Evidence map›Paper›PMID 30406272›Full record

ArticleNeuroradiology2019

Black bone MRI with 3D reconstruction for the detection of skull fractures in children with suspected abusive head trauma.

Stephen F Kralik, Nucharin Supakul, Isaac C Wu, Gaspar Delso, Rupa Radhakrishnan, Chang Y Ho, Karen A Eley

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 64 citations in OpenAlex.

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  4. The prediction of round window visibility at posterior-tympanotomy for cochlear implantation with "black bone" magnetic resonance imaging : Author lists.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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  7. Subgaleal hemorrhage in neonates: a comprehensive review and summary recommendations.Journal of perinatology : official journal of the California Perinatal Association · 2025
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  17. [Study on the evaluation of glenoid bone defects by MRI three-dimensional reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
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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

7 authors at 5 institutions in 2 countries.

Stephen F KralikDepartment of Radiology, Texas Children's Hospital, 6701 Fannin St, Suite 470, Houston, TX, USA. steve.kralik@gmail.com.
Nucharin SupakulDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, 714 N. Senate Avenue, Indianapolis, IN, USA.
Isaac C WuDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, 714 N. Senate Avenue, Indianapolis, IN, USA.
Gaspar DelsoDepartment of Radiology, Addenbrooke's Hospital, University of Cambridge, Hills Road, Cambridge, CB2 0QQ, UK.
Rupa RadhakrishnanDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, 714 N. Senate Avenue, Indianapolis, IN, USA.
Chang Y HoDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, 714 N. Senate Avenue, Indianapolis, IN, USA.
Karen A EleyDepartment of Radiology, Addenbrooke's Hospital, University of Cambridge, Hills Road, Cambridge, CB2 0QQ, UK.
Indiana University – Purdue University Indianapolis · USAddenbrooke's Hospital · GBIndiana University School of MedicineTexas Children's Hospital · USUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to determine the accuracy of "black bone" (BB) MRI for the detection of skull fractures in children with potential abusive head trauma.

methodsA total of 34 pediatric patients were evaluated for potential abusive head trauma. All patients had both a non-contrast head CT (HCT) with multiplanar reformatted images and 3D volumetric reformatted images where available (gold standard) for fracture diagnosis and BB of the head with multiplanar reformatted images and 3D volumetric images. BB was performed using an ultrashort TE pointwise encoding time reduction with radial acquisition (PETRA) sequence at 1.5 T or 3 T. BB datasets were post-processed and 3D images created using Fovia's High Definition Volume Rendering® software. Two board-certified pediatric neuroradiologists independently reviewed the HCT and BB imaging, blinded to the findings from the other modality.

resultsMedian patient age was 4 months (range 1.2-30 months). A total of 20 skull fractures in six patients (18% incidence of skull fractures) were detected on HCT. BB demonstrated 83% sensitivity (95%[CI] 36-99%), 100% specificity (95%[CI] 88-100%), 100% PPV (95%[CI] 46-100%), 97% NPV (95%[CI] 82-99%), and 97% accuracy (95%[CI] 85-99%) for diagnosis of a skull fracture. BB detected 95% (19/20) of the skull fractures detected by CT.

conclusionA black bone MRI sequence may provide high sensitivity and specificity for detection of skull fractures in pediatric patients with abusive head trauma.

Indexed as

Child AbuseChild, PreschoolFemaleHumansImage Interpretation, Computer-AssistedImaging, Three-DimensionalInfantMagnetic Resonance ImagingMaleSensitivity and SpecificitySkull FracturesSoftwareTomography, X-Ray ComputedAbusive head traumaCTMRI

Identifiers

PMID30406272
OpenAlexW2900032263

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.