Diagnostic accuracy of dual-energy computed tomography (DECT) to detect non-traumatic bone marrow edema: A systematic review and meta-analysis
•10 studies involving 2463 regions of hand, ankle, hip, sacroiliac joint and so on were evaluated.•More rigorous and comprehensive data extraction and analysis was presented.•DECT shows a excellent diagnostic performance, with the sensitivity, specificity, and AUROC values are 88.4%, 96.1%, and 0.98...
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| Veröffentlicht in: | European journal of radiology 2022-08, Vol.153, p.110359-110359, Article 110359 |
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| creator | Chen, Zheng Chen, Yingmin Zhang, Hui Jia, Xiuchuan Zheng, Xuechao Zuo, Tianzi |
| description | •10 studies involving 2463 regions of hand, ankle, hip, sacroiliac joint and so on were evaluated.•More rigorous and comprehensive data extraction and analysis was presented.•DECT shows a excellent diagnostic performance, with the sensitivity, specificity, and AUROC values are 88.4%, 96.1%, and 0.98.
This meta-analysis aimed to evaluate the diagnostic performance of dual-energy computed tomography (DECT) for detecting bone marrow edema (BME) in non-traumatic patients.
A systematic search of PubMed, EMBASE, and the Cochrane Library databases was performed up to October 1, 2021 for relevant original studies. Study details were extracted by two independent reviewers. A bivariate mixed-effects regression model was used to assess comprehensive diagnostic performance, and a subgroup analysis was performed to evaluate sources of variability. The risk of bias was evaluated with the QUADAS-2 tool.
Ten studies involving 2463 regions, including hands, ankles, hips, and sacroiliac joints, were evaluated in this meta-analysis. Summary sensitivity, specificity, and area under the receiver operating characteristic curve values for BME were 88.4% (95% confidence interval (CI) 82.4%–92.5%), 96.1% (95% CI 94.4%–97.3%), and 0.98 (95% CI 96%–99%), respectively. The subgroup analysis showed that studies using a thicker slice (≥1 mm) had a higher sensitivity, and studies with older patients (≥60 years), fewer included patients ( |
| doi_str_mv | 10.1016/j.ejrad.2022.110359 |
| format | Article |
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This meta-analysis aimed to evaluate the diagnostic performance of dual-energy computed tomography (DECT) for detecting bone marrow edema (BME) in non-traumatic patients.
A systematic search of PubMed, EMBASE, and the Cochrane Library databases was performed up to October 1, 2021 for relevant original studies. Study details were extracted by two independent reviewers. A bivariate mixed-effects regression model was used to assess comprehensive diagnostic performance, and a subgroup analysis was performed to evaluate sources of variability. The risk of bias was evaluated with the QUADAS-2 tool.
Ten studies involving 2463 regions, including hands, ankles, hips, and sacroiliac joints, were evaluated in this meta-analysis. Summary sensitivity, specificity, and area under the receiver operating characteristic curve values for BME were 88.4% (95% confidence interval (CI) 82.4%–92.5%), 96.1% (95% CI 94.4%–97.3%), and 0.98 (95% CI 96%–99%), respectively. The subgroup analysis showed that studies using a thicker slice (≥1 mm) had a higher sensitivity, and studies with older patients (≥60 years), fewer included patients (<40), and bones other than the pelvis had a higher specificity. Studies presented a generally low or unclear risk for bias and applicability concerns.
DECT has an excellent diagnostic performance for detecting BME in non-traumatic patients and may provide an alternative to magnetic resonance imaging (MRI) for the detection of non-traumatic BME in the future, especially when MRI is unavailable or contraindicated.</description><identifier>ISSN: 0720-048X</identifier><identifier>EISSN: 1872-7727</identifier><identifier>DOI: 10.1016/j.ejrad.2022.110359</identifier><identifier>PMID: 35609447</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Bone marrowedema ; Dual-energy computed tomography ; Meta-analysis ; Non-traumatic ; Systematic review</subject><ispartof>European journal of radiology, 2022-08, Vol.153, p.110359-110359, Article 110359</ispartof><rights>2022 Elsevier B.V.</rights><rights>Copyright © 2022 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c289t-982e104de0beb2eee9cff3f4da7786fa6d57872152eafa9de866d8fa7740e8f93</citedby><cites>FETCH-LOGICAL-c289t-982e104de0beb2eee9cff3f4da7786fa6d57872152eafa9de866d8fa7740e8f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejrad.2022.110359$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35609447$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Zheng</creatorcontrib><creatorcontrib>Chen, Yingmin</creatorcontrib><creatorcontrib>Zhang, Hui</creatorcontrib><creatorcontrib>Jia, Xiuchuan</creatorcontrib><creatorcontrib>Zheng, Xuechao</creatorcontrib><creatorcontrib>Zuo, Tianzi</creatorcontrib><title>Diagnostic accuracy of dual-energy computed tomography (DECT) to detect non-traumatic bone marrow edema: A systematic review and meta-analysis</title><title>European journal of radiology</title><addtitle>Eur J Radiol</addtitle><description>•10 studies involving 2463 regions of hand, ankle, hip, sacroiliac joint and so on were evaluated.•More rigorous and comprehensive data extraction and analysis was presented.•DECT shows a excellent diagnostic performance, with the sensitivity, specificity, and AUROC values are 88.4%, 96.1%, and 0.98.
This meta-analysis aimed to evaluate the diagnostic performance of dual-energy computed tomography (DECT) for detecting bone marrow edema (BME) in non-traumatic patients.
A systematic search of PubMed, EMBASE, and the Cochrane Library databases was performed up to October 1, 2021 for relevant original studies. Study details were extracted by two independent reviewers. A bivariate mixed-effects regression model was used to assess comprehensive diagnostic performance, and a subgroup analysis was performed to evaluate sources of variability. The risk of bias was evaluated with the QUADAS-2 tool.
Ten studies involving 2463 regions, including hands, ankles, hips, and sacroiliac joints, were evaluated in this meta-analysis. Summary sensitivity, specificity, and area under the receiver operating characteristic curve values for BME were 88.4% (95% confidence interval (CI) 82.4%–92.5%), 96.1% (95% CI 94.4%–97.3%), and 0.98 (95% CI 96%–99%), respectively. The subgroup analysis showed that studies using a thicker slice (≥1 mm) had a higher sensitivity, and studies with older patients (≥60 years), fewer included patients (<40), and bones other than the pelvis had a higher specificity. Studies presented a generally low or unclear risk for bias and applicability concerns.
DECT has an excellent diagnostic performance for detecting BME in non-traumatic patients and may provide an alternative to magnetic resonance imaging (MRI) for the detection of non-traumatic BME in the future, especially when MRI is unavailable or contraindicated.</description><subject>Bone marrowedema</subject><subject>Dual-energy computed tomography</subject><subject>Meta-analysis</subject><subject>Non-traumatic</subject><subject>Systematic review</subject><issn>0720-048X</issn><issn>1872-7727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9UctuFDEQtBCILAlfgIR8DIfZ2J6HZ5A4RJsHkSJxSSRuVq_dXryaGS-2J9H8BN-MlwkcObXUXVWtqiLkA2drznhzsV_jPoBZCybEmnNW1t0rsuKtFIWUQr4mKyYFK1jVfj8h72LcM8bqqhNvyUlZN6yrKrkiv64c7EYfk9MUtJ4C6Jl6S80EfYEjht1MtR8OU0JDkx_8LsDhx0zPr643D5_yhhpMqBMd_VikANMAR6mtH5EOEIJ_pmhwgM_0ksY5JlzuAZ8cPlMYDR0wQQEj9HN08Yy8sdBHfP8yT8njzfXD5mtx_-32bnN5X2jRdqnoWoGcVQbZFrcCETttbWkrA1K2jYXG1DLnwGuBYKEz2DaNaW2-Vgxb25Wn5HzRPQT_c8KY1OCixr6HEf0UlWiarma8qmWGlgtUBx9jQKsOwWVrs-JMHYtQe_WnCHUsQi1FZNbHlwfTdkDzj_M3-Qz4sgAw28xhBBW1w1GjcSHnqYx3_33wG4l3nWQ</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Chen, Zheng</creator><creator>Chen, Yingmin</creator><creator>Zhang, Hui</creator><creator>Jia, Xiuchuan</creator><creator>Zheng, Xuechao</creator><creator>Zuo, Tianzi</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20220801</creationdate><title>Diagnostic accuracy of dual-energy computed tomography (DECT) to detect non-traumatic bone marrow edema: A systematic review and meta-analysis</title><author>Chen, Zheng ; Chen, Yingmin ; Zhang, Hui ; Jia, Xiuchuan ; Zheng, Xuechao ; Zuo, Tianzi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c289t-982e104de0beb2eee9cff3f4da7786fa6d57872152eafa9de866d8fa7740e8f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Bone marrowedema</topic><topic>Dual-energy computed tomography</topic><topic>Meta-analysis</topic><topic>Non-traumatic</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Zheng</creatorcontrib><creatorcontrib>Chen, Yingmin</creatorcontrib><creatorcontrib>Zhang, Hui</creatorcontrib><creatorcontrib>Jia, Xiuchuan</creatorcontrib><creatorcontrib>Zheng, Xuechao</creatorcontrib><creatorcontrib>Zuo, Tianzi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Zheng</au><au>Chen, Yingmin</au><au>Zhang, Hui</au><au>Jia, Xiuchuan</au><au>Zheng, Xuechao</au><au>Zuo, Tianzi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic accuracy of dual-energy computed tomography (DECT) to detect non-traumatic bone marrow edema: A systematic review and meta-analysis</atitle><jtitle>European journal of radiology</jtitle><addtitle>Eur J Radiol</addtitle><date>2022-08-01</date><risdate>2022</risdate><volume>153</volume><spage>110359</spage><epage>110359</epage><pages>110359-110359</pages><artnum>110359</artnum><issn>0720-048X</issn><eissn>1872-7727</eissn><abstract>•10 studies involving 2463 regions of hand, ankle, hip, sacroiliac joint and so on were evaluated.•More rigorous and comprehensive data extraction and analysis was presented.•DECT shows a excellent diagnostic performance, with the sensitivity, specificity, and AUROC values are 88.4%, 96.1%, and 0.98.
This meta-analysis aimed to evaluate the diagnostic performance of dual-energy computed tomography (DECT) for detecting bone marrow edema (BME) in non-traumatic patients.
A systematic search of PubMed, EMBASE, and the Cochrane Library databases was performed up to October 1, 2021 for relevant original studies. Study details were extracted by two independent reviewers. A bivariate mixed-effects regression model was used to assess comprehensive diagnostic performance, and a subgroup analysis was performed to evaluate sources of variability. The risk of bias was evaluated with the QUADAS-2 tool.
Ten studies involving 2463 regions, including hands, ankles, hips, and sacroiliac joints, were evaluated in this meta-analysis. Summary sensitivity, specificity, and area under the receiver operating characteristic curve values for BME were 88.4% (95% confidence interval (CI) 82.4%–92.5%), 96.1% (95% CI 94.4%–97.3%), and 0.98 (95% CI 96%–99%), respectively. The subgroup analysis showed that studies using a thicker slice (≥1 mm) had a higher sensitivity, and studies with older patients (≥60 years), fewer included patients (<40), and bones other than the pelvis had a higher specificity. Studies presented a generally low or unclear risk for bias and applicability concerns.
DECT has an excellent diagnostic performance for detecting BME in non-traumatic patients and may provide an alternative to magnetic resonance imaging (MRI) for the detection of non-traumatic BME in the future, especially when MRI is unavailable or contraindicated.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>35609447</pmid><doi>10.1016/j.ejrad.2022.110359</doi><tpages>1</tpages></addata></record> |
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| subjects | Bone marrowedema Dual-energy computed tomography Meta-analysis Non-traumatic Systematic review |
| title | Diagnostic accuracy of dual-energy computed tomography (DECT) to detect non-traumatic bone marrow edema: A systematic review and meta-analysis |
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