Evidence map›Paper›PMID 33088582›Full record

ArticleBMJ open sport & exercise medicine2020

Diagnostic accuracy of MRI for identifying posterior element bone stress injury in athletes with low back pain: a systematic review and narrative synthesis.

Roy Esh, Linn Helen J Grødahl, Robert Kerslake, Kate Strachan, Simon Spencer, Louise Fawcett, Alison Rushton, Nicola R Heneghan

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open sport & exercise medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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

8 authors at 5 institutions in 2 countries.

Roy EshSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Linn Helen J GrødahlThe Norwegian Sport Medicine Clinic, Oslo, Norway.
Robert KerslakeRadiology, Queen's Medical Centre Nottingham University Hospital NHS Trust, Nottingham, UK.
Kate StrachanLoughborough Performance Centre, English Institute of Sport, Loughborough University, Loughborough, UK.
Simon SpencerPhysiotherapy, English Institute of Sport, Manchester, UK.
Louise FawcettBritish Gymnastics, English Institute of Sport, Newport, UK.
Alison RushtonCentre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0001-8114-7669
Nicola R HeneghanCentre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0001-7599-3674
University of Birmingham · GBEnglish Institute of Sport · GBLoughborough University · GBNorwegian School of Sport Sciences · NOQueen's Medical Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the diagnostic accuracy of MRI for identifying posterior element bone stress injury (PEBSI) in the athletic population with low back pain (LBP). STUDY

designA systematic review searched for published sources up until July 2020.

resultsFour studies were included, with three included in the quantitative synthesis. Compared with SPECT-CT, two studies involving MRI demonstrated sensitivity and specificity of 80% and 100%, and 88% and 97%, respectively. Compared with CT, one study involving MRI demonstrated sensitivity and specificity of 97% and 91%, respectively. Risk of bias was moderate to high although consistency across studies was noted.

conclusionFindings support further research to consider MRI as the modality of choice for diagnosing PEBSI. MRI was consistent with SPECT-CT for ruling-in PEBSI, but the clinical value of cases where MRI had false negatives remains uncertain due to possible over-sensitivity by SPECT-CT. PROSPERO REGISTRATION NUMBER: CRD42015023979.

Indexed as

AthleteBack injuriesDiagnosisEvidence based reviewMRI

Identifiers

PMID33088582
PMCPMC7547544
OpenAlexW3089473057

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.