Evidence map›Paper›PMID 40207424›Full record

SynthesisCytopathology : official journal of the British Society for Clinical Cytology2025

Performance of the Monoclonal Antibody B72.3 in Diagnosis of Malignant Carcinomatous Serous Effusions-A Systematic Review and Meta-Analysis of Diagnostic Performance.

Alex H Lin, Matthew Hsu, Joanna K M Ng, Sahar J Farahani, Joshua J X Li, Jana Nano, Hamidreza Raeisi-Dehkordi, Wilson Tang, Philippe Vielh, Taulant Muka

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Cytopathology : official journal of the British Society for Clinical Cytology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alex H LinDepartment of Pathology, School of Clinical Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Matthew HsuDepartment of Pathology, School of Clinical Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Joanna K M NgDepartment of Pathology, School of Clinical Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Sahar J FarahaniDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, USA.ORCID 0000-0003-0845-4659
Joshua J X LiDepartment of Pathology, School of Clinical Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Jana NanoDepartment of Radiation Oncology, TUM School of Medicine and Health, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
Hamidreza Raeisi-DehkordiDepartment of Global Public Health and Bioethics, Julius Center for Health Sciences and Primary Care, University Medical Center (UMC) Utrecht, Utrecht University, Utrecht, the Netherlands.
Wilson TangThe University of Hong Kong Libraries, The University of Hong Kong, Pokfulam, Hong Kong.
Philippe VielhDepartment of Pathology, Medipath and American Hospital of Paris, Paris, France.
Taulant MukaEpistudia, Bern, Switzerland.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectivesImmunocytochemistry is often required in the cytologic assessment of malignant serous effusion, particularly for differentiating metastatic carcinoma from mesothelioma. To summarise the diagnostic performance of the monoclonal antibody B72.3, a systematic review and meta-analysis was conducted.

methodsFive databases were searched for relevant studies and reviewed for data extraction and risk of bias assessment. Pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR) and area under curve of summary receiver operating characteristics (AUC-SROC) were calculated for the diagnostic performance of B72.3. Heterogeneity and publication bias were assessed by the I

resultsIn total, 19 studies (1159 cases) were included. Overall pooled sensitivity and specificity were 0.76 (0.72-0.79) and 0.90 (0.74-1.00), respectively. The NLR, PLR and DOR were 0.27 (0.21-0.34), 7.66 (< 0.001-20.46) and 28.26 (0-75.96), respectively. The AUC-SROC was 0.98, indicating a good overall diagnostic accuracy for B72.3. Subgroup analysis for adenocarcinoma (0.75, 0.71-0.79), mesothelioma (0.92, 0.85-0.98) and benign/reactive mesothelial cells (0.96, 0.93-1.00) showed similar sensitivity and specificity, while the sensitivity for adenocarcinomas of the gastrointestinal/hepatobiliary tract (0.56, 0.41-0.71) and breast (0.55, 0.38-0.71) was significantly lower. High heterogeneity was observed in the majority of our analyses, while no evidence of publication bias was identified.

conclusionsB72.3 has an acceptable performance with low sensitivity. With a good specificity, B72.3 may find use in an immunocytochemical panel for excluding benign mesothelial processes.

Indexed as

Antibodies, MonoclonalMesotheliomaPleural Effusion, MalignantBiomarkers, TumorHumansImmunohistochemistrySensitivity and SpecificityAntibodies, MonoclonalBiomarkers, TumorB72.3diagnosisimmunocytochemistrymeta‐analysismetastatic carcinomaserous effusion

Identifiers

PMID40207424
PMCPMC12150004

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.