Evidence map›Paper›PMID 39839019›Full record

ReviewQuantitative imaging in medicine and surgery2025

Blind spots in brain imaging: a pictorial essay.

Mengwen Liu, Xin Wen, Meng Li, Qiang Huang, Chengyi Jiang, Jiuming Jiang, Li Zhang, Hongmei Zhang

Abstract readReview
In one paragraph

Review in Quantitative imaging in medicine and surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Mengwen Liu *Department of Diagnostic Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Xin Wen *Department of Diagnostic Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Meng LiDepartment of Diagnostic Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Qiang HuangDepartment of Radiology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Chengyi JiangDepartment of Diagnostic Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Jiuming JiangDepartment of Diagnostic Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Li Zhang *Department of Diagnostic Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Hongmei Zhang *Department of Diagnostic Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Currently, radiologists must interpret large quantities of images and identify diseases on a daily basis. The minimization of errors is crucial for high-quality diagnostic imaging and optimal patient care. Brain imaging is frequently used in clinical practice; however, radiologists are prone to overlook some regions in brain imaging and make perceptual errors, thus leading to missed diagnoses. These regions, also known as "blind spots", comprise a number of intricate areas, including the posterior fossa, cerebral sulci and pia mater, cranial nerves (CNs), intracranial arteries, dural sinuses, sella and parasellar region, Meckel's cave, skull base, scalp, orbit, and pterygopalatine fossa (PPF). Therefore, the knowledge of normal computed tomography (CT) and magnetic resonance imaging (MRI) manifestations and common lesions in these blind spots is imperative to avoid false-negative results. This article graphically discusses and analyzes these common blind spots of brain imaging using real representative cases. It also provides comprehensive strategies to address missed diagnostic errors in radiology, including enhancing the selection of imaging protocols, implementing a multi-reviewer reporting system, adopting structured reporting templates, employing error measurement or detection strategies, and promoting the use, development, and refinement of artificial intelligence (AI) to improve diagnostic accuracy and efficiency. This article may also increase junior doctors' awareness of these blind spots and assist them in their daily work, and thus has continuing education implications.

Indexed as

blind spotsBrain imagingmissed diagnosis

Identifiers

PMID39839019
PMCPMC11744183

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.