{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T12:57:14Z","timestamp":1781269034579,"version":"3.54.1"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,12]]},"DOI":"10.7759\/cureus.110730","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T12:04:59Z","timestamp":1781265899000},"source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic Test Analysis of Intraoperative Direct Sonication in Detecting Periprosthetic Joint Infection: A Systematic Review and Meta-Analysis"],"prefix":"10.7759","author":[{"given":"Shunsuke","family":"Kondo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norio","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiro","family":"Saitsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Ishikane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Hirao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Austin","family":"Corpuz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidehiro","family":"Someko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00111-13","article-title":"Prosthetic joint infection","volume":"27","author":"Tande AJ","year":"2014","unstructured":"Tande AJ, Patel R. Prosthetic joint infection. Clin Microbiol Rev. 2014, 27:302-45. 10.1128\/CMR.00111-13","journal-title":"Clin Microbiol Rev"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/imj.12174","article-title":"Early prosthetic hip joint infection treated with debridement, prosthesis retention and biofilm-active antibiotics: functional outcomes, quality of life and complications","volume":"43","author":"Aboltins C","year":"2013","unstructured":"Aboltins C, Dowsey MM, Peel T, et al.. Early prosthetic hip joint infection treated with debridement, prosthesis retention and biofilm-active antibiotics: functional outcomes, quality of life and complications. Intern Med J. 2013, 43:810-5. 10.1111\/imj.12174","journal-title":"Intern Med J"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.eimc.2022.01.012","article-title":"Microbiological diagnosis of prosthetic joint infection: is there a need for standardization?","volume":"40","author":"Esteban J","year":"2022","unstructured":"Esteban J. Microbiological diagnosis of prosthetic joint infection: is there a need for standardization?. Enfermedades Infecc y Microbiol Cl\u00ednica. 2022, 40:287-8. 10.1016\/j.eimc.2022.01.012","journal-title":"Enfermedades Infecc y Microbiol Cl\u00ednica"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2014.03.002","article-title":"Advantages of sonication fluid culture for the diagnosis of prosthetic joint infection","volume":"69","author":"Portillo ME","year":"2014","unstructured":"Portillo ME, Salvad\u00f3 M, Alier A, et al.. Advantages of sonication fluid culture for the diagnosis of prosthetic joint infection. J Infect. 2014, 69:35-41. 10.1016\/j.jinf.2014.03.002","journal-title":"J Infect"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa061588","article-title":"Sonication of removed hip and knee prostheses for diagnosis of infection","volume":"357","author":"Trampuz A","year":"2007","unstructured":"Trampuz A, Piper KE, Jacobson MJ, et al.. Sonication of removed hip and knee prostheses for diagnosis of infection. N Engl J Med. 2007, 357:654-63. 10.1056\/NEJMoa061588","journal-title":"N Engl J Med"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-2102-9","article-title":"New definition for periprosthetic joint infection: from the Workgroup of the Musculoskeletal Infection Society","volume":"469","author":"Parvizi J","year":"2011","unstructured":"Parvizi J, Zmistowski B, Berbari EF, et al.. New definition for periprosthetic joint infection: from the Workgroup of the Musculoskeletal Infection Society. Clin Orthop Relat Res. 2011, 469:2992-4. 10.1007\/s11999-011-2102-9","journal-title":"Clin Orthop Relat Res"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-017-5315-8","article-title":"Sonication of arthroplasty implants improves accuracy of periprosthetic joint infection cultures","volume":"475","author":"Rothenberg AC","year":"2017","unstructured":"Rothenberg AC, Wilson AE, Hayes JP, O'Malley MJ, Klatt BA. Sonication of arthroplasty implants improves accuracy of periprosthetic joint infection cultures. Clin Orthop Relat Res. 2017, 475:1827-36. 10.1007\/s11999-017-5315-8","journal-title":"Clin Orthop Relat Res"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.03138-13","article-title":"Meta-analysis of sonication fluid samples from prosthetic components for diagnosis of infection after total joint arthroplasty","volume":"52","author":"Zhai Z","year":"2014","unstructured":"Zhai Z, Li H, Qin A, et al.. Meta-analysis of sonication fluid samples from prosthetic components for diagnosis of infection after total joint arthroplasty. J Clin Microbiol. 2014, 52:1730-6. 10.1128\/JCM.03138-13","journal-title":"J Clin Microbiol"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.02140-14","article-title":"Improved diagnosis of infection associated with osteosynthesis by use of sonication of fracture fixation implants","volume":"52","author":"Yano MH","year":"2014","unstructured":"Yano MH, Klautau GB, da Silva CB, et al.. Improved diagnosis of infection associated with osteosynthesis by use of sonication of fracture fixation implants. J Clin Microbiol. 2014, 52:4176-82. 10.1128\/JCM.02140-14","journal-title":"J Clin Microbiol"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0196418","article-title":"Meta-analysis of sonication prosthetic fluid PCR for diagnosing periprosthetic joint infection","volume":"13","author":"Liu K","year":"2018","unstructured":"Liu K, Fu J, Yu B, Sun W, Chen J, Hao L. Meta-analysis of sonication prosthetic fluid PCR for diagnosing periprosthetic joint infection. PLoS One. 2018, 13:e0196418. 10.1371\/journal.pone.0196418","journal-title":"PLoS One"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-021-02520-4","article-title":"Sonication fluid culture of antibiotic-loaded bone cement spacer has high accuracy to confirm eradication of infection before reimplantation of new prostheses","volume":"16","author":"Zhang Q","year":"2021","unstructured":"Zhang Q, Ding B, Wu J, Dong J, Liu F. Sonication fluid culture of antibiotic-loaded bone cement spacer has high accuracy to confirm eradication of infection before reimplantation of new prostheses. J Orthop Surg Res. 2021, 16:377. 10.1186\/s13018-021-02520-4","journal-title":"J Orthop Surg Res"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-016-2778-6","article-title":"The application of sonication in diagnosis of periprosthetic joint infection","volume":"36","author":"Liu H","year":"2017","unstructured":"Liu H, Zhang Y, Li L, Zou HC. The application of sonication in diagnosis of periprosthetic joint infection. Eur J Clin Microbiol Infect Dis. 2017, 36:1-9. 10.1007\/s10096-016-2778-6","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04627-5","article-title":"Culture-negative periprosthetic joint infection: prevalence, aetiology, evaluation, recommendations, and treatment","volume":"44","author":"Kalbian I","year":"2020","unstructured":"Kalbian I, Park JW, Goswami K, Lee YK, Parvizi J, Koo KH. Culture-negative periprosthetic joint infection: prevalence, aetiology, evaluation, recommendations, and treatment. Int Orthop. 2020, 44:1255-61. 10.1007\/s00264-020-04627-5","journal-title":"Int Orthop"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.23750\/abm.v92iS3.11693","article-title":"Implant sonication versus intraoperative tissue sample cultures for periprosthetic joint infection (PJI) of shoulder arthroplasty","volume":"92","author":"Padolino A","year":"2021","unstructured":"Padolino A, Cataldo G, Tarallo L, et al.. Implant sonication versus intraoperative tissue sample cultures for periprosthetic joint infection (PJI) of shoulder arthroplasty. Acta Biomed. 2021, 92:e2021009. 10.23750\/abm.v92iS3.11693","journal-title":"Acta Biomed"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.22.00446","article-title":"Intraoperative direct sonication of implants and soft tissue for the diagnosis of periprosthetic joint infection","volume":"105","author":"Ji B","year":"2023","unstructured":"Ji B, Aimaiti A, Wang F, et al.. Intraoperative direct sonication of implants and soft tissue for the diagnosis of periprosthetic joint infection. J Bone Joint Surg Am. 2023, 105:855-64. 10.2106\/JBJS.22.00446","journal-title":"J Bone Joint Surg Am"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13050942","article-title":"Direct prosthetic joint infection diagnosis from sonication fluid inoculated in blood culture bottles by direct MALDI-TOF mass spectrometry","volume":"13","author":"Beguiristain I","year":"2023","unstructured":"Beguiristain I, Henriquez L, Sancho I, et al.. Direct prosthetic joint infection diagnosis from sonication fluid inoculated in blood culture bottles by direct MALDI-TOF mass spectrometry. Diagnostics (Basel). 2023, 13:10.3390\/diagnostics13050942","journal-title":"Diagnostics (Basel)"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.24.00744","article-title":"Intraoperative direct sonication versus conventional sonication in the diagnosis of periprosthetic joint infection: comparison of diagnostic accuracy and time to positivity of fluid culture","volume":"107","author":"Li Y","year":"2025","unstructured":"Li Y, Wang F, Wahafu T, et al.. Intraoperative direct sonication versus conventional sonication in the diagnosis of periprosthetic joint infection: comparison of diagnostic accuracy and time to positivity of fluid culture. J Bone Joint Surg Am. 2025, 107:1439-49. 10.2106\/JBJS.24.00744","journal-title":"J Bone Joint Surg Am"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s41512-018-0039-0","article-title":"Systematic reviews and meta-analyses addressing comparative test accuracy questions","volume":"2","author":"Leeflang MM","year":"2018","unstructured":"Leeflang MM, Reitsma JB. Systematic reviews and meta-analyses addressing comparative test accuracy questions. Diagn Progn Res. 2018, 2:17. 10.1186\/s41512-018-0039-0","journal-title":"Diagn Progn Res"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-023-03973-5","article-title":"Comparison of microbial detection rates in microbial culture methods versus next-generation sequencing in patients with prosthetic joint infection: a systematic review and meta-analysis","volume":"18","author":"Kato H","year":"2023","unstructured":"Kato H, Hagihara M, Asai N, et al.. Comparison of microbial detection rates in microbial culture methods versus next-generation sequencing in patients with prosthetic joint infection: a systematic review and meta-analysis. J Orthop Surg Res. 2023, 18:604. 10.1186\/s13018-023-03973-5","journal-title":"J Orthop Surg Res"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-023-03662-3","article-title":"Diagnostic accuracy of sonication fluid cultures from prosthetic components in periprosthetic joint infection: an updated diagnostic meta-analysis","volume":"18","author":"Peng G","year":"2023","unstructured":"Peng G, Liu Q, Guan Z, et al.. Diagnostic accuracy of sonication fluid cultures from prosthetic components in periprosthetic joint infection: an updated diagnostic meta-analysis. J Orthop Surg Res. 2023, 18:175. 10.1186\/s13018-023-03662-3","journal-title":"J Orthop Surg Res"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.22.00201","article-title":"Utility of diagnostic tests before reimplantation in patients undergoing 2-stage revision total joint arthroplasty: a systematic review and meta-analysis","volume":"11","author":"Khan IA","year":"2023","unstructured":"Khan IA, Boyd BO, Chen AF, et al.. Utility of diagnostic tests before reimplantation in patients undergoing 2-stage revision total joint arthroplasty: a systematic review and meta-analysis. JBJS Rev. 2023, 11:10.2106\/JBJS.RVW.22.00201","journal-title":"JBJS Rev"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2024.03.016","article-title":"Differences in diagnostic sensitivity of cultures between sample types in periprosthetic joint infections: a systematic review and meta-analysis","volume":"39","author":"Watanabe S","year":"2024","unstructured":"Watanabe S, Kamono E, Choe H, Ike H, Inaba Y, Kobayashi N. Differences in diagnostic sensitivity of cultures between sample types in periprosthetic joint infections: a systematic review and meta-analysis. J Arthroplasty. 2024, 39:1939-45. 10.1016\/j.arth.2024.03.016","journal-title":"J Arthroplasty"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.70095","article-title":"Comparative diagnostic accuracy of next-generation sequencing in different specimen types for periprosthetic joint infection: a systematic review and meta-analysis","volume":"34","author":"Wang L","year":"2026","unstructured":"Wang L, Feng S, Zhao Z, et al.. Comparative diagnostic accuracy of next-generation sequencing in different specimen types for periprosthetic joint infection: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2026, 34:1725-39. 10.1002\/ksa.70095","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m2632","article-title":"Preferred reporting items for systematic review and meta-analysis of diagnostic test accuracy studies (PRISMA-DTA): explanation, elaboration, and checklist","volume":"370","author":"Salameh JP","year":"2020","unstructured":"Salameh JP, Bossuyt PM, McGrath TA, et al.. Preferred reporting items for systematic review and meta-analysis of diagnostic test accuracy studies (PRISMA-DTA): explanation, elaboration, and checklist. BMJ. 2020, 370:m2632. 10.1136\/bmj.m2632","journal-title":"BMJ"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2016.03.001","article-title":"Diagnosis of periprosthetic joint infection following hip and knee arthroplasty","volume":"47","author":"Parvizi J","year":"2016","unstructured":"Parvizi J, Fassihi SC, Enayatollahi MA. Diagnosis of periprosthetic joint infection following hip and knee arthroplasty. Orthop Clin North Am. 2016, 47:505-15. 10.1016\/j.ocl.2016.03.001","journal-title":"Orthop Clin North Am"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis803","article-title":"Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America","volume":"56","author":"Osmon DR","year":"2013","unstructured":"Osmon DR, Berbari EF, Berendt AR, et al.. Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 2013, 56:e1-25. 10.1093\/cid\/cis803","journal-title":"Clin Infect Dis"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-19-00405","article-title":"Diagnosis and prevention of periprosthetic joint infections","volume":"28","author":"Tubb CC","year":"2020","unstructured":"Tubb CC, Polkowksi GG, Krause B. Diagnosis and prevention of periprosthetic joint infections. J Am Acad Orthop Surg. 2020, 28:e340-8. 10.5435\/JAAOS-D-19-00405","journal-title":"J Am Acad Orthop Surg"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1051\/sicotj\/2024019","article-title":"Point of care testing for the diagnosis of periprosthetic joint infections: a review","volume":"10","author":"Altsitzioglou P","year":"2024","unstructured":"Altsitzioglou P, Avgerinos K, Karampikas V, et al.. Point of care testing for the diagnosis of periprosthetic joint infections: a review. SICOT J. 2024, 10:24. 10.1051\/sicotj\/2024019","journal-title":"SICOT J"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-8-201110180-00009","article-title":"QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies","volume":"155","author":"Whiting PF","year":"2011","unstructured":"Whiting PF, Rutjes AW, Westwood ME, et al.. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011, 155:529-36. 10.7326\/0003-4819-155-8-201110180-00009","journal-title":"Ann Intern Med"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2019.00221","article-title":"In vitro evaluation of BACT\/alert\u00ae Virtuo\u00ae, BACT\/alert 3D\u00ae, and BACTEC\u2122 FX automated blood culture systems for detection of microbial pathogens using simulated human blood samples","volume":"10","author":"Menchinelli G","year":"2019","unstructured":"Menchinelli G, Liotti FM, Fiori B, et al.. In vitro evaluation of BACT\/alert\u00ae Virtuo\u00ae, BACT\/alert 3D\u00ae, and BACTEC\u2122 FX automated blood culture systems for detection of microbial pathogens using simulated human blood samples. Front Microbiol. 2019, 10:221. 10.3389\/fmicb.2019.00221","journal-title":"Front Microbiol"},{"key":"ref31","unstructured":"Cochrane Handbook for Systematic Reviews of Interventions. (2024). Accessed. February 19, 2025: https:\/\/training.cochrane.org\/handbook\/archive\/v6.4."},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2019.12.020","article-title":"GRADE guidelines: 21 part 1. Study design, risk of bias, and indirectness in rating the certainty across a body of evidence for test accuracy","volume":"122","author":"Sch\u00fcnemann HJ","year":"2020","unstructured":"Sch\u00fcnemann HJ, Mustafa RA, Brozek J, et al.. GRADE guidelines: 21 part 1. Study design, risk of bias, and indirectness in rating the certainty across a body of evidence for test accuracy. J Clin Epidemiol. 2020, 122:129-41. 10.1016\/j.jclinepi.2019.12.020","journal-title":"J Clin Epidemiol"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2019.12.021","article-title":"GRADE guidelines: 21 part 2. Test accuracy: inconsistency, imprecision, publication bias, and other domains for rating the certainty of evidence and presenting it in evidence profiles and summary of findings tables","volume":"122","author":"Sch\u00fcnemann HJ","year":"2020","unstructured":"Sch\u00fcnemann HJ, Mustafa RA, Brozek J, et al.. GRADE guidelines: 21 part 2. Test accuracy: inconsistency, imprecision, publication bias, and other domains for rating the certainty of evidence and presenting it in evidence profiles and summary of findings tables. J Clin Epidemiol. 2020, 122:142-52. 10.1016\/j.jclinepi.2019.12.021","journal-title":"J Clin Epidemiol"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2025.06.062","article-title":"Intraoperative direct sonication improves the time to positivity of culture in patients who have periprosthetic joint infection","volume":"41","author":"Mu W","year":"2026","unstructured":"Mu W, Tarabichi S, Xu B, et al.. Intraoperative direct sonication improves the time to positivity of culture in patients who have periprosthetic joint infection. J Arthroplasty. 2026, 41:569-75. 10.1016\/j.arth.2025.06.062","journal-title":"J Arthroplasty"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn112139-20250127-00045","article-title":"Intraoperative direct sonication for the diagnostic efficacy of periprosthetic joint infection (Article in Chinese)","volume":"63","author":"Tian HY","year":"2025","unstructured":"Tian HY, Li YC, Guo XB, Zhang XG, Cao L. Intraoperative direct sonication for the diagnostic efficacy of periprosthetic joint infection (Article in Chinese). Zhonghua Wai Ke Za Zhi. 2025, 63:821-8. 10.3760\/cma.j.cn112139-20250127-00045","journal-title":"Zhonghua Wai Ke Za Zhi"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1080\/17453674.2019.1567153","article-title":"A comparative study of intraoperative frozen section and alpha defensin lateral flow test in the diagnosis of periprosthetic joint infection","volume":"90","author":"Sigmund IK","year":"2019","unstructured":"Sigmund IK, Holinka J, Lang S, et al.. A comparative study of intraoperative frozen section and alpha defensin lateral flow test in the diagnosis of periprosthetic joint infection. Acta Orthop. 2019, 90:105-10. 10.1080\/17453674.2019.1567153","journal-title":"Acta Orthop"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.108.BJR-2021-0058.R1","article-title":"Diagnostic accuracy of neutrophil counts in histopathological tissue analysis in periprosthetic joint infection using the ICM, IDSA, and EBJIS criteria","volume":"10","author":"Sigmund IK","year":"2021","unstructured":"Sigmund IK, McNally MA, Luger M, B\u00f6hler C, Windhager R, Sulzbacher I. Diagnostic accuracy of neutrophil counts in histopathological tissue analysis in periprosthetic joint infection using the ICM, IDSA, and EBJIS criteria. Bone Joint Res. 2021, 10:536-47. 10.1302\/2046-3758.108.BJR-2021-0058.R1","journal-title":"Bone Joint Res"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.2340\/17453674.2025.43679","article-title":"Evaluation of sonication for the detection of periprosthetic joint infection in hip revision arthroplasty: a retrospective observational single-center study of 288 episodes","volume":"96","author":"Kickinger B","year":"2025","unstructured":"Kickinger B, Monsen T, Karis E, et al.. Evaluation of sonication for the detection of periprosthetic joint infection in hip revision arthroplasty: a retrospective observational single-center study of 288 episodes. Acta Orthop. 2025, 96:429-36. 10.2340\/17453674.2025.43679","journal-title":"Acta Orthop"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/493805-diagnostic-test-analysis-of-intraoperative-direct-sonication-in-detecting-periprosthetic-joint-infection-a-systematic-review-and-meta-analysis","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T12:05:05Z","timestamp":1781265905000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/493805-diagnostic-test-analysis-of-intraoperative-direct-sonication-in-detecting-periprosthetic-joint-infection-a-systematic-review-and-meta-analysis"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,12]]},"references-count":38,"URL":"https:\/\/doi.org\/10.7759\/cureus.110730","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,12]]}}}