High-Resolution Melting Analysis for accurate detection of BRAF mutations: a systematic review and meta-analysis

نویسندگان

  • Dong Chen
  • Yan-Yan Wang
  • Zheng-Ran Chuai
  • Jun-Fu Huang
  • Yun-Xia Wang
  • Kai Liu
  • Li-Qun Zhang
  • Zhao Yang
  • Da-Chuan Shi
  • Qian Liu
  • Qing Huang
  • Wei-Ling Fu
چکیده

The high-resolution melting curve analysis (HRMA) might be a good alternative method for rapid detection of BRAF mutations. However, the accuracy of HRMA in detection of BRAF mutations has not been systematically evaluated. We performed a systematic review and meta-analysis involving 1324 samples from 14 separate studies. The overall sensitivity of HRMA was 0.99 (95% confidence interval (CI) = 0.75-0.82), and the overall specificity was very high at 0.99 (95% CI = 0.94-0.98). The values for the pooled positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio were 68.01 (95% CI = 25.33-182.64), 0.06 (95% CI = 0.03-0.11), and 1263.76 (95% CI = 393.91-4064.39), respectively. The summary receiver operating characteristic curve for the same data shows an area of 1.00 and a Q* value of 0.97. The high sensitivity and specificity, simplicity, low cost, less labor or time and rapid turnaround make HRMA a good alternative method for rapid detection of BRAF mutations in the clinical practice.

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عنوان ژورنال:

دوره 4  شماره 

صفحات  -

تاریخ انتشار 2014