Evidence map›Paper›PMID 42232200›Full record

ArticleBrain & spine2026

The role of 18F-FDG PET/CT in spinal infections: A comprehensive diagnostic tool.

Raimunde Liang, Solveig Hirsch, Susan Notohamiprodjo, Sebastian Ille, Eugen Ursu, Leonhard Reichel, Maria Wostrack, Wolfgang A Weber, Bernhard Meyer, Ann Kathrin Joerger

Abstract read
In one paragraph

Article in Brain & spine, 2026. 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. 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

10 authors.

Raimunde LiangDepartment of Neurosurgery, TUM University Hospital, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Solveig HirschDepartment of Neurosurgery, TUM University Hospital, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Susan NotohamiprodjoDepartment of Nuclear Medicine, TUM University Hospital, TUM School of Medicine and Health, Bavarian Cancer Research Center (BZKF), Technical University of Munich (TUM), Munich, Germany.
Sebastian IlleDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Eugen UrsuDepartment of Neurosurgery, TUM University Hospital, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Leonhard ReichelDepartment of Nuclear Medicine, TUM University Hospital, TUM School of Medicine and Health, Bavarian Cancer Research Center (BZKF), Technical University of Munich (TUM), Munich, Germany.
Maria WostrackDepartment of Neurosurgery, TUM University Hospital, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Wolfgang A WeberDepartment of Nuclear Medicine, TUM University Hospital, TUM School of Medicine and Health, Bavarian Cancer Research Center (BZKF), Technical University of Munich (TUM), Munich, Germany.
Bernhard MeyerDepartment of Neurosurgery, TUM University Hospital, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Ann Kathrin JoergerDepartment of Neurosurgery, TUM University Hospital, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Spondylodiscitis poses diagnostic challenges due to nonspecific symptoms and limitations of conventional imaging modalities. Moreover, causative infection foci often remain unidentified. Early and accurate diagnosis and treatment of the infectious focus are essential to prevent severe complications. Research question: This study evaluates the diagnostic accuracy of FDG-PET/CT in patients with suspected spondylodiscitis and its ability to identify additional infectious foci. Material and methods: A retrospective analysis included 191 patients who underwent FDG-PET/CT for suspected spondylodiscitis between 01.01.2016 and 31.12.2023. PET findings were compared with MRI, pathological, and microbiological and clinical data. Results: Spinal infection was confirmed in 160 of 191 patients. In patients with inconclusive MRI findings (n = 46), FDG-PET/CT led to diagnostic reclassification in 21 cases (45.7%). In the subgroup analyzed for diagnostic accuracy (n = 56), sensitivity was 56% for FDG-PET/CT and 62% for MRI, increasing to 74% when both modalities were combined (p = 0.002). Specificity was 96% for FDG-PET/CT and 86% for MRI. FDG-PET/CT identified 23 previously unknown extraspinal infectious foci and confirmed 23 suspected foci, resulting in detection of infectious sources in 73% of patients. Infectious foci were detected more frequently in cervical infections (33.3% vs. 9.5%, p = 0.001). Patients undergoing FDG-PET/CT showed higher clinical resolution rates at follow-up (p = 0.045). Discussion and conclusion: FDG-PET/CT provides complementary value in suspected spondylodiscitis, particularly in cases with inconclusive MRI and for detecting additional infectious foci, supporting its role in multimodal diagnostic strategies.

Indexed as

Positron emission tomographySpinal infectionSpondylodiscitis

Identifiers

PMID42232200
PMCPMC13224376

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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.