Evidence map›Paper›PMID 25594325›Full record

ArticleJournal of neurosurgery2015

Accuracy of direct magnetic resonance imaging-guided placement of drug infusion cannulae.

Prashant Chittiboina, John D Heiss, Russell R Lonser

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Journal of neurosurgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 35 citations in OpenAlex.

  1. Genetic therapies for neurological diseases.Pharmacological reviews · 2026
    Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Convection-Enhanced Delivery in Children: Techniques and Applications.Advances and technical standards in neurosurgery · 2022
    Review
  8. Review
  9. Article
  10. Personalized therapeutic delivery in the neurosurgical operating room.Proceedings of the National Academy of Sciences of the United States of America · 2018
    Article
  11. Article
  12. Advances in drug delivery to high grade gliomas.Brain pathology (Zurich, Switzerland) · 2016
    Review
  13. Intraoperative real-time MRI-guided stereotactic biopsy followed by laser thermal ablation for progressive brain metastases after radiosurgery.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Prashant ChittiboinaSurgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland; and.
John D Heiss
Russell R Lonser
National Institutes of Health · USThe Ohio State University Wexner Medical Center · US

Funding

Central Nervous System Drug Delivery TechniquesZIANS003051 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI HEISS, JOHN · 2009 to 2025
$9.8M
Intramural NIH HHS Z99 NS999999
6 · The paper itself

Abstract

An intraoperative MRI (iMRI)-compatible system has been developed for direct placement of convection-enhanced delivery (CED) cannulae using real-time imaging. To establish the precision and feasibility of this technology, the authors analyzed findings in patients who underwent direct iMRI CED cannula placement. Three consecutive patients underwent iMRI-guided placement of CED infusion cannulae (6 cannulae) for treatment of diffuse intrinsic brainstem glioma (2 patients) or Parkinson's disease (1 patient). Convective infusion cannulae were guided to the target using the ClearPoint iMRI-based navigation platform (MRI Interventions, Inc.). Placement accuracy was analyzed. Real-time iMRI during infusion cannula insertion allowed for monitoring of trajectory accuracy during placement. During cannula insertion, no reinsertions or changes due to errors in targeting were necessary. The mean radial error was 1.0 ± 0.5 mm (± SD). There was no correlation between the total length of the planned trajectory and the radial error (Pearson's coefficient: -0.40; p = 0.5). The mean anteroposterior and lateral errors were 0.9 ± 0.5 and 0.3 ± 0.2 mm, respectively. The mean in-plane distance error was 1.0 ± 0.4 mm. The mean tip error (scalar distance between the planned target and actual tip) was 1.9 ± 0.9 mm. There was no correlation between the length of the planned trajectory and any of the measured errors. No complications were associated with cannula placement. Real-time iMRI-based targeting and monitoring of infusion cannula placement is a safe, effective, and accurate technique that should enable more selective perfusion of brain regions.

Indexed as

Magnetic Resonance ImagingAdolescentAgedBrain NeoplasmsBrain StemCatheterizationChild, PreschoolFeasibility StudiesFemaleGliomaHumansInfusions, IntralesionalMaleParkinson DiseaseAAV2-GDNF = adeno-associated virus encoding glial cell line-derived neurotrophic factoraccuracybrainstem gliomaCED = convection-enhanced deliveryconvection-enhanced deliveryDBS = deep brain stimulationDIPG = diffuse intrinsic pontine gliomagadoliniumIL13-PE = interleukin-13–Pseudomonas exotoxiniMRI = intraoperative MRImagnetic resonance imagingPD = Parkinson's diseasesurgical techniquetargeting

Identifiers

PMID25594325
PMCPMC5121928
OpenAlexW1981335423

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.