Table 1:

Metaregression analyses and diagnostic performance of 18F-FDG-PET in subgroups of brain tumors

AnalysisNo. of Studies (pts)I2 of Metaregression (95% CI, P Value)Independent Estimates (95% CI)LR (95% CI)
SensitivitySpecificityLR+LR−
Design
    Retrospective9 (333)0.00 (0–100, .86)0.71 (0.58–0.81)0.73 (0.57–0.85)2.63 (1.68–4.13)0.40 (0.29–0.55)
    Prospective15 (524)0.71 (0.60–0.79)0.80 (0.66–0.89)3.45 (1.96–6.07)0.37 (0.26–0.52)
PET or PET/CT
    PET17 (511)0.00 (0–100, .38)0.74 (0.64–0.81)0.74 (0.60–0.84)2.82 (1.74–4.55)0.36 (0.25–0.51)
    PET/CT7 (346)0.65 (0.50–0.78)0.84 (0.68–0.92)3.97 (2.09–7.54)0.42 (0.29–0.59)
PET measurement
    Qualitative19 (757)57.87 (4.96–100, .09)0.69 (0.60–0.76)0.79 (0.67–0.87)3.24 (2.00–5.24)0.40 (0.30–0.52)
    Quantitative4 (85)0.86 (0.71–0.94)0.67 (0.43–0.84)2.59 (1.40–4.81)0.21 (0.09–0.45)
Malignant grade
    Low14 (330)a0.00 (0–100, .46)0.60 (0.35–0.81)0.79 (0.64–0.89)2.87 (1.52–5.41)0.50 (0.27–0.92)
    High17 (473)a0.74 (0.68–0.80)0.78 (0.65–0.87)3.35 (2.09–5.38)0.33 (0.26–0.42)
    NS7 (192)0.70 (0.50–0.84)0.70 (0.54–0.82)2.33 (1.47–3.67)0.44 (0.26–0.74)
Disease status
    SPBT3 (127)b77.72 (51.54–100, .01)0.43 (0.28–0.59)0.74 (0.49–0.90)1.67 (0.59–4.76)0.77 (0.48–1.24)
    SRBT20 (643)b0.75 (0.67–0.81)0.79 (0.66–0.88)3.51 (2.17–5.66)0.32 (0.25–0.41)
Histology
    Glioma17 (609)c,d0.00 (0–100, .47)0.75 (0.64–0.83)0.78 (0.64–0.87)3.36 (2.02–5.59)0.33 (0.23–0.47)
    Nonglioma or NS8 (250)c0.64 (0.52–0.75)0.75 (0.63–0.84)2.58 (1.69–3.94)0.48 (0.35–0.65)
  • Note:—NS indicates not separable; pts, patients.

  • a Patients with nonneoplastic lesions in 14 studies2,68,11,12,15,16,18,19,21,2325 were used for both low- and high-grade subgroups.

  • b Patients with nonneoplastic lesions in 2 studies8,25 were used for both SPBT and SRBT subgroups.

  • c Five patients with nonneoplastic lesions from Hong et al 201116 were used for both glioma and nonglioma subgroups.

  • d One patient with lymphoma in Pauleit et al 20098 and 2 patients with esthesioblastoma and renal cell metastasis in Kahn et al 199412 were excluded from subgroup analysis.