Wattar, B;
Rimmer, M;
Rogozinska, E;
Macmillian, M;
Khan, KS;
Al Wattar, BH;
(2020)
Accuracy of imaging modalities for adnexal torsion: a systematic review and meta-analysis.
BJOG: An International Journal of Obstetrics & Gynaecology
10.1111/1471-0528.16371.
(In press).
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Abstract
BACKGROUND:Adnexal torsion (AT), a serious gynaecological emergency, often presents with non‐specific symptoms leading to delayed diagnosis. OBJECTIVE: To compare the test accuracy of ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI) to diagnose AT. SEARCH STRATEGY: We searched EMBASE, MEDLINE and Cochrane CENTRAL until December 2019. SELECTION CRITERIA: Studies reporting on the accuracy of any imaging modality (Index Test) in female patients (paediatric and adult) suspected of AT compared with surgical diagnosis and/or standard clinical/radiological follow‐up period until resolution of symptoms (Reference Standard). DATA COLLECTION AND ANALYSIS: We assessed study quality using QUADAS‐2. We conducted test accuracy meta‐analysis using a univariate model or a hierarchical model.
| Type: | Article |
|---|---|
| Title: | Accuracy of imaging modalities for adnexal torsion: a systematic review and meta-analysis |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/1471-0528.16371 |
| Publisher version: | https://doi.org/10.1111/1471-0528.16371 |
| Language: | English |
| Additional information: | © 2020 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/). |
| Keywords: | Adnexa, computed tomography, Doppler, magnetic resonance imaging, meta-analysis, ovary, test accuracy, torsion, ultrasound |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology > MRC Clinical Trials Unit at UCL |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10107888 |
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