Table 2

Measures of diagnostic accuracy (CI 95%) of XR for fracture detection in the respective body regions calculated for the included studies

PublicationSensitivity
(%)
Specificity
(%)
PPV
(%)
NPV
(%)
LR+LRAccuracy
(%)
Thorax and rib cage
 Lampart et al2022.7 (7.8–45.4)95.7 (85.2–99.5)71.4 (34.5–92.2)72.1 (67.2–76.6)5.2 (1.1–24.9)0.8 (0.6–1.0)72.1 (59.9–82.3)
 Singleton et al1941.7 (31.7–52.2)100 (98.4–100)100 (n/a)80.7 (77.9–83.2)n/a0.6 (0.5–0.7)83.0 (78.5–86.9)
Thoracolumbar spine
 Karul et al2849.2 (36.6–61.9)54.8 (38.7–70.2)62.8 (52.7–71.8)41.1 (32.6–50.1)1.1 (0.7–1.7)0.9 (0.6–1.3)51.4 (41.5–61.2)
 Lampart et al20 (thoracic spine)40.0 (19.1–64.0)100 (75.3–100)100 (n/a)52.0 (43.1–60.8)n/a0.6 (0.4–0.9)63.6 (45.1–79.6)
 Lampart et al20 (lumbar spine)57.8 (42.2–72.3)100 (88.8–100)100 (n/a)62.0 (53.7–69.7)n/a0.4 (0.3–0.6)75.0 (63.7–84.2)
Hip and pelvic ring
 Böhme et al21n/an/an/an/an/an/an/a
 Dunker et al22n/an/an/an/an/an/an/a
 Eggenberger et al29n/an/an/an/an/an/an/a
 Heikal et al2310.5 (2.9–24.8)100 (87.2–100)100 (n/a)44.3 (41.6–47)n/a0.9 (0.8–1.0)47.7 (35.2–60.5)
 Lampart et al2031.4 (23.3–40.5)98.6 (92.6–99.9)97.4 (84.2–99.6)46.5 (43.4–49.5)22.9 (3.2–163.5)0.7 (0.6–0.8)56.7 (49.4–63.8)
 Natoli et al24n/an/an/an/an/an/an/a
 Nüchtern et al270 (0–7.4)66.7 (34.9–90.1)014.3 (10.5–19.9)01.5 (1.0–2.2)13.3 (5.9–24.6)
 Schicho et al2552.2 (45.5–58.7)95.5 (92.5–97.5)89.6 (83.6–93.6)72.7 (69.9–75.4)11.6 (6.8–19.6)0.5 (0.4–0.6)76.9 (73.2–80.4)
 Thomas et al260 (0–3.4)100 (96.1–100)n/a46.7 (46.7–46.7)n/a1. (1.0–1.0)46.7 (39.7–53.9)
  • LR+, positive likelihood ratios; LR, negative likelihood ratio; n/a, not applicable; NPV, negative predictive value; PPV, positive predictive value; XR, plain radiography.