SynthesisJournal of orthopaedic surgery and research2018
Accuracy of MRI diagnosis of early osteonecrosis of the femoral head: a meta-analysis and systematic review.
Synthesis in Journal of orthopaedic surgery and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evidence-Supported HBO Therapy in Femoral Head Necrosis: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Applications and performance of imaging artificial intelligence in detecting and staging avascular necrosis of the femoral head: a systematic review and meta-analysis.Skeletal radiology · 2026Article
- Artificial Intelligence Applications in MRI for the Diagnosis and Management of Osteonecrosis of the Femoral Head: A Comprehensive Review.Bioengineering (Basel, Switzerland) · 2026Review
- Stem Cells From Human Exfoliated Deciduous Teeth as a Potent Cell Therapy for Radiation-Induced Osteonecrosis Model.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
- Subchondral bone abnormalities in the knee: imaging techniques, regional anatomy, and pathology.Skeletal radiology · 2026Review
- Osteonecrosis of the Femoral Head: Evolution of Contemporary Management Strategies.Current reviews in musculoskeletal medicine · 2026Review
- Diagnostic performance and reader confidence of MRI-derived CT-like images in patients with femoral head necrosis.European radiology experimental · 2026Article
- Prognostic impact of preoperative MRI on core decompression in ARCO stage III osteonecrosis of the femoral head: a retrospective cohort study.Journal of orthopaedic surgery and research · 2026Article
- Early postoperative three-phase Technetium-99 m bone scanning predicts traumatic osteonecrosis in patients with femoral neck fractures: a 2- to 6-year follow-up study.Archives of orthopaedic and trauma surgery · 2025Article
- The Role of Proximal Femoral Osteotomy for the Treatment of Avascular Necrosis: A Systematic Review of Clinical and Patient-Reported Outcomes.Journal of clinical medicine · 2025Review
- Predictive Modeling of Osteonecrosis of the Femoral Head Progression Using MobileNetV3_Large and Long Short-Term Memory Network: Novel Approach.JMIR medical informatics · 2025Article
- Clinical evaluation of blood flow in femoral head necrosis using color doppler ultrasound.Scientific reports · 2025Article
- Serological risk factors for steroid-induced osteonecrosis in HIV men: a Bayesian case-control study.Frontiers in medicine · 2025Article
- Simplifying the Decision-Making Process in the Treatment of Kienböck's Disease.Journal of wrist surgery · 2024Article
- Bone tissue engineering for treating osteonecrosis of the femoral head.Exploration (Beijing, China) · 2023Review
- The incidence of focal osteonecrosis of the femoral head and its impact on conversion hip arthroplasty after screw fixation of femoral neck fractures: a multicenter retrospective study based on postoperative magnetic resonance imaging.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Review
- The Role of Structural Deterioration and Biomechanical Changes of the Necrotic Lesion in Collapse Mechanism of Osteonecrosis of the Femoral Head.Orthopaedic surgery · 2022Review
- Updates on Management of Avascular Necrosis Using Hip Arthroscopy for Core Decompression.Frontiers in surgery · 2022Review
- Trochanteric osteotomy for acetabular fracture fixation: a case series and literature review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Review
- Arthroscopic assessment of concomitant intraarticular pathologies in patients with osteonecrosis of the femoral head.Journal of hip preservation surgery · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the overall diagnostic value related to magnetic resonance imaging (MRI) in patients with early osteonecrosis of the femoral head.
methodsBy searching multiple databases and sources, including PubMed, Cochrane, and Embase database, by the index words updated in December 2017, qualified studies were identified and relevant literature sources were also searched. The qualified studies included prospective cohort studies and cross-sectional studies. Heterogeneity of the included studies were reviewed to select proper effect model for pooled weighted sensitivity, specificity, and diagnostic odds ratio (DOR). Summary receiver operating characteristic (SROC) analyses were performed for meniscal tears.
resultsForty-three studies related to diagnostic accuracy of MRI to detect early osteonecrosis of the femoral head were involved in the meta-analysis. The global sensitivity and specificity of MRI in early osteonecrosis of the femoral head were 93.0% (95% CI 92.0-94.0%) and 91.0% (95% CI 89.0%-93.0%), respectively. The global positive likelihood ratio and global negative likelihood ratio of MRI in early osteonecrosis of the femoral head were 2.74 (95% CI 1.98-3.79) and 0.18 (95% CI 0.14-0.23), respectively. The global DOR was 27.27 (95% CI 17.02-43.67), and the area under the SROC was 93.38% (95% CI 90.87%-95.89%).
conclusionsThis review provides a systematic review and meta-analysis to evaluate the diagnostic accuracy of MRI in early osteonecrosis of the femoral head. Moderate to strong evidence indicated that MRI appears to be significantly associated with higher diagnostic accuracy for early osteonecrosis of the femoral head.
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Registered trials
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.