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Research ArticleSpine

Yield of Image-Guided Needle Biopsy for Infectious Discitis: A Systematic Review and Meta-Analysis

A.L. McNamara, E.C. Dickerson, D.M. Gomez-Hassan, S.K. Cinti and A. Srinivasan
American Journal of Neuroradiology October 2017, 38 (10) 2021-2027; DOI: https://doi.org/10.3174/ajnr.A5337
A.L. McNamara
aFrom the University of Michigan Health System (A.L.M., D.M.G.-H., S.K.C., A.S.), Ann Arbor, Michigan
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E.C. Dickerson
bUniversity of California, San Francisco (E.C.D.), San Francisco, California.
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D.M. Gomez-Hassan
aFrom the University of Michigan Health System (A.L.M., D.M.G.-H., S.K.C., A.S.), Ann Arbor, Michigan
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S.K. Cinti
aFrom the University of Michigan Health System (A.L.M., D.M.G.-H., S.K.C., A.S.), Ann Arbor, Michigan
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A. Srinivasan
aFrom the University of Michigan Health System (A.L.M., D.M.G.-H., S.K.C., A.S.), Ann Arbor, Michigan
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Article Figures & Data

Figures

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  • Fig 1.
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    Fig 1.

    PubMed search structure and search flow diagram. Mh indicates Medical Subject Heading; tiab, Title and Abstract; TP, true-positive; FN, false-negative.

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    Fig 2.

    Forest plot of overall yield of image-guided biopsy.

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    Fig 3.

    Forest plot of subgroup analysis of the yield of image-guided biopsy versus open surgical biopsy.

Tables

  • Figures
  • Study characteristics

    AuthorYearReference StandardaImage GuidanceBiopsy TypePathogensPrior AntibioticsTPFNFPTNTotal Patients
    Spira et al212016MRICTCoreMixedNR102434
    Agarwal et al52016MixedMixedCoreMixedMixed3094124
    Brinjikji et al222015MRIMixedNRMixedMixed383977
    Kim et al232015NRNRNRPyogenicNone385290
    Chang et al182015HistopathologyCTCoreMixedMixed292642988
    Garg et al242014MixedCTCoreMixedMixed166884
    Choi et al192014MRIMixedNRMixedMixed1232145
    Tachibana et al252014NRNRNRPyogenicNR111728
    Gras et al262014MRICTNRPyogenicNone7613
    Aagaard et al272013MixedNRNRPyogenicNR5977136
    Kim et al282013MixedFluoroscopyCoreMixedNone5183134
    Gasbarrini et al292012MRICTCoreMixedNone121426
    Cebrián Parra et al302012MRINRNRMixedNR101424
    Heyer et al312012HistopathologyCTCoreMixedMixed102030
    Nam et al322011MixedMixedNRMixedMixed282856
    Marschall et al132011MRIMixedNRPyogenicMixed4087127
    Shibayama et al332010NRFluoroscopyFNAPyogenicNR322860
    de Lucas et al342009MixedCTFNAMixedMixed11112
    Yang et al122008HistopathologyCTCoreMixedNR202646
    Michel et al352006MRICTCoreMixedNone151732
    Colmenero et al362004MixedMixedCoreTuberculosis/mycobacterialNR11718
    Ben Taarit et al372002MixedMixedNRPyogenicNR121325
    Nolla et al172002MixedCTNRPyogenicMixed251641
    Pertuiset et al391999MixedFluoroscopyNRTuberculosis/mycobacterialNR111021
    Jiménez-Mejías et al111999MixedNRNRPyogenicNR426
    Vinicoff et al401998NRCTCorePyogenicNR381250
    Fouquet et al411996NRNRCoreMixedNR426
    Bateman et al421995MixedNRNRNRMixed12618
    Al Soub et al431994MixedCTNRMixedNR523183
    Cotty et al441988NRFluoroscopyCoreMixedMixed19928
    Ernst451984NRFluoroscopyNRPyogenicNR362561
    Seignon et al461980NRNRFNAMixedNR16420
    Duquennoy et al471979NRNRFNAMixedNR161430
    • Note:—FN indicates false-negative; FNA, fine needle aspiration; FP, false-positive; NR, not recorded in original study; TN, true-negative; TP, true-positive.

    • ↵a All studies used clinical characteristics in addition to the reference standards listed.

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American Journal of Neuroradiology: 38 (10)
American Journal of Neuroradiology
Vol. 38, Issue 10
1 Oct 2017
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Cite this article
A.L. McNamara, E.C. Dickerson, D.M. Gomez-Hassan, S.K. Cinti, A. Srinivasan
Yield of Image-Guided Needle Biopsy for Infectious Discitis: A Systematic Review and Meta-Analysis
American Journal of Neuroradiology Oct 2017, 38 (10) 2021-2027; DOI: 10.3174/ajnr.A5337

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Yield of Image-Guided Needle Biopsy for Infectious Discitis: A Systematic Review and Meta-Analysis
A.L. McNamara, E.C. Dickerson, D.M. Gomez-Hassan, S.K. Cinti, A. Srinivasan
American Journal of Neuroradiology Oct 2017, 38 (10) 2021-2027; DOI: 10.3174/ajnr.A5337
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