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      18F-FDG PET/MR for diagnosis of primary central nervous system lymphoma: protocol for a systematic review and meta-analysis

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          Abstract

          Background

          Primary central nervous system lymphoma (PCNSL) is a rare form of extranodal non-Hodgkin’s lymphoma with poor prognosis. 18F-flourodeoxyglucose positron emission tomography (PET)/magnetic resonance (MR) combines the advantages of PET and MR. The aim of this study is to evaluate the validity of PET/MR for the diagnosis of PCNSL by means of a meta-analysis.

          Methods and analysis

          Wanfang Database, SinoMed, China National Knowledge Infrastructure, the Cochrane Library, PubMed and Embase will be searched for candidate studies about PET/MRI in PCNSL diagnosis from database inception to October 2024. The following keywords will be applied: “Primary central nervous system lymphoma”, “Primary intracerebral lymphoma”, “Positron Emission Tomography Magnetic Resonance” and “PET-MR”. Studies meeting the inclusion criteria will be included. Studies without full true positive, false positive, false negative and true negative values; studies reported in languages other than English and Chinese; conference abstracts not available in full text and case reports will be excluded. Quality Assessment of Diagnostic Accuracy Studies will be used to evaluate the study quality. The STATA software (V.15.0) and Meta-Disc software (V.1.4) will be used to carry out meta-analysis. When heterogeneity is evident, subgroup analysis will be used to investigate the origin of heterogeneity. The robustness of the analysis will be checked with sensitivity analysis.

          Ethics and dissemination

          This research is based on public databases and does not require ethical approval. The results will seek publication in a peer-reviewed journal after the completion of this systematic review and meta-analysis.

          PROSPERO registration number

          CRD42023472570.

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          Most cited references18

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          QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies.

          In 2003, the QUADAS tool for systematic reviews of diagnostic accuracy studies was developed. Experience, anecdotal reports, and feedback suggested areas for improvement; therefore, QUADAS-2 was developed. This tool comprises 4 domains: patient selection, index test, reference standard, and flow and timing. Each domain is assessed in terms of risk of bias, and the first 3 domains are also assessed in terms of concerns regarding applicability. Signalling questions are included to help judge risk of bias. The QUADAS-2 tool is applied in 4 phases: summarize the review question, tailor the tool and produce review-specific guidance, construct a flow diagram for the primary study, and judge bias and applicability. This tool will allow for more transparent rating of bias and applicability of primary diagnostic accuracy studies.
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            Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies

            Systematic reviews of diagnostic test accuracy synthesize data from primary diagnostic studies that have evaluated the accuracy of 1 or more index tests against a reference standard, provide estimates of test performance, allow comparisons of the accuracy of different tests, and facilitate the identification of sources of variability in test accuracy.
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              Grading quality of evidence and strength of recommendations for diagnostic tests and strategies.

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                Author and article information

                Journal
                BMJ Open
                BMJ Open
                bmjopen
                bmjopen
                BMJ Open
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2044-6055
                2024
                28 May 2024
                : 14
                : 5
                : e081458
                Affiliations
                [1 ] departmentDepartment of Radiology , Ringgold_117871Hangzhou Red Cross Hospital , Hangzhou, Zhejiang, China
                [2 ] departmentDepartment of Nursing , Ringgold_117871Hangzhou Red Cross Hospital , Hangzhou, Zhejiang, China
                [3 ] departmentDepartment of Thoracic Surgery , Ringgold_117871Hangzhou Red Cross Hospital , Hangzhou, Zhejiang, China
                Author notes
                [Correspondence to ] Dr Bin Shen; shenbinxn@ 123456163.com
                Author information
                http://orcid.org/0009-0005-0197-4426
                Article
                bmjopen-2023-081458
                10.1136/bmjopen-2023-081458
                11138277
                38806425
                aefe3822-15e8-4c9e-a2a3-0d38e8b8fc8c
                © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 28 October 2023
                : 11 May 2024
                Categories
                Oncology
                1506
                1717
                Protocol
                Custom metadata
                unlocked

                Medicine
                meta-analysis,lymphoma,magnetic resonance imaging
                Medicine
                meta-analysis, lymphoma, magnetic resonance imaging

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