Evidence map›Paper›PMID 36574323›Full record

ArticleAJNR. American journal of neuroradiology2022

Diagnostic Accuracy of MRI for Detection of Meningitis in Infants.

S F Kralik, J G Vallejo, M K Kukreja, R Salman, G Orman, T A G M Huisman, N K Desai

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Amelanotic melanoma of the central nervous system with systemic spread - imaging pitfalls and clues in a rare paediatric case with congenital melanocytic naevi.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  4. Article
  5. Review
  6. 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

7 authors at 2 institutions in 1 country.

S F KralikFrom the Department of Radiology (S.F.K., M.K.K., R.S., G.O., T.A.G.M.H., N.K.D.), Texas Children's Hospital, Houston, Texas steve.kralik@gmail.com.ORCID 0000-0001-7213-1761
J G VallejoDepartment of Pediatrics (J.G.V.), Baylor College of Medicine, Houston Texas.ORCID 0000-0002-0614-9629
M K KukrejaFrom the Department of Radiology (S.F.K., M.K.K., R.S., G.O., T.A.G.M.H., N.K.D.), Texas Children's Hospital, Houston, Texas.ORCID 0000-0001-8902-5236
R SalmanFrom the Department of Radiology (S.F.K., M.K.K., R.S., G.O., T.A.G.M.H., N.K.D.), Texas Children's Hospital, Houston, Texas.ORCID 0000-0002-5009-3925
G OrmanFrom the Department of Radiology (S.F.K., M.K.K., R.S., G.O., T.A.G.M.H., N.K.D.), Texas Children's Hospital, Houston, Texas.ORCID 0000-0003-2684-3957
T A G M HuismanFrom the Department of Radiology (S.F.K., M.K.K., R.S., G.O., T.A.G.M.H., N.K.D.), Texas Children's Hospital, Houston, Texas.ORCID 0000-0003-2302-6724
N K DesaiFrom the Department of Radiology (S.F.K., M.K.K., R.S., G.O., T.A.G.M.H., N.K.D.), Texas Children's Hospital, Houston, Texas.ORCID 0000-0001-9663-8655
Texas Children's Hospital · USBaylor College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the accuracy of MR imaging for diagnosis of meningitis in infants. MATERIALS AND

methodsRetrospective review of infants less than 1 year of age who underwent a brain MR imaging for meningitis from 2010-2018. Gold standard for diagnosis of bacterial meningitis was a positive bacterial CSF culture or a positive blood culture with an elevated CSF WBC count, and diagnosis of viral meningitis was a positive CSF PCR result and elevated CSF WBC count. Sensitivity, specificity, PPV, NPV, and accuracy for MR imaging diagnosis of meningitis were calculated.

resultsTwo hundred nine infants with mean age 80 days (range 0-347 days) were included. There were 178 true positives with the most common pathogens being:

conclusionsMR imaging of the brain demonstrates high specificity and moderate sensitivity for diagnosis among infants presenting with signs and symptoms of meningitis. The results reflect current standard of care for imaging of infants with meningitis however a selection bias for imaging of more severe meningitis may affect these results.

Indexed as

EncephalitisMeningitis, BacterialEscherichia coliHumansInfantMagnetic Resonance ImagingSensitivity and SpecificityStreptococcus agalactiaeStreptococcus pneumoniae

Identifiers

PMID36574323
PMCPMC9451630
OpenAlexW4297065618

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.