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The pooled DR of F-choline PET/CT, 4DCeCT and F-choline PET/4DCeCT was 0.86, 0.69, and 0.86, respectively, while their pooled sensitivity was 0.89, 0.77 and 0.93, respectively. The analysis of pooled discrepancy showed that the sensitivity of F-choline PET/CT and F-choline PET/4DCeCT was higher than that of 4DCeCT by 0.11 and 0.13, respectively, the sensitivity of F-choline PET/4DCeCT being 0.06 higher than that of F-Choline PET/CT. This meta-analysis suggests that the sensitivity of F-choline PET/CT and F-choline PET/4DCeCT is higher t