The accuracy of ultrasonography and magnetic resonance imaging for the diagnosis of Morton's neuroma: a systematic review

被引:42
|
作者
Xu, Z. [1 ]
Duan, X. [1 ]
Yu, X. [1 ]
Wang, H. [1 ]
Dong, X. [2 ]
Xiang, Z. [1 ]
机构
[1] Sichuan Univ, West China Hosp, Dept Orthoped, Chengdu 610041, Sichuan, Peoples R China
[2] Chengdu Womens & Childrens Cent Hosp, Dept Pathol, Chengdu 610000, Sichuan, Peoples R China
关键词
SONOGRAPHY; METATARSALGIA; ULTRASOUND; EFFICACY; MRI;
D O I
10.1016/j.crad.2014.10.017
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
AIM: To determine the accuracy of MRI versus ultrasound for Morton's neuroma. MATERIALS AND METHODS: A search was undertaken for clinical studies published in any language in PubMed up to the date of December 2013. Studies assessing the accuracy of the ultrasound or MRI for the diagnosis of Morton's neuroma were included. Data were pooled for meta-analysis. Study selection, data collection, and extraction were performed independently by two authors. Meta-disc 1.4 and Revman 5.2 software were applied for statistical analysis. RESULTS: The study included 12 studies; 217 patients underwent MRI and 241 underwent ultrasound examinations. There appeared greater diagnostic accuracy for ultrasound than MRI for the diagnosis of Morton's neuroma (ultrasound sensitivity 90%, specificity 88%, positive likelihood ratio 2.77, negative likelihood ratio 0.16 versus MRI sensitivity 93%, specificity 68%, positive likelihood ratio 1.89, negative likelihood ratio 0.19). CONCLUSIONS: The available evidence suggests that ultrasound can provide better accuracy for the diagnosis of Morton's neuroma than MRI. (C) 2014 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:351 / 358
页数:8
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