Table 3

Criteria list used to assess the methodologic quality of the studies

Criteria of validityPositive score
Internal validity  
    1. Prospective study Mentioned in publication 
    2. Avoidance of incorporation bias The index test did not form part of the reference test 
    3. Avoidance of diagnostic review bias Blind interpretation of index test without knowledge of reference test 
    4. Avoidance of test review bias Blind interpretation of reference test without knowledge of index test 
    5. Avoidance of comparator review bias Blinding index test to the other imaging modality, if more than one imaging modality was applied 
    6. Minimum of withdrawal bias < 10% of patients withdrew after the index test 
    7. Avoidance of study examination bias < 10% of indeterminate or uninterpretable results 
External validity  
    1. Avoidance of patient filtering bias Selection criteria described, age and sex of patients reported 
    2. Avoidance of spectrum bias All stages of disease 
    3. Avoidance of selection bias Consecutive series of patients 
    4. Standard execution of index test Application of the same hardware and imaging protocol in all patients 
    5. Avoidance of observer variability bias Interpreter(s) of index test described 
Criteria of validityPositive score
Internal validity  
    1. Prospective study Mentioned in publication 
    2. Avoidance of incorporation bias The index test did not form part of the reference test 
    3. Avoidance of diagnostic review bias Blind interpretation of index test without knowledge of reference test 
    4. Avoidance of test review bias Blind interpretation of reference test without knowledge of index test 
    5. Avoidance of comparator review bias Blinding index test to the other imaging modality, if more than one imaging modality was applied 
    6. Minimum of withdrawal bias < 10% of patients withdrew after the index test 
    7. Avoidance of study examination bias < 10% of indeterminate or uninterpretable results 
External validity  
    1. Avoidance of patient filtering bias Selection criteria described, age and sex of patients reported 
    2. Avoidance of spectrum bias All stages of disease 
    3. Avoidance of selection bias Consecutive series of patients 
    4. Standard execution of index test Application of the same hardware and imaging protocol in all patients 
    5. Avoidance of observer variability bias Interpreter(s) of index test described 

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