Evidence map›Paper›PMID 26547722›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2016

The diagnostic value of [(18)F]FDG PET for the detection of chronic osteomyelitis and implant-associated infection.

Vera Wenter, Jan-Phillip Müller, Nathalie L Albert, Sebastian Lehner, Wolfgang P Fendler, Peter Bartenstein, Clemens C Cyran, Jan Friederichs, Matthias Militz, Marcus Hacker and 1 more

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 5% 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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. EANM/SNMMI guideline/procedure standard for [European journal of nuclear medicine and molecular imaging · 2025
    Guideline
  2. Pooled it
  3. Pooled it
  4. [American journal of nuclear medicine and molecular imaging · 2026
    Review
  5. Review
  6. Predictive Value ofDiagnostics (Basel, Switzerland) · 2025
    Article
  7. Review
  8. Article
  9. Total-Body Multiparametric PET Quantification ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  10. Review
  11. Review
  12. Total-Body Multiparametric PET Quantification ofmedRxiv : the preprint server for health sciences · 2023
    Article
  13. Inguinal draining-lymph node inFrontiers in immunology · 2023
    Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Progress in diagnosis and treatment of post-traumatic osteomyelitis.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021
    Article
  19. Review
  20. 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

11 authors at 4 institutions in 2 countries.

Vera WenterDepartment of Nuclear Medicine, University of Munich, Munich, Germany.
Jan-Phillip MüllerBG Trauma Center Murnau, Murnau, Germany.
Nathalie L AlbertDepartment of Nuclear Medicine, University of Munich, Munich, Germany.
Sebastian LehnerDepartment of Nuclear Medicine, University of Munich, Munich, Germany.
Wolfgang P FendlerDepartment of Nuclear Medicine, University of Munich, Munich, Germany.
Peter BartensteinDepartment of Nuclear Medicine, University of Munich, Munich, Germany.
Clemens C CyranInstitute for Clinical Radiology, University of Munich, Munich, Germany.
Jan FriederichsBG Trauma Center Murnau, Murnau, Germany.
Matthias MilitzBG Trauma Center Murnau, Murnau, Germany.
Marcus HackerDepartment of Nuclear Medicine, University of Vienna, Vienna, Austria. marcus.hacker@meduniwien.ac.at.
Sven HungererBG Trauma Center Murnau, Murnau, Germany.
Ludwig-Maximilians-Universität München · DEBerufsgenossenschaftliche Unfallklinik Murnau · DEPädagogische Hochschule Salzburg · ATEuropean Association of Nuclear Medicine · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe diagnosis of osteomyelitis and implant-associated infections in patients with nonspecific laboratory or radiological findings is often unsatisfactory. We retrospectively evaluated the contributions of [(18)F]FDG PET and [(18)F]FDG PET/CT to the diagnosis of osteomyelitis and implant-associated infections, enabling timely and appropriate decision-making for further therapy options.

methods[(18)F]FDG PET or PET/CT was performed in 215 patients with suspected osteomyelitis or implant-associated infections between 2000 and 2013. We assessed the diagnostic accuracy of both modalities together and separately with reference to intraoperative microbial findings, with a mean clinical follow-up of 69 ± 49 months.

resultsInfections were diagnosed clinically in 101 of the 215 patients. PET and PET/CT scans revealed 87 true-positive, 76 true-negative, 38 false-positive, and 14 false-negative results, indicating a sensitivity of 86 %, a specificity of 67 %, a positive predictive value (PPV) of 70 %, a negative predictive value (NPV) of 84 % and an accuracy of 76 %. The sensitivity of PET/CT was 88 %, but specificity, PPV, NPV and accuracy (76 %, 76 %, 89 % and 82 %, respectively) were higher than those of stand-alone PET.

conclusion[(18)F]FDG PET is able to identify with high sensitivity the presence of osteomyelitis in orthopaedic surgery patients with nonspecific clinical symptoms of infection.

Indexed as

Fluorodeoxyglucose F18Positron-Emission TomographyRadiopharmaceuticalsAdultAgedFemaleHumansMaleMiddle AgedMultimodal ImagingOrthopedic ProceduresOsteomyelitisProsthesis-Related InfectionsSensitivity and SpecificityTomography, X-Ray ComputedFluorodeoxyglucose F18Radiopharmaceuticals[18F]FDG PETChronic osteomyelitisImplant-associated infectionInfection imagingPET/CT

Identifiers

PMID26547722
OpenAlexW2223629263

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.