PMID- 27602773 OWN - NLM STAT- MEDLINE DCOM- 20180221 LR - 20181202 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 7 IP - 43 DP - 2016 Oct 25 TI - Efficacy of D5F3 IHC for detecting ALK gene rearrangement in NSCLC patients: a systematic review and meta-analysis. PG - 70128-70142 LID - 10.18632/oncotarget.11806 [doi] AB - We conducted a pooled analysis comparing the efficacy of an immunohistochemistry (IHC) assay using the D5F3 antibody with that of fluorescence in situ hybridization (FISH) for detecting ALK gene rearrangement in NSCLC patients. A total of 32 studies involving 5805 samples were included in this review. Pooled sensitivity for D5F3 IHC was 0.97 (95%CI: 0.93-0.98), specificity was 0.99 (95%CI: 0.98-1.00), PLR was 119.20 (95%CI: 57.79-245.89), NLR was 0.03 (95%CI: 0.02-0.07), DOR was 3526.66 (95%CI: 1344.71-9249.03), and AUROC was 1.00 (95%CI: 0.99-1.00). Meta-regression revealed that specimen type was a source of heterogeneity for specificity, and specimen type and FISH signal distance were sources of heterogeneity in the joint model. Subgroup analysis revealed that sensitivity and specificity were higher when the FISH signal distance standard was >/= 2 than when it was >/= 1. Sensitivity was higher for tumor specimens than for cell specimens; specificity was higher for cell specimens than for tumor specimens. In conclusion, the D5F3 IHC assay was nearly as effective as FISH for detection of ALK gene rearrangement in NSCLC patients. FAU - Ma, Hu AU - Ma H AD - Department of Oncology, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China. FAU - Yao, Wen-Xiu AU - Yao WX AD - Department of Oncology, Affiliated Cancer Hospital of Medical School, University of Electronic Science and Technology of China, Sichuan Cancer Hospital and Institute & Cancer, The Second People's Hospital of Sichuan Province, Chengdu, 610000, China. FAU - Huang, Lang AU - Huang L AD - Department of Oncology, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China. FAU - Jin, Su-Han AU - Jin SH AD - Affiliated Stemmatological Hospital of Zunyi Medical University, Zunyi 563000, China. FAU - Liu, Da-Hai AU - Liu DH AD - Department of Oncology, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China. FAU - Liu, Yuan AU - Liu Y AD - Department of Pharmacology and Key Laboratory of Basic Pharmacology of Ministry of Education, Zunyi Medical University, Zunyi 563000, China. FAU - Tian, Xu AU - Tian X AD - Chongqing Cancer Hospital and Institute, Chongqing, 40030, China. FAU - Tian, Jin-Hui AU - Tian JH AD - Evidence-Based Medicine Center of Lanzhou University, Lanzhou, 730000, China. FAU - Zhou, Jian-Guo AU - Zhou JG AD - Department of Oncology, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Antibodies) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Anaplastic Lymphoma Kinase MH - Antibodies/*immunology MH - Carcinoma, Non-Small-Cell Lung/*genetics MH - *Gene Rearrangement MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/*genetics MH - Receptor Protein-Tyrosine Kinases/*genetics PMC - PMC5342540 OTO - NOTNLM OT - ALK OT - D5F3 OT - NSCLC OT - diagnostic accuracy OT - meta-analysis COIS- CONFLICTS OF INTEREST There is no conflict of interest for any author regarding the publication of this manuscript. EDAT- 2016/09/08 06:00 MHDA- 2018/02/22 06:00 PMCR- 2016/10/25 CRDT- 2016/09/08 06:00 PHST- 2016/06/06 00:00 [received] PHST- 2016/08/13 00:00 [accepted] PHST- 2016/09/08 06:00 [pubmed] PHST- 2018/02/22 06:00 [medline] PHST- 2016/09/08 06:00 [entrez] PHST- 2016/10/25 00:00 [pmc-release] AID - 11806 [pii] AID - 10.18632/oncotarget.11806 [doi] PST - ppublish SO - Oncotarget. 2016 Oct 25;7(43):70128-70142. doi: 10.18632/oncotarget.11806.