关键词: diagnostic meta-analysis thyroid cancer thyroid stimulating hormone receptor

Mesh : Area Under Curve Biomarkers, Tumor / blood genetics Cell-Free Nucleic Acids / blood genetics Chi-Square Distribution Early Detection of Cancer / methods Humans Predictive Value of Tests Prognosis RNA, Messenger / blood genetics RNA, Neoplasm / blood genetics ROC Curve Receptors, Thyroid Hormone / blood genetics Reproducibility of Results Thyroid Neoplasms / blood genetics pathology

来  源:   DOI:10.18632/oncotarget.14251   PDF(Sci-hub)

Abstract:
Thyroid stimulating hormone receptor messenger RNA (TSHR-mRNA) is over-expressed in thyroid cancer patients, which indicates that TSHR-mRNA is a potential biomarker of thyroid cancer. However, system evaluation for TSHR-mRNA as a diagnostic biomarker of thyroid cancer is deficient. The performance of TSHR-mRNA for thyroid cancer diagnosis was evaluated in this study. Three common international databases as well as a Chinese database were applied for literature researching. Quality assessment of the included literatures was conducted by the QUADAS-2 tool. Totally, 1027 patients from nine studies eligible for the meta-analysis were included in this study. Global sensitivity and specificity for the positivity of TSHR-mRNA in the thyroid cancer diagnosis is 72% and 82%. The value of AUC for this test performance was 0.84. Our meta-analysis suggests that TSHR-mRNA might be a potential biomarker to complete present diagnostic methods for early and precision diagnosis of thyroid cancer. Notably, this findings need validation thorough large-scale clinical studies.
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