Evidence map›Paper›PMID 39014249›Full record

SynthesisInternational journal of legal medicine2024

Diagnostic accuracy of post-mortem computed tomography for fractures of the hyoid-larynx complex.

Josephine Ploug Hansen, Sara Tangmose Larsen, Christina Jacobsen

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of legal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

3 authors.

Josephine Ploug HansenDepartment of Forensic Medicine, Section of Forensic Pathology, University of Copenhagen, Frederik V's Vej 11, Copenhagen, 2100, Denmark.ORCID http://orcid.org/0009-0002-5264-7095
Sara Tangmose LarsenDepartment of Forensic Medicine, Section of Forensic Pathology, University of Copenhagen, Frederik V's Vej 11, Copenhagen, 2100, Denmark. saral@sund.ku.dk.ORCID http://orcid.org/0000-0002-2210-7576
Christina JacobsenDepartment of Forensic Medicine, Section of Forensic Pathology, University of Copenhagen, Frederik V's Vej 11, Copenhagen, 2100, Denmark.ORCID http://orcid.org/0000-0001-7257-0772

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-mortem computed tomography (PMCT) is routinely used at many forensic institutions to guide the following autopsy and is especially useful for diagnosing fractures. This systematic review aims to investigate the sensitivity and specificity of a PMCT scan in fracture diagnosis of the hyoid-larynx complex (HLC) compared to traditional autopsy in cases involving traumatic neck injuries. We searched PubMed, SCOPUS and Web of Science and included papers with cases n ≥ 3 published between January 2000 and April 2023 reporting on PMCT and autopsy findings of fractures of the HLC. The search provided 259 results of which 10 were included. Overall sensitivity and specificity were 0.70 [0.59; 0.79] and 0.92 [0.80; 0.97] for hyoid bone fractures and 0.80 [0.62; 0.91] and 0.76 [0.63; 0.85] for the thyroid cartilage. The results show great variation, and a large range between studies. These results indicate that PMCT cannot replace autopsy in cases with HLC fractures. Future larger prospective studies are needed, examining fracture details, scan protocols and different slice thicknesses using uniform reporting.

Indexed as

AutopsyFractures, BoneHyoid BoneTomography, X-Ray ComputedHumansLarynxPostmortem ImagingSensitivity and SpecificityThyroid CartilageAutopsyFracture detectionHyoid-larynx complexPMCTReview

Identifiers

What OpenQuestion holds

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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.