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Cardiovascular magnetic resonance vs histopathologic study for benign and malignant cardiac tumours diagnosis – a systematic review and metanalyses
Session:
Sessão de Posters 55 - RM Cardíaca
Speaker:
Sandra
Congress:
CPC 2024
Topic:
B. Imaging
Theme:
03. Imaging
Subtheme:
03.6 Cross-Modality and Multi-Modality Imaging Topics
Session Type:
Cartazes
FP Number:
---
Authors:
Sandra; Catarin Costa; Sofia Justo; Ana Filipa Amador; Elisabete Martins
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:"Times New Roman",serif"><strong>Purpose: </strong>Cardiac tumours diagnosis’s gold standard is histopathological examination. Cardiovascular magnetic resonance (CMR) is a valuable non-invasive radiation-free tool for identifying and characterising cardiac tumours. Our aim is to understand CMR diagnosis of cardiac tumours, by distinguishing benign vs malign and different tumours, when compared to the gold standard.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:"Times New Roman",serif"><strong>Methods: </strong>A systematic search was performed in PubMed, Web of Science and Scopus databases up until December 2022 and the results were reviewed by two independent investigators. Studies reporting CMR diagnosis were included in a meta-analysis and pooled measures were obtained. The risk of bias was assessed using the Quality Assessment Tools from the National Institutes of Health.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:"Times New Roman",serif"><strong>Results: </strong>A total of 2321 results were obtained; ten studies were eligible, including one identified by citation search. Eight studies were included in the meta-analysis, which presented a pooled sensitivity of 93% and specificity of 94%, a diagnostic odds ratio of 185 and an AUC of 0.98 for CMR diagnosing benign vs malignant tumours. Additionally, 4 studies evaluated whether CMR diagnosis of cardiac tumours matched specific histopathological subtypes, with 73.6% of correct diagnoses.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:"Times New Roman",serif"><strong>Conclusion: </strong> To the best of our knowledge, this is the first published systematic review on the diagnosis of CMR cardiac tumours. Compared to histopathological results, the ability to discriminate benign from malignant tumours was good; the ability to distinguish subtypes was not outstanding. However, significant heterogeneity may have an impact on our findings.</span></span></p>
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