Evidence map›Paper›PMID 24977138›Full record

ArticleISRN radiology2014

Diagnostic Accuracy of Contrast-Enhanced FLAIR Magnetic Resonance Imaging in Diagnosis of Meningitis Correlated with CSF Analysis.

Aneel Kumar Vaswani, Waseem Mehmood Nizamani, Muhammad Ali, Geeta Aneel, Bhesham Kumar Shahani, Sajjad Hussain

Open access · diamondAbstract read
In one paragraph

Article in ISRN radiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
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

23 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
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  10. Review
  11. Contrast-enhanced weighted-T1 and FLAIR sequences in MRI of meningeal lesions.American journal of nuclear medicine and molecular imaging · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Cerebrospinal fluid T1 value phantom reproduction at scan room temperature.Journal of applied clinical medical physics · 2019
    Article
  17. Article
  18. Abrogation of fluid suppression in intracranial postcontrast fluid-attenuated inversion recovery magnetic resonance imaging: A clinical and phantom study.Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association · 2018
    Article
  19. Neuroimaging in Central Nervous System Infections.Current neurology and neuroscience reports · 2017
    Review
  20. Comparison of post-contrast 3D-TThe British journal of radiology · 2017
    Article
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

6 authors at 1 institution in 1 country.

Aneel Kumar VaswaniDr. Ziauddin Hospital, Block 6, Scheme 5, Clifton, Karachi 74700, Pakistan.
Waseem Mehmood NizamaniDr. Ziauddin Hospital, Block B, North Nazimabad, Karachi 74700, Pakistan.
Muhammad AliDr. Ziauddin Hospital, Block 6, Scheme 5, Clifton, Karachi 74700, Pakistan.ORCID 0000-0002-0006-2880
Geeta AneelDr. Ziauddin Hospital, Block 6, Scheme 5, Clifton, Karachi 74700, Pakistan.
Bhesham Kumar ShahaniDr. Ziauddin Hospital, Block 6, Scheme 5, Clifton, Karachi 74700, Pakistan.
Sajjad HussainDr. Ziauddin Hospital, Block 6, Scheme 5, Clifton, Karachi 74700, Pakistan.
Ziauddin Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose. To determine the diagnostic accuracy of contrast enhanced FLAIR sequence of MRI brain in the diagnosis of meningitis. Subjects and Methods. A prospective study of 57 patients with signs and symptoms of meningitis, referred to the radiology department for MRI examination. Out of these, there were 30 males and 27 females. They underwent MRI brain with contrast including postcontrast T1W and FLAIR sequences. Cerebrospinal fluid (CSF) analysis obtained by lumbar puncture after MRI was considered the "reference standard" against which MRI findings were compared. Results. Of 57 patients, 50 were diagnosed as having meningitis on subsequent CSF analysis. Out of these 50, 49 were positive on postcontrast FLAIR images and 34 were positive on postcontrast T1W images. One patient was labeled false positive as CSF analysis showed malignant cells (leptomeningeal carcinomatosis). In the diagnosis of meningitis, the sensitivity of postcontrast FLAIR sequence was 96% and specificity 85.71%, whereas the sensitivity of postcontrast T1W sequence was 68% and specificity 85.71%. Conclusion. Contrast-enhanced FLAIR sequence is more sensitive and specific than contrast-enhanced T1W sequence in the diagnosis of meningitis. It should be routinely used in suspected cases of meningitis.

Identifiers

PMID24977138
PMCPMC4062848
OpenAlexW2154879536

What OpenQuestion holds

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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.