{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T21:39:58Z","timestamp":1770500398705,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This meta\u2010analysis aims to compare the diagnostic efficacy of X\u2010ray and CT in detecting oesophageal foreign bodies and evaluate if this data supports the current radiological and gastroenterology guidelines on managing foreign bodies in the oesophagus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A literature search was conducted and 6 studies comprising 329 X\u2010rays and 337 CTs were selected for this meta\u2010analysis. Raw sensitivity and specificity data for X\u2010ray and CT sensitivity and specificity were extracted by 2 independent reviewers and pooled together. A \u2018mada\u2019 and \u2018meta\u2019 package in R (1\u20133) was used to analyse the sensitivity and specificity of the data. Further subgroup analysis was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>X\u2010rays demonstrate a pooled sensitivity of 51.2% and specificity of 99.5%, while CT exhibits superior sensitivity (99.8%) and specificity (100%) without significant heterogeneity. CT demonstrated a statistically significant superiority in detecting ingested foreign bodies. CT thus has a better detection rate but imparts higher radiation doses to the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CT is a far superior imaging modality for detecting ingested foreign bodies than X\u2010rays, particularly for radiolucent objects. The superior diagnostic capability of CT scans should be weighed against the cost of resources and the increased radiation dose. These results support X\u2010rays as the first\u2010line test for radiopaque foreign bodies. It supports CT as the first\u2010line imaging modality for radiolucent FB and the second line when initial X\u2010rays are negative, but there remains a high clinical suspicion of a stuck foreign body.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1754-9485.70054","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T11:29:51Z","timestamp":1765798191000},"page":"80-87","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Meta\u2010Analysis Comparing the Diagnostic Accuracy of X\u2010Rays and\n                    <scp>CT<\/scp>\n                    in Detecting Ingested Foreign Bodies in the Neck"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9273-7445","authenticated-orcid":false,"given":"Hin","family":"Huang","sequence":"first","affiliation":[{"name":"Concord Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8346-450X","authenticated-orcid":false,"given":"Ryan Chang\u2010Ho","family":"Choi","sequence":"additional","affiliation":[{"name":"Concord Hospital  Sydney New South Wales Australia"},{"name":"Department of Gastroenterology Concord Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4294-6323","authenticated-orcid":false,"given":"Raaj Kishore","family":"Biswas","sequence":"additional","affiliation":[{"name":"University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6969-4328","authenticated-orcid":false,"given":"Peter","family":"Katelaris","sequence":"additional","affiliation":[{"name":"Concord Hospital  Sydney New South Wales Australia"},{"name":"Department of Gastroenterology Concord Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8759-5208","authenticated-orcid":false,"given":"Lloyd","family":"Ridley","sequence":"additional","affiliation":[{"name":"Concord Hospital  Sydney New South Wales Australia"},{"name":"Department of Radiology Concord Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.13.12185"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.05.072"},{"issue":"4","key":"e_1_2_13_4_1","article-title":"Diagnostic Accuracy of Conventional Radiography for Esophageal Foreign Bodies in Adults","volume":"5","author":"Saki N.","year":"2008","journal-title":"I J Radiology"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941212101010"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949910800717"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02841850410005516"},{"issue":"4","key":"e_1_2_13_8_1","first-page":"311","article-title":"The Role of CT Imaging in the Evaluation of Cervical Esophageal Foreign Bodies","volume":"22","author":"Braverman I.","year":"1993","journal-title":"Journal of Otolaryngology"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2010.11.010"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-100456"},{"key":"e_1_2_13_11_1","unstructured":"Melbourne TRCsH Foreign Body Ingestion 2023 https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Foreign_body_ingestion\/."},{"key":"e_1_2_13_12_1","unstructured":"R. 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