Inclusion Criteria |
1) The study must evaluate the accuracy of radiological and nuclear imaging modalities for diagnosing PTO. |
2) The study group must be at least 10 patients of 18 years and older with (suspected) PTO. In case of a mixed population, the data for this subgroup must be available independently. |
3) The studied location must be in the peripheral skeleton. |
4) The study must use a valid reference test (osteomyelitis was proven histologically and/or bacteriologically, and/or there was a clinical follow-up of at least 6 months in which no signs or symptoms of chronic infection were described). |
5) Studies must provide sufficient details to construct a 2 x 2 contingency table expressing the results of the index tests by the disease status. |
6) The study must investigate a commonly used diagnostic imaging test for PTO. These are conventional X-ray, CT, MRI, WBC scintigraphy/AGA scintigraphy (+/- SPECT/CT), bone scintigraphy (+/- SPECT/CT) and FDG-PET (+/- CT). |
Exclusion Criteria |
1) Non-human studies. |
2) Studies that investigate non-trauma-related osteomyelitis (such as osteomyelitis due to spondylodiscitis, diabetic feet, haematogenous dissemination and pressure ulcers). |
3) Studies that investigate a not commonly used diagnostic imaging test [such as 99mTc-ciprofloxacin (Infecton) scintigraphy or 68Ga-citrate PET]. |