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Table 1 Studies of Ultrasound Imaging of Regional Lymph Nodes in Melanoma Patients Scheduled for Sentinel Node Biopsy

From: Gamma probe and ultrasound guided fine needle aspiration cytology of the sentinel node (GULF) trial - overview of the literature, pilot and study protocol

Author, year

Study Design

N

US Setting

FNAC/other technique

Sens (%)

Spec (%)

PPV (%)

NPV (%)

Rossi [61], 2000

Not mentioned

69

Pre-lympho

No

33

100

100

86

Rossi [25], 2003

Prospective, monocentric

125

Pre-lympho

FNAC if US suspicious

US alone: Not mentioned

-

-

-

US-FNAC: 39

100

100

85

Hocevar [62], 2004

Prospective, monocentric

57

unknown

FNAC if US suspicious

US alone: 71

84

59

90

US-FNAC: Not mentioned

-

-

-

Testori [63], 2005

Retrospective, monocentric

88

unknown

No

94

90

64

99

Starritt [64], 2005

Prospective, monocentric

31 all SN +

Post-lympho

No

NA

NA

NA

NA

Voit [65], 2006

Prospective, monocentric

127

Post-lympho

FNAC if US suspicious

US alone: 79

72

53

90

FNAC alone: 59

100

100

85

US-FNAC: 82

72

54

91

Van Rijk [26], 2006

Retrospective, monocentric

107

Pre-lympho

FNAC if US suspicious

US alone: 34

87

-

-

US-FNAC: 4.7

100

-

-

Sibon [66], 2007

Prospective, monocentric

131

Pre-lympho

No

9

96

43

-

Kunte [67], 2009

Prospective, monocentric

25

Pre- and post-lympho

No

33

100

100

88

Voit [30], 2009

Prospective, monocentric

400

Post-lympho

FNAC if US suspicious

65

99

93

92

Sanki [60], 2009

Prospective, monocentric

716

Post-lympho

No

33

97

60

88

De Giorgi [36], 2010

Prospective monocentric

15

Post-lympho

Standard CEUS

CEUS: 100

62

55

100

Voit [31], 2010

Prospective monocentric

400

Post lympho

FNAC if US suspicious

All Berlin criteria combined: 82

80

52

94

Hinz [58], 2011

Prospective monocentric

81

Pre and post lympho

No

22

100

100

96

Chai [68], 2012

Retrospective monocentric

325

Pre-lympho

FNAC if US suspicious

34

86

37

84

Marone [69], 2012

Prospective monocentric

623

Pre-lympho

No

15

100

100

87

Pilko [70], 2012

Retrospective Monocentric

405

Pre-lympho

FNAC if US suspicious

Not mentioned

-

-

-

Stoffels [71], 2012

Retrospective Monocentric

221

Pre-lympho

FNAC if US suspicious

14

97

100

97

Hinz [72], 2013

Retrospective Monocentric

20

Pre-lympho &, pre PET-CT

No If US malig. Direct LND

12

100

100

74

Ulrich [73], 2014 In German

Prospective monocentric

800

Post lympho

FNAC if US suspicious

US-FNAC: 56

99

92

89

Voit [32], 2014

Prospective monocentric

1000

Post lympho

FNAC if US suspicious

US alone: 71

-

-

-

US-FNAC: 51

99

99

89

Voit [33], 2016

Prospective monocentric

1000

Post lympho

FNAC if US suspicious

US alone: 71

-

-

-

US-FNAC: 51

99

99

89

  1. Overview of studies reporting on ultrasound imaging of regional lymph nodes in melanoma patients prior to sentinel node biopsy. Abbreviations: US ultrasound, FNAC fine needle aspiration cytology, CEUS contrast enhanced ultrasound, Sens sensitivity, Spec specificity, PPV positive predictive value, NPV negative predictive value, lympho lymphoscintigraphy, NA not applicable