Skip to main content
. 2019 Nov 19;2019(11):CD009977. doi: 10.1002/14651858.CD009977.pub2

4. Subgroup analyses according to type of contrast enhancement and radiation dose.

Subgroups by enhancement
and dose
Number
of analyses
(studies)a
Summary estimates with 95% CI Absolute differences in
summary estimates
with 95% CI
Sensitivity Specificity Positive likelihood
ratio
Negative
likelihood ratio
Sensitivity Specificity
Unenhanced 19 (19) 0.91
 (0.87‐0.93) 0.94
 (0.90–0.96) 15
 (9–24) 0.10
 (0.07–0.14)
IV contrast 18 (17) 0.96
(0.92–0.98)
0.93
 (0.90–0.95) 14
 (9–20) 0.04
 (0.02–0.09) 0.04b
 (0.00–0.09) ‐0.01b
 (‐0.04–0.03)
IV and oral contrast 15 (15) 0.96
 (0.93–0.98 0.94
 (0.92–0.96) 17
 (12–26) 0.04
(0.02–0.07)
0.05b
(0.01–0.09)
0.01b
(‐0.03–0.04)
Rectal contrast 9 (9) 0.97
 (0.93–0.99) 0.95
 (0.90–0.98) 21
 (9–51) 0.04
 (0.02–0.08) 0.05b
(0.01–0.09)
0.01b
(‐0.03–0.06)
Oral contrast 7 (7) 0.89
(0.81–0.94)
0.94
(0.90–0.97)
16
(9–29)
0.11
(0.06–0.21)
‐0.01b
(‐0.08–0.6)
0.01b
(‐0.03–0.05)
Standard dose 67 (64) 0.95
(0.93–0.96)
0.94
(0.92–0.95)
15.6
 (12.3–19.7) 0.05
 (0.04–0.07)
Low dose 8 (7) 0.94
(0.90–0.97)
0.94
(0.91–0.96)
16
(10–24)
0.06
 (0.03–0.11) 0.00c
 (‐0.04–0.05) 0.00c
 (‐0.04–0.03)
Overall 71 0.95
 (0.93–0.96) 0.94
 (0.92–0.95) 15
 (12–19 ) 0.05
 (0.04–0.07)

CI: confidence interval.
 IV: intravenous.
 aRandomised and paired studies provided two or more analyses.
 bAbsolute difference compared to unenhanced CT.
 cAbsolute difference compared to standard‐dose CT.