Management of ampullary neoplasms: A tailored approach between endoscopy and surgery

Table 3 Accuracy of various methods in indenfying and staging papillary tumors

Ref.	n	Test	Tumor detection			T	N			Resectability
			Sens	Spec	Acc	Acc	Sens	Spec	Acc	Sens	Spec	Acc
Artifon et al[147]	27	CT	-	-	-	51.8%	40.0%	65.0%	55.5%	-	-	-
		EUS	-	-	-	74.1%	70.0%	88.0%	81.4%	-	-	-
Buscail et al[148]	6	EUS	-	-	-	83.0%	-	-	100.0%	100.0%	100%	100%
Cannon et al[79]	50	CT	-	-	-	24.0%	-	-	59.0%	-	-	-
		MRI	-	-	-	46.0%	-	-	77.0%	-	-	-
		EUS	-	-	-	78.0%	-	-	68.0%	-	-	-
Chen et al[61]	19	US	5.0%	-	-	11.0%	7.0%	-	-	-	-	-
		CT	21.0%	-	-	22.0%	33.0%	-	-	-	-	-
		EUS	95.0%	-	-	72.0%	47.0%	-	-	-	-	-
Chen et al[5]	41	US	-	-	12.2%	-	-	-	-	-	-	-
		CT	-	-	28.6%	26.1%	0.0%	-	44.0%	-	-	-
		MRI	-	-	81.3%	53.8%	25.0%	-	77.0%	-	-	-
		EUS	-	-	97.6%	72.7%	47.0%	-	67.0%	-	-	-
Heinzow et al[84]	72	IDUS	87.5%	92.5%	90.2%	-	-	-	75.0%	-	-	-
		ETP	68.7%	100.0%	86.0%	-	-	-	-	-	-	-
		IDUS +ETP	97.0%	100.0%	94.5%	-	-	-	-	-	-	-
Howard et al[149]	21	CT	-	-	-	-	-	-	-	63.0%	100%	86%
		EUS	-	-	-	-	-	-	-	75.0%	77%	76%
Kubo et al[85]	35	EUS	-	-	-	74.0%	-	-	63.0%	-	-	-
Manta et al[82]	24	MRI	75.0%	-	-	-	-	-	-	-	-	-
		EUS	100.0%	-	-	-	-	-	-	-	-	-
Midwinter et al[63]	34	CT	76.0%	-	-	-	33.0%	86.0%	-	-	-	-
		EUS	97.0%	-	-	-	44.0%	93.0%	-	-	-	-
Mukai et al[83]	23	EUS	96.0%	-	-	78.0%	-	-	-	-	-	-
Qiao et al[59]	127	US	7.9%	-	-	-	-	-	-	-	-	-
		CT	19.0%	-	-	-	-	-	-	-	-	-
Rösch et al[64]	28	US	7.0%	-	-	-	-	-	-	-	-	-
		CT	29.0%	-	-	-	-	-	-	-	-	-
		EUS	93.0%	-	-	-	-	-	-	-	-	-
Skordilis et al[60]	20	US	15.0%	-	-	-	-	-	-	-	-	-
		CT	20.0%	-	-	-	-	-	-	-	-	-
		EUS	100.0%	-	-	82.0%	-	-	71.0%	-	-	-
Tio et al[150]	32	EUS	-	-	-	84.4%	68.8%	37.5%	53.1%	-	-	-

Acc: Accuracy; CT: Computerized tomography; ETP: Endoscopic transpapillary forceps biopsies; EUS: Endoscopic ultrasonography; IDUS: Transpapillary intraductal ultrasonography; MRI: Magnetic resonance imaging; Sens: sensitivity; Spec: Specificity.