wang Department of Gastroenterology The Second Affiliated Hospital of Xi'an Jiaotong UniversityXi'an 710004Shaanxi ProvinceChina

BACKGROUND Endoscopic ultrasonography-guided fine-needle aspiration(EUS-FNA)is a safe and accurate technique to confirm the diagnosis of pancreatic ***,numerous studies comparing the diagnostic efficacy of smear cytology(SC)and liquid-based cytology(LBC)for pancreatic lesions yielded mixed *** To compare and identify the better cytology method for EUS-FNA in pancreatic *** A comprehensive search of PubMed,Embase,and Cochrane was undertaken through July 18,*** primary endpoint was diagnostic accuracy(sensitivity and specificity).Secondary outcomes included sample adequacy and post procedure *** addition,factors affecting diagnostic efficacy were *** Data on a total of 1121 comparisons from 10 studies met the inclusion *** rates of sensitivity for SC and LBC were 78%(67%-87%)vs 75%(67%-81%),*** any case,both SC and LBC exhibited a high specificity close to 100%.Inadequate samples more often appeared in LBC compared with ***,the LBC samples exhibited a better visual field than *** few post procedure complications were *** Our data suggested that for EUS-FNA in pancreatic lesions(particularly solid lesions),SC with Rapid On-Site Evaluation represents a superior diagnostic *** Rapid On-Site Evaluation is unavailable,LBC may replace *** diagnostic accuracy of LBC depends on different LBC techniques.

关键词： smear cytology Liquid-based cytology Pancreas Endoscopic ultrasonography-guided fine-needle aspiration Sensitivity and specificity Diagnostic efficacy

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Diagnostic value of liquid-based cytology and smear cytology in pancreatic endoscopic ultrasound-guided fine needle aspiration: A meta-analysis

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World Journal of Clinical Cases 2020年第14期8卷 3006-3020页

作者： Hang-Hai Pan Xin-Xin Zhou Fei Zhao Hui-Yan Chen Yu Zhang Department of Gastroenterology Zhejiang Provincial People's HospitalPeople's Hospital of Hangzhou Medical CollegeHangzhou 310014Zhejiang ProvinceChina Department of Gastroenterology The First Affiliated HospitalCollege of MedicineZhejiang UniversityHangzhou 310003Zhejiang ProvinceChina School of Laboratory Medicine and Life Sciences Wenzhou Medical UniversityWenzhou 325027Zhejiang ProvinceChina

BACKGROUND smear cytology(SC)using endoscopic ultrasound-guided fine needle aspiration(EUS-FNA)is the established and traditional choice for diagnosing pancreatic ***-based cytology(LBC)is a novel alternative cytological method,however,the comparative diagnostic efficacy of LBC remains *** To examine the diagnostic efficacy of LBC and SC for pancreatic specimens obtained through EUS-FNA via a systematic review and *** A systematic literature search was performed using PubMed,EMBASE,the Cochrane Library,and Web of *** numbers of true positives,false positives,true negatives,and false negatives for each cytological test(LBC and CS)were extracted from the included *** pooled sensitivity and specificity and the area under the summary receiver operating characteristic curve(AUC)were calculated,and the AUC was compared by Tukey's multiple comparisons *** quality of the included studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies II *** A total of 1656 patients in eight studies were *** pooled sensitivity and specificity and the AUC for LBC were 0.76(95%CI:0.72-0.79),1.00(95%CI:0.98-1.00),and 0.9174,respectively,for diagnosing pancreatic *** pooled estimates for SC were as follows:Sensitivity,0.68(95%CI:0.64-0.71);specificity,0.99(95%CI:0.96-100.00);and AUC,***,the corresponding values for LBC combined with SC were 0.87(95%CI:0.84-0.90),0.99(95%CI:0.96-1.00),and ***’s multiple comparisons test was used to compare the sensitivities and AUCs of the three diagnostic methods;statistically significant differences were found between the three methods,and LBC combined with SC was superior to both LBC(P<0.05)and SC(P<0.05).The pooled sensitivity and AUC did not change significantly in the sensitivity *** LBC may be sensitive than SC in the cytological diagnosis of pancreatic lesions,however,the superior diagnostic performance o

关键词： Liquid-based cytology smear cytology Pancreatic lesions Endoscopic ultrasound-guided fine needle aspiration Cytological diagnosis ROC curve

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