{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:48:59Z","timestamp":1790470139632,"version":"4.1.0"},"reference-count":54,"publisher":"Oxford University Press (OUP)","issue":"1086","license":[{"start":{"date-parts":[[2018,2,5]],"date-time":"2018-02-05T00:00:00Z","timestamp":1517788800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We aimed to explore the role of the diagnostic accuracy of 18F fluodeoxyglucose PET (18F-FDG PET) or PET\/CT for characterization of adrenal lesions through a systematic review and meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The MEDLINE, EMBASE, and Cochrane Library database, from the earliest available date of indexing through 30 April 2017, were searched for studies evaluating the diagnostic performance of 18F-FDG PET or PET\/CT for characterization of adrenal lesions. We determined the sensitivities and specificities across studies, calculated positive and negative likelihood ratios (LR + and\u2009LR\u2013), and constructed summary receiver operating characteristic curves.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Across 29 studies (2421 patients), the pooled sensitivity for 18F-FDG PET or PET\/CT was 0.91 [95% CI (0.88\u20130.94)] with heterogeneity (\u03c7 \u00a02 = 141.8, p = 0.00) and a pooled specificity of 0.91 [95% CI (0.87\u20130.93)] with heterogeneity (\u03c7 \u00a02 = 113.7, p = 0.00). Likelihood ratio (LR) syntheses gave an overall positive likelihood ratio (LR+) of 9.9 [95% CI (7.1\u201313.7)] and negative likelihood ratio (LR\u2013) of 0.09 [95% CI (0.07\u20130.13)]. The pooled diagnostic odds ratio was 105 [95% CI (63\u2013176)]. In metaregression analysis, study design, publication year, study location (western vs others), interpretation criteria of PET or PET\/CT images, quantification of PET or PET\/CT [SUVmax (maximum standardized uptake value) vs SUV (standardized uptake value) ratio], patient group, and analysis method (patient-based vs lesion-based) were the sources of the study heterogeneity. However, in multivariate metaregression, no definite variable was the source of the study heterogeneity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>18F-FDG PET or PET\/CT demonstrated good sensitivity and specificity for the characterization of adrenal masses. At present, the literature regarding the use of 18F-FDG PET or PET\/CT for the characterization of adrenal masses remains still limited; thus, further large multicenter studies would be necessary to substantiate the diagnostic accuracy of 18F-FDG PET or PET\/CT characterization of adrenal masses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Advances in knowledge:<\/jats:title>\n                    <jats:p>18F- FDG PET or PET\/CT showed good sensitivity and specificity for the characterization of adrenal masses and could provide additional information for that purpose.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1259\/bjr.20170520","type":"journal-article","created":{"date-parts":[[2018,1,12]],"date-time":"2018-01-12T09:17:30Z","timestamp":1515748650000},"source":"Crossref","is-referenced-by-count":71,"title":["Diagnostic accuracy of 18F-FDG PET or PET\/CT for the characterization of adrenal masses: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"91","author":[{"given":"Seong-Jang","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Nuclear Medicine, Pusan National University Yangsan Hospital , Yangsan , South Korea"},{"name":"BioMedical Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital , Yangsan , South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang-Woo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, Kyungpook National University Medical Center and School of Medicine , Daegu , South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoungjune","family":"Pak","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine and Biomedical Research Institute, Pusan National University Hospital , Busan , South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In-Ju","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine and Biomedical Research Institute, Pusan National University Hospital , Busan , South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keunyoung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine and Biomedical Research Institute, Pusan National University Hospital , Busan , South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,2,5]]},"reference":[{"key":"2024050214310104600_b1","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1148\/radiol.2493070976","article-title":"Incidental adrenal lesions: principles, techniques, and algorithms for imaging 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