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23%) and specificity (I = 78.11%). Spearman correlation coefficient indicated the presence of a threshold effect. In the meta-regression, higher magnetic field strength (3T than 1.5T), performing fat suppression, and thinner slice thickness ( 3mm) were factors causing heterogeneity and enhancing diagnostic power across the included studies. MR imaging was demonstrated to have acceptable diagnostic performance in detecting PLONI in patients with RB. The variation in the magnetic field strength and protocols was the main factor behind t