Evidence map›Paper›PMID 36649933›Full record

ArticleBone & joint research2023

A radio- and fluorescently labelled tracer for imaging and quantification of bacterial infection on orthopaedic prostheses : a proof of principle study.

Mick M Welling, Kim Warbroek, Chrow Khurshid, Matthias N van Oosterom, Daphne D D Rietbergen, Mark G J de Boer, Rob G H H Nelissen, Fijs W B van Leeuwen, Bart G Pijls, Tessa Buckle

Open access · goldAbstract read
In one paragraph

Article in Bone & joint research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Partial versus full revision in cementless single-stage exchange for hip periprosthetic joint infection: a multicenter comparative study with 10-year survivorship analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
    Article
  4. The projected economic burden and complications of revision hip and knee arthroplasties: Insights from national registry studies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Review
  5. Review
  6. Review
  7. Article
  8. d-[5-ACS infectious diseases · 2025
    Article
  9. Review
  10. Review
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

10 authors at 1 institution in 1 country.

Mick M WellingInterventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-2249-5601
Kim WarbroekInterventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands.
Chrow KhurshidInterventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands.
Matthias N van OosteromInterventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0003-0306-2568
Daphne D D RietbergenInterventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0001-9873-6179
Mark G J de BoerDepartments of Internal Medicine and Infectious Diseases, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-5009-6499
Rob G H H NelissenDepartment of Orthopedics, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0003-1228-4162
Fijs W B van LeeuwenInterventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-6844-4025
Bart G PijlsDepartment of Orthopedics, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0001-5351-5057
Tessa BuckleInterventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0003-2980-6895
Leiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsArthroplasty surgery of the knee and hip is performed in two to three million patients annually. Periprosthetic joint infections occur in 4% of these patients. Debridement, antibiotics, and implant retention (DAIR) surgery aimed at cleaning the infected prosthesis often fails, subsequently requiring invasive revision of the complete prosthetic reconstruction. Infection-specific imaging may help to guide DAIR. In this study, we evaluated a bacteria-specific hybrid tracer (

methods

resultsBacteria could be effectively stained in vitro and on prostheses, irrespective of the presence of biofilm. Infected prostheses revealed bacterial presence on the transition zone between the head and neck, and in the screw hole. Qualitative 2D fluorescence images could be complemented with quantitative 3D fhSPECT scans. Despite thorough chlorhexidine treatments, 28% to 44% of the signal remained present in the locations of the infection that were identified using imaging, which included 500 to 2,000 viable bacteria.

conclusionThe hybrid tracer

Indexed as

bacteriabacterial infectionsbiofilmschlorhexidineDebridement, antibiotics, and implant retentionfemoral implantsFluorescence-guided surgeryFluorescence imagingImage-guided surgeryinfectionsInfectious diseasesMolecular imagingOrthopaedic surgeryperiprosthetic joint infection (PJI)Radioguided surgerystaining

Identifiers

PMID36649933
PMCPMC9872039
OpenAlexW4317359006

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.