Evidence map›Paper›PMID 41994321›Full record

ArticleFrontiers in radiology2026

A retrospective study of 96 cases comparing x-ray radiography and MRI for diagnosing paediatric subacute osteomyelitis.

Elio Paris, Ahmer A Khan, Giacomo De Marco, Anne Tabard-Fougère, Oscar Vazquez, Christina Steiger, Romain Dayer, Dimitri Ceroni

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Article in Frontiers in radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Elio ParisFaculty of Medicine, University of Geneva, Geneva, Switzerland.
Ahmer A KhanPediatric Orthopedics and Traumatology Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Giacomo De MarcoPediatric Orthopedics and Traumatology Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Anne Tabard-FougèrePediatric Orthopedics and Traumatology Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Oscar VazquezPediatric Orthopedics and Traumatology Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Christina SteigerPediatric Orthopedics and Traumatology Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Romain DayerPediatric Orthopedics and Traumatology Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Dimitri CeroniPediatric Orthopedics and Traumatology Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Subacute hematogenous osteomyelitis (SAHOM) presents a diagnostic challenge, requiring robust validation of imaging accuracy. Purpose: To determine the superior diagnostic performance of MRI vs. radiography (x-ray) in detecting and classifying SAHOM. Methods: This retrospective study included 96 proven SAHOM cases (2000-2025). Demographic data, involved bones, and microbiological results were collected. Two independent readers assessed x-Ray and MRI for detection of SAHOM, and classified lesions using the modified Roberts classification. Inter-reader disagreements were resolved by consensus. Sensitivity of x-Ray was evaluated against MRI as the reference standard. Results: x-ray radiographs and MRI from 96 proven cases of SAHOM involving 49 males and 47 females (mean age 47.1 ± 47.6 months) were evaluated. MRI was markedly more sensitive, with significantly more correct imaging findings than radiography for detecting the features of SAHOM (100% vs. 47.9%). Moreover, 21.3% of the SAHOM lesions on x-ray radiography were misclassified. Radiography's limitations were most pronounced for lesions of the spine, tarsal/carpal bones, pelvis, and epiphysis, as well as for infections caused by Conclusions: MRI is a more effective method than x-ray radiography for diagnosing SAHOM; it reveals lesions with higher definition and enables their more precise classification. This is especially true of lesions involving the spine, pelvis, tarsal or carpal bones, and the epiphysis, or when SAHOM is caused by

Indexed as

classificationconventional radiographyhematogenousmagnetic resonance imagingosteomyelitisperformance analysissubacute

Identifiers

PMID41994321
PMCPMC13079598

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