Results of meta-analytic summary estimates of CT and US for diagnosing cervical lymph node metastasis in patients with papillary thyroid cancer by level-by-level analysis

Meta-Analysis Summary Estimate
Sensitivity (95% CI)P ValueSpecificity (95% CI)P Value
All cervical lymph nodes
    US51% (42–60)91% (85–95)
    CT62% (52–70).127a87% (80–92).351a
    Combined CT/US69% (61–77).011b81% (74–87).074b
Lateral cervical lymph nodes
    US71% (57–82)85% (64–95)
    CT70% (59–80).858a89% (81–94).792a
    Combined CT/US90% (80–95).029b70% (43–88).329b
Central cervical lymph nodes
    US38% (27–52)91% (81–96)
    CT57% (43–69).088a85% (72–92).368a
    Combined CT/US57% (45–68).079b83% (75–89).281b
  • a Comparison for CT vs US.

  • b Comparison for combined CT/US vs US.