The diagnostic accuracy of CT and MRI in the staging of pelvic lymph nodes in patients with prostate cancer: a meta-analysis.
OBJECTIVE
To compare the diagnostic accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) in the diagnosis of lymph node metastases in prostate cancer.


METHODS
After a comprehensive literature search, studies were included that allowed construction of contingency tables for detection of lymph node metastases using CT or MRI. In addition, a summary receiver-operating characteristic (ROC) analysis was performed.


RESULTS
A total of 24 studies were included. For CT, pooled sensitivity was 0.42 (0.26-0.56 95% CI) and pooled specificity was 0.82 (0.8-0.83 95% CI). For MRI, the pooled sensitivity was 0.39 (0.22-0.56 95% CI) and pooled specificity was 0.82 (0.79-0.83 95% CI). The differences in performance of CT and MRI were not statistically significant.


CONCLUSIONS
CT and MRI demonstrate an equally poor performance in the detection of lymph node metastases from prostate cancer. Reliance on either CT or MRI will misrepresent the patient's true status regarding nodal metastases, and thus misdirect the therapeutic strategies offered to the patient.
Hövels
A M
AM
Department of Medical Technology Assessment, Radboud University Nijmegen Medical Centre, The Netherlands. A.Hovels@mta.umcn.nl
Heesakkers
R A M
RA
Adang
E M
EM
Jager
G J
GJ
Strum
S
S
Hoogeveen
Y L
YL
Severens
J L
JL
Barentsz
J O
JO
D006801:Humans; D008198:Lymph Nodes; D008207:Lymphatic Metastasis; D008279:Magnetic Resonance Imaging / Q000592:standards*; D008297:Male; D009367:Neoplasm Staging; D010386:Pelvic Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000556:secondary; D011471:Prostatic Neoplasms / Q000473:pathology*; D012372:ROC Curve; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000592:standards*