单位：[1]Department of Orthopedics, Peking University China-Japan FriendshipSchool of Clinical Medicine, 2 Yinghuadong Road, Chaoyang District, Beijing100029, China[2]Department of Orthopedics, Graduate School of PekingUnion Medical College, China-Japan Friendship institute of Clinical Medicine,2 Yinghuadong Road, Chaoyang District, Beijing 100029, China[3]Beijing KeyLaboratory of Immune Inflammatory Disease, China-Japan FriendshipHospital, Peking Union Medical College, 2 Yinghuadong Road, ChaoyangDistrict, Beijing 100029, China
Background Bone marrow infiltration (BMI) is a devastating stage of paediatric lymphoma. Prompt diagnosis of BMI in newly diagnosed paediatric lymphoma patients is critical but can be very challenging at present. Methods We systematically retrieved studies from PubMed, EMBASE, and the Cochrane Library. Data extraction and quality assessment were performed by two reviewers independently. A total of nine eligible studies were included in the quantitative analysis. Results The pooled sensitivity and specificity of FDG-PET/CT for diagnosing BMI in newly diagnosed paediatric lymphoma patients were 0.97 (95% confidence interval [CI], 0.93 to 0.99) and 0.99 (95% CI, 0.98 to 0.99), respectively. The pooled PLR, NLR, and DOR were 79.9 (95% CI, 42.7 to 149.6), 0.03 (95% CI, 0.01 to 0.17), and 2414.6 (95% CI, 989.6 to 5891.4), respectively. The AUC of FDG-PET/CT for BMI was 1.00 (95% CI, 0.99 to 1.00). Compared with FDG-PET/CT, BMB had a lower pooled sensitivity (0.44, 95% CI, 0.34 to 0.55) and comparable pooled specificity (1.00, 95% CI, 0.92 to 1.00). Conclusion Compared with BMB, FDG-PET/CT was a more valuable diagnostic method for evaluating BMI in paediatric Hodgkin and non-Hodgkin lymphoma patients with extremely high diagnostic accuracy.
基金：
Beijing Natural Science FoundationBeijing Natural Science Foundation [7174346, 7182146]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81672236, 81802224, 81871830]; Graduate Innovation Foundation of Peking Union Medical College [2019-1002-91]
第一作者单位：[1]Department of Orthopedics, Peking University China-Japan FriendshipSchool of Clinical Medicine, 2 Yinghuadong Road, Chaoyang District, Beijing100029, China
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推荐引用方式(GB/T 7714)：
Li Zhizhuo,Li Chengxin,Chen Bingrong,et al.FDG-PET/CT versus bone marrow biopsy in bone marrow involvement in newly diagnosed paediatric lymphoma: a systematic review and meta-analysis[J].JOURNAL of ORTHOPAEDIC SURGERY and RESEARCH.2021,16(1):doi:10.1186/s13018-021-02521-3.
APA：
Li, Zhizhuo,Li, Chengxin,Chen, Bingrong,Shi, Lijun,Gao, Fuqiang...&Sun, Wei.(2021).FDG-PET/CT versus bone marrow biopsy in bone marrow involvement in newly diagnosed paediatric lymphoma: a systematic review and meta-analysis.JOURNAL of ORTHOPAEDIC SURGERY and RESEARCH,16,(1)
MLA：
Li, Zhizhuo,et al."FDG-PET/CT versus bone marrow biopsy in bone marrow involvement in newly diagnosed paediatric lymphoma: a systematic review and meta-analysis".JOURNAL of ORTHOPAEDIC SURGERY and RESEARCH 16..1(2021)
