Evidence map›Paper›PMID 38532027›Full record

GuidelineEuropean journal of nuclear medicine and molecular imaging2024

Diagnostic imaging of the diabetic foot: an EANM evidence-based guidance.

Chiara Lauri, Edel Noriega-Álvarez, Riddhika M Chakravartty, Olivier Gheysens, Andor W J M Glaudemans, Riemer H J A Slart, Thomas C Kwee, Frédéric Lecouvet, Emmanouil Panagiotidis, Jules Zhang-Yin and 4 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in European journal of nuclear medicine and molecular imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
7.2field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. EANM/SNMMI guideline/procedure standard for [European journal of nuclear medicine and molecular imaging · 2025
    Guideline
  2. Article
  3. Diagnostic accuracy of radiolabelled-WBC scintigraphy in patients with antibiotic therapy.European journal of nuclear medicine and molecular imaging · 2026
    Article
  4. Diagnostic Performance of [Journal of clinical medicine · 2026
    Article
  5. Use of thermal imaging in the detection of the diabetic foot- review.Reviews in endocrine & metabolic disorders · 2026
    Review
  6. Article
  7. Article
  8. [American journal of nuclear medicine and molecular imaging · 2026
    Review
  9. Article
  10. Role of Biomarkers in Diabetic Foot Osteomyelitis.Journal of orthopaedic case reports · 2025
    Article
  11. [Sub-committee of Anesthesiology of Guangzhou Integrated Traditional Chinese and Western Medicine Society].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2025
    Article
  12. Diagnostic imaging of the diabetic foot.European journal of nuclear medicine and molecular imaging · 2024
    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

14 authors at 6 institutions in 8 countries.

Chiara Lauri *Inflammation and Infection Committee of the European Association of Nuclear Medicine (EANM), Vienna, Austria.
Edel Noriega-Álvarez *Inflammation and Infection Committee of the European Association of Nuclear Medicine (EANM), Vienna, Austria.
Riddhika M ChakravarttyInflammation and Infection Committee of the European Association of Nuclear Medicine (EANM), Vienna, Austria.
Olivier GheysensInflammation and Infection Committee of the European Association of Nuclear Medicine (EANM), Vienna, Austria.
Andor W J M GlaudemansInflammation and Infection Committee of the European Association of Nuclear Medicine (EANM), Vienna, Austria. a.w.j.m.glaudemans@umcg.nl.ORCID 0000-0001-8081-0641
Riemer H J A SlartDepartment of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB, Groningen, The Netherlands.
Thomas C KweeDepartment of Radiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Frédéric LecouvetDepartment of Radiology, Institut de Recherche Expérimentale et Clinique Cliniques, Universitaires Saint-Luc, Université Catholique de Louvain (UCLouvain), Brussels, Belgium.
Emmanouil PanagiotidisBone & Joint Committee of the European Association of Nuclear Medicine (EANM), Vienna, Austria.
Jules Zhang-YinBone & Joint Committee of the European Association of Nuclear Medicine (EANM), Vienna, Austria.
Jose Luis Lazaro MartinezDiabetic Foot Unit, Universidad Complutense de Madrid, Madrid, Spain.
Benjamin A LipskyEmeritus Professor of Medicine, University of Washington, Seattle, USA.
Luigi UccioliDiabetes and Endocrinology Section, CTO Hospital of Rome, Rome, Italy.
Alberto SignoreInflammation and Infection Committee of the European Association of Nuclear Medicine (EANM), Vienna, Austria.
European Association of Nuclear Medicine · ATUniversity Medical Center Groningen · NLCliniques Universitaires Saint-Luc · BEUniversidad Complutense de Madrid · ESUniversity of Rome Tor Vergata · ITUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeConsensus on the choice of the most accurate imaging strategy in diabetic foot infective and non-infective complications is still lacking. This document provides evidence-based recommendations, aiming at defining which imaging modality should be preferred in different clinical settings.

methodsThis working group includes 8 nuclear medicine physicians appointed by the European Association of Nuclear Medicine (EANM), 3 radiologists and 3 clinicians (one diabetologist, one podiatrist and one infectious diseases specialist) selected for their expertise in diabetic foot. The latter members formulated some clinical questions that are not completely covered by current guidelines. These questions were converted into statements and addressed through a systematic analysis of available literature by using the PICO (Population/Problem-Intervention/Indicator-Comparator-Outcome) strategy. Each consensus statement was scored for level of evidence and for recommendation grade, according to the Oxford Centre for Evidence-Based Medicine (OCEBM) criteria.

resultsNine clinical questions were formulated by clinicians and used to provide 7 evidence-based recommendations: (1) A patient with a positive probe-to-bone test, positive plain X-rays and elevated ESR should be treated for presumptive osteomyelitis (OM). (2) Advanced imaging with MRI and WBC scintigraphy, or [

conclusionThese practical recommendations highlight, and should assist clinicians in understanding, the role of imaging in the diagnostic workup of diabetic foot complications.

Indexed as

Diabetic FootEvidence-Based MedicineHumansNuclear MedicineDiabetic footGuidanceImagingInfection diagnosisOsteomyelitis

Identifiers

PMID38532027
PMCPMC11178575
OpenAlexW4393228983

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.