Diagnostic Accuracy of the Magnetic Resonance Imaging in Adult Post-Ganglionic Brachial Plexus Traumatic Injuries: A Systematic Review and Meta-Analysis.
Diagnostic Accuracy of the Magnetic Resonance Imaging in Adult Post-Ganglionic Brachial Plexus Traumatic Injuries: A Systematic Review and Meta-Analysis.
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成人节后臂丛神经创伤性损伤的磁共振成像诊断准确性：系统评价和荟萃分析。
DOI：
10.3390/brainsci11020173
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发表时间：
2021-01-30
期刊：
影响因子：
3.3
通讯作者：
Carriero A
中科院分区：
文献类型：
--
作者：
Leigheb M;Tricca S;Percivale I;Licandro D;Paladini A;Barini M;Guzzardi G;Grassi FA;Stecco A;Carriero A
背景：创伤性臂丛神经损伤很少见，但重大创伤造成的后果很严重。神经节前损伤被认为是无法修复的，而神经节后损伤如果能够早期诊断则可以治愈。术前诊断对于区分低级别病变和高级别病变并确定其位置非常重要。该综述的目的是与术中检查结果相比，评估磁共振成像（MRI）在识别成人创伤性臂丛神经损伤引起的神经节后病变方面的诊断准确性。方法：对主要科学电子数据库进行研究。纳入了对患有创伤性节后臂丛神经损伤的成人的研究。指标检验为术前MRI，参考标准为手术探查。计算汇总敏感性和特异性。结果：纳入四项研究进行系统评价，其中三篇文章符合荟萃分析的纳入标准。汇总敏感性和汇总特异性值结果较高。敏感性值与所选文献的高异质性指数相关。结论：尽管有其局限性，MRI仍可被视为臂丛神经损伤形态学评估的金标准检查，特别是诊断神经节后创伤性损伤。
Background: Traumatic brachial plexus injuries are rare but serious consequences of major traumas. Pre-ganglionic lesions are considered irreparable, while post-ganglionic injuries can be potentially treated if an early diagnosis is available. Pre-surgical diagnosis is important to distinguish low-grade from high-grade lesions and to identify their location. The aim of the review is to evaluate the diagnostic accuracy of magnetic resonance imaging (MRI) in the identification of adult post-ganglionic lesions due to traumatic brachial plexus injuries, compared to intraoperative findings. Methods: Research on the main scientific electronic databases was conducted. Studies of adults with traumatic post-ganglionic brachial plexus injuries were included. The index test was preoperative MRI and the reference standard was surgical exploration. Pooled sensitivity and specificity were calculated. Results: Four studies were included for the systematic review, of which three articles met the inclusion criteria for the meta-analysis. Pooled sensitivity and pooled specificity values resulted high. The sensitivity value is associated with a high heterogeneity index of the selected literature. Conclusion: MRI can be considered, despite the limits, the gold standard exam in morphological evaluation of brachial plexus injuries, particularly in the diagnosis of post-ganglionic traumatic injuries.
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DOI：
10.1136/bmj.b2535
发表时间：
2009-07-21
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Moher D;Liberati A;Tetzlaff J;Altman DG;PRISMA Group
通讯作者：
PRISMA Group
影响因子：
1.5
作者：
Acharya, A. M.;Cherian, Blessin S.;Bhat, Anil K.
通讯作者：
Bhat, Anil K.
影响因子：
5.5
作者：
Yoshikawa, Takeharu;Hayashi, Naoto;Ohtomo, Kuni
通讯作者：
Ohtomo, Kuni
影响因子：
5.5
作者：
Gilcrease-Garcia, Brian M.;Deshmukh, Swati D.;Parsons, Matthew S.
通讯作者：
Parsons, Matthew S.
DOI：
10.1016/0266-7681(94)90050-7
发表时间：
1994-02-01
期刊：
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME
影响因子：
--
作者：
OCHI, M;IKUTA, Y;ITOH, K
通讯作者：
ITOH, K