Review Article

Diagnostic Performance of 18F-FDG PET/CT in Infectious and Inflammatory Diseases according to Published Meta-Analyses

Table 1

Characteristics and main findings of included meta-analyses on the diagnostic performance of 18F-FDG PET/CT in infectious or inflammatory diseases.

TopicAuthorsYearArticles included about 18F-FDG PET/CTPatients includedSensitivity (95% CI)Specificity (95% CI)LR+ (95% CI)LR− (95% CI)DOR (95% CI)

Fever of unknown originDong et al. [6]2011417498.2% (93.6–99.8)85.9% (75.0–93.4)5.8 (3.3–10)0.05 (0.01–0.25)7.1 (0.7–67.4)
Hao et al. [7]20131559585% (81–88)NRNRNRNR
Besson et al. [8]20167401NRNRNRNRNR
Takeuchi et al. [9]201622113786% (81–90)52% (36–67)NRNRNR
Bharucha et al. [10]201718905NRNRNRNRNR
Kan et al. [11]201823192784% (79–89)63% (49–75)2.3 (1.5–3.4)0.25 (0.16–0.38)9 (4–20)
Takeuchi et al. [12]20189418NRNRNRNRNR

Large vessel vasculitisBesson et al. [13]20116283[GCA] 80% (63–91)[GCA] 89% (78–94)[GCA] 6.73 (3.5–12.8)[GCA] 0.25 (0.13–0.46)NR
Cheng et al. [14]20136142[TA] 70.1% (58.6–80)[TA] 77.2% (64.2–87.3)[TA] 2.3 (1.1–4.8)[TA] 0.34 (0.14–0.82)[TA] 7.5 (1.6–34)
Soussan et al. [15]201521712[GCA] 90% (79–96)[GCA] 98% (94–99)[GCA] 28.7 (11.5–71.6)[GCA] 0.15 (0.07–0.29)[GCA] 256.3 (70.8–927)
[TA] 87% (78–93)[TA] 73% (63–81)[TA] 4.2 (1.5–12)[TA] 0.2 (0.1–0.5)[TA] 19.8 (4.5–87.6)
[TA+] 84% (73–92)[TA+] 84% (73–92)[TA+] 4.6 (2.1–9.9)[TA+] 0.2 (0.1–0.5)[TA+] 23.4 (5.2–105.2)
Lee et al. [16]201639583.9% (71.7–92.4)87.2% (72.6–95.7)5.2 (2.4–11.2)0.2 (0.1–0.4)27.2 (8.5–86.6)
Barra et al. [17]201810301[TA] 81% (69–89)[TA] 74% (55–86)NRNRNR
Gomez et al. [18]20189210NRNRNRNRNR
Lee et al. [19]2018929888% (79–93)81% (64–91)4.5 (2.2–9.5)0.15 (0.08–0.29)30 (8–107)

Infective endocarditisYan et al. [20]2016624661% (52–88)88% (80–93)3.24 (1.67–6.28)0.5 (0.32–0.77)6.98 (2.5–19.1)
Mahmood et al. [21]20171353776.8% (71.8–81.4)77.9% (71.9–83.2)NRNRNR
Juneau et al. [22]2018732981% (73–86)85% (78–91)NRNRNR

CIED infectionsMahmood et al. [23]20171449285% (80–89)90% (84–94)NRNRNR
Juneau et al. [24]20171133187% (82–91)94% (88–98)NRNRNR

Vascular graft infectionReinders Folmer et al. [25]2018514495% (87–99)80% (69–89)NRNR38 (8.5–170)
Rojoa et al. [26]20188NR97% (89–99)89% (70–96)NRNRNR

Cardiac sarcoidosisYoussef et al. [27]2012716489% (79–96)78% (68–86)4.1 (1.7–10)0.19 (0.1–0.4)25.6 (7.3–89.5)
Tang et al. [28]20161655975% (69–80)81% (76–85)NRNR16.9 (7.6–37.5)
Kim et al. [29]20191789184% (71–91)83% (74–89)4.9 (3.3–7.3)0.2 (0.11–0.35)27 (14–55)

OsteomyelitisWang et al. [30]2011731992.3% (86.7–96.1)92% (87–95.6)9.8 (6–16)0.11 (0.07–0.2)98 (42.8–224)

Osteomyelitis related to diabetic footTreglia et al. [31]2013417874% (60–85)91% (85–96)5.6 (2–15.3)0.37 (0.1–1.35)16.9 (2–139.6)
Lauri et al. [32]2017625489% (68–97)92% (85–96)11 (4.7–25)0.11 (0.03–0.4)95 (18–504)

Prosthetic joint infectionJin et al. [33]20141483886% (82–90)86% (83–89)NRNRNR
Verberne et al. [34]20161066686% (80–90)93% (90–95)NRNRNR
Verberne et al. [35]2017517970% (56–81)84% (76–90)NRNRNR

SpondylodiscitisProdromou et al. [36]20141222497% (83–100)88% (74–95)8.2 (3.5–18.9)0.03 (0–0.21)NR
Yin et al. [37]2018619196% (84–99)90% (79–96)9.8 (4.4–22)0.05 (0.01–0.19)124 (39–394)
Kim et al. [38]2018721295% (87–98)88% (73–95)7.6 (3.4–17.2)0.05 (0.02–0.14)141 (44–444)

Rheumatic diseasesDescamps et al. [39]2018902300NRNRNRNRNR

Inflammatory bowel diseasesTreglia et al. [40]2013721985% (81–88)87% (84–90)6.2 (2.9–13.4)0.19 (0.1–0.34)44.3 (11.8–167)
Zhang et al. [41]2014316284% (78–89)86% (81–89)5.3 (1.3–22)0.2 (0.07–0.6)25.9 (2.8–238)

LR+ = positive likelihood ratio; LR− = negative likelihood ratio; DOR = diagnostic odds ratio; 95% CI = 95% confidence interval; NR = not reported; CIED = cardiovascular implantable electronic device; GCA = giant cell arteritis; TA = Takayasu arteritis; TA+ = Takayasu arteritis using National Health Institute scale; both PET and PET/CT are included.