Evidence map›Paper›PMID 40745059›Full record

ReviewRadiologie (Heidelberg, Germany)2025

[Osteomyelitis in adults].

L Camp, M-A Weber

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Radiologie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

2 authors.

L CampInstitut für Diagnostische und Interventionelle Radiologie, Kinder-, und Neuroradiologie (IfDIR), Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland. laurenz.camp@med.uni-rostock.de.
M-A WeberInstitut für Diagnostische und Interventionelle Radiologie, Kinder-, und Neuroradiologie (IfDIR), Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteomyelitis (OM) refers to inflammatory diseases of the bone caused by microorganisms. A continuous increase in the prevalence of osteomyelitis has been observed. Despite advances in medical care, early diagnosis remains challenging due to initially nonspecific symptoms, particularly in elderly or immunocompromised patients.

objectiveThis article aims to provide a structured overview of the pathogenesis of OM, the role of imaging, and the most important differential diagnoses.

methodsNarrative, literature-based review incorporating current guidelines, radiological protocols, and imaging characteristics.

resultsMagnetic resonance imaging (MRI) is the diagnostic gold standard. It enables early detection of bone marrow edema and inflammatory changes. The "penumbra sign" and the "ghost sign" contribute in distinguishing tumors and Charcot arthropathy, respectively. Computed tomography (CT) is essential for chronic OM and sequestrum detection. Flourodeoxyglucose-18 positron emission tomography (FDG-PET) can be helpful in unclear cases, particularly in patients with prosthetic implants.

conclusionA multidisciplinary, imaging-guided approach is critical for early diagnosis, treatment planning, and follow-up in OM. Radiological signs such as the penumbra and ghost signs assist in differentiating from other conditions. Advances in MRI techniques (e.g., zero time echo [ZTE] sequences) and the use of hybrid nuclear medicine procedures expand diagnostic capabilities, enhance surgical planning, and optimize therapy and follow-up.

Indexed as

Magnetic Resonance ImagingOsteomyelitisAdultDiagnosis, DifferentialHumansTomography, X-Ray ComputedGhost signInfectious bone diseasesMagnetic resonance imagingPenumbra signZero echo time

Identifiers

What OpenQuestion holds

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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.