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Diagnostic performance of CT and MRI on the detection of symptomatic intracranial dural arteriovenous fistula: a meta-analysis with indirect comparison

  • Diagnostic Neuroradiology
  • Published:
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Abstract

Introduction

This study aims to review the diagnostic performance of computed tomography (CT) and magnetic resonance imaging (MRI) in symptomatic dural arteriovenous fistula (DAVF).

Methods

EMBASE, PubMed, and Cochrane Library were searched until April 2015 for studies which compared CT, MRI, or both with angiography for the detection of DAVF. The diagnostic performances of MRI and CT were indirectly compared using modality as a covariate in the analysis.

Results

Thirteen studies met our inclusion criteria. MRI had a sensitivity of 0.90 (95 % confidence interval (CI) = 0.83–0.94) and specificity of 0.94 (95 % CI = 0.90–0.96). CT had a sensitivity of 0.80 (95 % CI = 0.62–0.90) and specificity of 0.87 (95 % CI = 0.74–0.94). MRI showed better diagnostic performance than CT (p = 0.02). Contrast medium use and time-resolved MR angiography did not improve MRI diagnostic performance (p = 0.31 and 0.44, respectively).

Conclusion

Both CT and MRI had good diagnostic performance. MRI was better than CT on the detection of symptomatic intracranial dural arteriovenous fistula in the indirect comparison.

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Acknowledgments

We acknowledge the Ministry of Science and Technology support for the Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taiwan (MOST 103-2911-I-008-001).

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Authors and Affiliations

  1. Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan

    Yen-Heng Lin & Hsien-Ho Lin

  2. Department of Medical Imaging and Radiology, Hospital and Medical College, National Taiwan University Hospital in Taipei and Yuan-Lin Branch, 7, Chung-Shan South Road, Taipei, Taiwan, 10016

    Yen-Heng Lin, Hon-Man Liu, Chung-Wei Lee & Ya-Fang Chen

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  1. Yen-Heng Lin
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Corresponding author

Correspondence to Hon-Man Liu.

Ethics declarations

We declare that all human and animal studies have been approved by the internal ethical review board of National Taiwan University Hospital and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. We declare that all patients gave informed consent prior to inclusion in this study.

Conflict of interest statement

We declare that we have no conflict of interest.

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Appendix

Appendix

Table 3 Reported imaging signs of each included study
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Table 4 Summary of imaging signs
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Lin, YH., Lin, HH., Liu, HM. et al. Diagnostic performance of CT and MRI on the detection of symptomatic intracranial dural arteriovenous fistula: a meta-analysis with indirect comparison. Neuroradiology 58, 753–763 (2016). https://doi.org/10.1007/s00234-016-1696-8

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