Evidence map›Paper›PMID 41893827›Full record

SynthesisTomography (Ann Arbor, Mich.)2026

Diagnostic Test Accuracy and Semi-Quantitative Metrics of

Mark Laidlaw, Maya Reid, Sukanya Rajiv, Jean-Marc Gerard

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Tomography (Ann Arbor, Mich.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Mark LaidlawDepartment of Otolaryngology, Royal Victorian Eye and Ear Hospital, Melbourne, VIC 3002, Australia.ORCID 0009-0009-6444-7876
Maya ReidDepartment of Otolaryngology, Head and Neck Surgery, Canberra Health Service, Canberra, ACT 2605, Australia.
Sukanya RajivDepartment of Otolaryngology, Royal Victorian Eye and Ear Hospital, Melbourne, VIC 3002, Australia.
Jean-Marc GerardDepartment of Otolaryngology, Royal Victorian Eye and Ear Hospital, Melbourne, VIC 3002, Australia.ORCID 0000-0002-9144-9377

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesSkull base osteomyelitis and necrotising otitis externa require prolonged antibiotic therapy, yet determining optimal treatment cessation timing remains challenging. Conventional imaging modalities demonstrate persistent abnormalities beyond infection resolution, confounding treatment decisions. This systematic review evaluated the diagnostic test accuracy of

methodsWe conducted a systematic review following PRISMA-DTA guidelines, searching MEDLINE, Embase, CENTRAL, CINAHL, Scopus, and Web of Science from inception to November 2025. Studies evaluating

resultsEight studies comprising 154 lesions contributed to the primary analysis. Pooled sensitivity was 95.2% (95% credible interval 85.6-99.0%) and pooled specificity was 89.1% (95% credible interval 70.7-96.7%). The positive likelihood ratio was 8.7 (95% credible interval 3.2-28.4) and negative likelihood ratio was 0.05 (95% credible interval 0.01-0.17), with a diagnostic odds ratio of 172.0. Seven studies evaluating detection rate at initial presentation yielded a pooled rate of 96.1% (95% confidence interval 91.3-98.3%). SUVmax was the most frequently used metabolic parameter.

conclusions

Indexed as

Fluorodeoxyglucose F18OsteomyelitisOtitis ExternaPositron-Emission TomographySkull BaseAnti-Bacterial AgentsHumansNecrosisRadiopharmaceuticalsSensitivity and SpecificityTreatment OutcomeAnti-Bacterial AgentsFluorodeoxyglucose F18Radiopharmaceuticalsdiagnostic test accuracyfluorodeoxyglucose F18malignant otitis externameta-analysisnecrotising otitis externapositron emission tomographyskull base osteomyelitissystematic reviewtreatment monitoring

Identifiers

PMID41893827
PMCPMC13030614

What OpenQuestion holds

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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.