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Diagnostic performance of dual-energy CT for the detection of bone marrow oedema: a systematic review and meta-analysis

European radiology, 2018-10, Vol.28 (10), p.4182-4194 [Peer Reviewed Journal]

European Society of Radiology 2018 ;European Radiology is a copyright of Springer, (2018). All Rights Reserved. ;ISSN: 0938-7994 ;EISSN: 1432-1084 ;DOI: 10.1007/s00330-018-5411-5 ;PMID: 29679212

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Title:
Diagnostic performance of dual-energy CT for the detection of bone marrow oedema: a systematic review and meta-analysis
Author: Suh, Chong Hyun ; Yun, Seong Jong ; Jin, Wook ; Lee, Sun Hwa ; Park, So Young ; Ryu, Chang-Woo
Subjects: Aged ; Bivariate analysis ; Bone and Bones - diagnostic imaging ; Bone and Bones - physiopathology ; Bone marrow ; Bone Marrow - diagnostic imaging ; Bone Marrow - physiopathology ; Bone Marrow Diseases - diagnostic imaging ; Bone Marrow Diseases - physiopathology ; Computed tomography ; Confidence intervals ; Diagnostic Radiology ; Diagnostic systems ; Edema ; Edema - diagnostic imaging ; Edema - physiopathology ; Female ; Humans ; Image filters ; Image processing ; Imaging ; Internal Medicine ; Interventional Radiology ; Lesions ; Male ; Medicine ; Medicine & Public Health ; Modelling ; Musculoskeletal ; Neuroradiology ; Planes ; Qualitative analysis ; Radiography, Dual-Energy Scanned Projection - methods ; Radiology ; Regression analysis ; Reproducibility of Results ; ROC Curve ; Sensitivity ; Sensitivity analysis ; Sensitivity and Specificity ; Skeleton ; Spine ; Spine - diagnostic imaging ; Spine - physiopathology ; Statistical analysis ; Subgroups ; Systematic review ; Tin ; Tomography, X-Ray Computed - methods ; Ultrasound
Is Part Of: European radiology, 2018-10, Vol.28 (10), p.4182-4194
Description: Objectives The aim of this systematic review and meta-analysis was to assess the sensitivity and specificity of dual-energy CT (DECT) for the detection of bone marrow oedema (BME). Methods An electronic search of the PubMed and EMBASE databases was conducted. Bivariate modelling and hierarchical summary receiver-operating characteristic modelling were performed to evaluate the overall diagnostic performance of DECT for BME. Subgroup analysis was performed according to the assessment type (qualitative vs. quantitative) and anatomical location (spine vs. appendicular skeleton). Meta-regression analyses were performed according to the subject, study, and DECT characteristics. Results Twelve eligible studies (1901 lesions, 450 patients) were included. DECT exhibited a pooled sensitivity of 0.85 [95% confidence interval (CI): 0.78–0.90] and a pooled specificity of 0.97 (95% CI: 0.92–0.98) for BME detection. In addition, the diagnostic performance of qualitative assessment (sensitivity, 0.85; specificity, 0.97) was higher than that of quantitative assessment (sensitivity, 0.84; specificity, 0.88) of DECT findings. The diagnostic performance of DECT for the spine (sensitivity, 0.84; specificity, 0.98) and appendicular skeleton (sensitivity, 0.84; specificity, 0.93) were excellent. According to meta-regression analysis, the use of a tin filter, ≥ 2 image planes, and a slice thickness < 1 mm tended to exhibit higher sensitivity and hyperacute stage BME (< 24 h) tended to exhibit lower sensitivity. Conclusions These findings indicate that DECT has excellent sensitivity and specificity for BME detection. Qualitative assessment of DECT findings obtained using a tin filter, ≥ 2 image planes, and a 0.5-1-mm slice thickness in the acute stage BME (≥24 h) is recommended for more sensitive diagnosis. Key Points • Overall, DECT is useful for the detection of BME (sensitivity, 85%; specificity-97%). • Qualitative assessment (sensitivity-85%; specificity-97%) is more accurate than quantitative assessment (sensitivity-84%; specificity-88%). • DECT showed excellent diagnostic performance for both the spine/appendicular skeleton (sensitivity-84%/84%; specificity-98%/93%).
Publisher: Berlin/Heidelberg: Springer Berlin Heidelberg
Language: English
Identifier: ISSN: 0938-7994
EISSN: 1432-1084
DOI: 10.1007/s00330-018-5411-5
PMID: 29679212
Source: AUTh Library subscriptions: ProQuest Central
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Diagnostic performance of dual-energy CT for the detection of bone marrow oedema: a systematic review and meta-analysis

European Society of Radiology 2018 ;European Radiology is a copyright of Springer, (2018). All Rights Reserved. ;ISSN: 0938-7994 ;EISSN: 1432-1084 ;DOI: 10.1007/s00330-018-5411-5 ;PMID: 29679212

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