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Head Neck ; 41(7): 2430-2440, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30851073

RESUMO

BACKGROUND: This meta-analysis describes the validity of narrow band imaging (NBI) in the assessment of suspicious oral lesions. METHODS: Medline, EMBASE, and Scopus were searched for trial studies comparing NBI with conventional modalities in the oral cavity (OC) and oropharynx (OP) for the detection of dysplastic and malignant change. RESULTS: Seven studies were found, and generally supported the utility of NBI in different clinical settings, although there were exceptions. Pooled data from 4 studies of NBI validity demonstrated high summary specificity and sensitivity for a wide range of suspicious lesions of the OC or OP (75.7% with 95% CI 65.1%-83.9%, and 91.5% with 95% CI 81.8%-96.3%, respectively). Summary positive likelihood ratio (LR+) was 8.91 (95% CI 4.1-19.6) and 0.27 (95% CI 0.18-0.39), respectively. CONCLUSIONS: NBI is a promising diagnostic and surveillance tool for suspicious lesions in the OC or OP; however, higher powered studies will define precise NBI criterion and clinical recommendations.


Assuntos
Neoplasias Bucais/diagnóstico por imagem , Imagem de Banda Estreita , Neoplasias Orofaríngeas/diagnóstico por imagem , Humanos , Leucoplasia Oral/diagnóstico por imagem , Úlceras Orais/diagnóstico por imagem , Lesões Pré-Cancerosas/diagnóstico por imagem , Sensibilidade e Especificidade
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