Table 2:

Diagnostic performance of 11C-MET PET in subgroups of brain tumors

AnalysisNo. of Studies (pts)Independent Estimates (95% CI)LR (95% CI)
SensitivitySpecificityLR+LR−
Design
    Prospective4 (156)0.91 (0.84–0.95)0.92 (0.78–0.97)11.49 (3.87–34.08)0.10 (0.06–0.18)
    Retrospective7 (260)0.91 (0.81–0.96)0.84 (0.73–0.90)5.50 (3.18–9.51)0.11 (0.05–0.24)
PET measurement
    Qualitative5 (189)0.93 (0.87–0.96)0.85 (0.73–0.92)6.10 (3.34–11.15)0.08 (0.04–0.16)
    Quantitative6 (227)0.89 (0.79–0.94)0.89 (0.74–0.96)8.38 (3.07–22.88)0.13 (0.07–0.25)
PET or PET/CT
    PET7 (232)0.86 (0.78–0.91)0.89 (0.72–0.96)7.96 (2.75–23.00)0.16 (0.10–0.26)
    PET/CT4 (184)0.95 (0.89–0.97)0.86 (0.74–0.93)6.62 (3.48–12.59)0.06 (0.03–0.13)
Malignant grade
    Low5 (97)a0.90 (0.76–0.96)0.88 (0.77–0.94)7.44 (3.68–15.02)0.12 (0.05–0.30)
    High7 (132)a0.98 (0.75–1.00)0.88 (0.75–0.95)8.51 (3.78–19.17)0.02 (0.00–0.34)
    NS4 (153)0.87 (0.79–0.93)0.87 (0.69–0.96)6.93 (2.52–19.04)0.15 (0.08–0.26)
Disease status
    SPBT2 (85)0.95 (0.85–0.98)0.83 (0.65–0.93)5.49 (2.47–12.21)0.07 (0.02–0.20)
    SRBT8 (238)0.92 (0.83–0.97)0.87 (0.75–0.93)6.81 (3.39–13.69)0.09 (0.04–0.21)
    NS2 (93)0.88 (0.78–0.94)0.95 (0.71–0.99)16.69 (2.47–112.66)0.13 (0.07–0.24)
Histology
    Glioma9 (292)b0.92 (0.85–0.95)0.87 (0.76–0.93)7.01 (3.67–13.38)0.10 (0.05–0.18)
    Nonglioma and NS4 (182)b0.88 (0.79–0.93)0.83 (0.66–0.92)5.07 (2.39–10.79)0.14 (0.08–0.28)
  • Note:—NS indicates not separable; pts, patients.

  • a Patients with non-neoplastic lesions in 5 studies2325,30,43 were used for both low and high grade subgroups.

  • b Patients with non-neoplastic lesions in 2 studies29,41 were used for both glioma and non-glioma subgroups.