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. 2021 Sep 3;5:38. doi: 10.1186/s41747-021-00228-y

Table 4.

Virtual non-calcium computed tomography ability to depict traumatic bone marrow edema on dual-energy scans of appendicular skeleton

Author DECT platform Number of patients Qualitative analysis (sensitivity, specificity, accuracy) Quantitative analysis cutoff (sensitivity, specificity, accuracy) Reference standard Anatomical site
Yang et al., 2020 [81] DSCT 156 92%, 93%, 93% NA MRI Knee
Booz et al., 2020 [82] DSCT 56 96%, 97%, 97% -51 HU* (96%, 97%, 96%) MRI Knee
Yadav et al., 2020 [83] DSCT 40 94%, 91%, 92% NA MRI Lower limb
Wang et al, 2019 [80] DSCT 35 88%, 98%, 95% -67 HU (81%, 99%, 90%) MRI Knee
Booz et al., 2019 [85] DSCT 62 92%, 97%, 98% -53 HU (82%, 95%, 98%) MRI Calcaneus
Foti et al., 2019 [87] DSCT 40 92%, 86%, 90% -20 HU (88%, 92%, 87%) MRI Ankle
Jang et al., 2019 [36] DSCT 35 100%, 100%, 100% -55 HU (100%, 94%, 95%) Standard CT Hip
Ali et al., 2018 [86] DSCT 24 NA 6 HU (100%, 99%, 100%) Visual assessment Wrist
Kellock et al., 2017 [37] DSCT 118 100%, 100%, NA NA Clinical follow-up Hip
Reddy et al., 2015 [69] DSCT 25 90%, 40%, NA NA Clinical follow-up Hip
Guggenberger et al., 2012 [47] DSCT 30 90%, 81%, 97% NA MRI Ankle

BME Bone marrow edema, CT Computed tomography, DECT Dual-energy computed tomography, DSCT Dual-source computed tomography, HU Hounsfield units; NA Not available, MRI Magnetic resonance imaging. *Cutoff value refers to tibial BME