Evidence map›Paper›PMID 26396110›Full record

ArticleEuropean radiology2016

Impact of high resolution 3 tesla MR neurography (MRN) on diagnostic thinking and therapeutic patient management.

Avneesh Chhabra, Allan J Belzberg, Gedge D Rosson, Gaurav K Thawait, M Chalian, Sahar J Farahani, Jaimie T Shores, Gene Deune, Shar Hashemi, Shrey K Thawait and 2 more

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Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
6.0field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 76 citations in OpenAlex.

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  18. Development of magnetic resonance imaging of brachial plexus neuralgia.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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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

12 authors at 6 institutions in 1 country.

Avneesh ChhabraDepartment of Radiology, Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390, USA. avneesh.chhabra@utsoutwestern.edu.
Allan J BelzbergDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Gedge D RossonDepartment of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Gaurav K ThawaitRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, MD, USA.
M ChalianRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, MD, USA.
Sahar J FarahaniRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, MD, USA.
Jaimie T ShoresDepartment of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Gene DeuneDepartment of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Shar HashemiDellon Institute, Towson, MD, USA.
Shrey K ThawaitRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, MD, USA.
Ty K SubhawongDepartment of Radiology, University of Miami Health System, Miami, FL, USA.
John A CarrinoDepartment of Radiology and Imaging, Weill Cornell Medical College, Hospital for Special Surgery, New York, NY, USA.
Johns Hopkins Medicine · USJohns Hopkins Hospital · USJohns Hopkins University · USHospital for Special Surgery · USTowson University · USUniversity of Miami Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of magnetic resonance neurography (MRN) on diagnostic thinking and therapeutic choices in patients with suspected peripheral neuropathy.

methodsIRB approval was obtained for this HIPAA-compliant study. Questionnaires were administered to six surgeons regarding the diagnosis and treatment in 85 patients suspected of having peripheral neuropathy, before (pretest) and after (posttest) MRN. Multiple outcome measures related to diagnostic confidence and surgical decision-making were assessed.

resultsThe final cohort included 81 patients (30 men and 51 women, age 47 ± 17 years). The following changes were observed from pretest to posttest questionnaires: 23% in nerve involvement (P < 0.05), 48% in degree of confidence of nerve involvement (P < 0.01), 27% in grade of injury (P < 0.05), 33% in differential diagnosis (P < 0.05), 63% in degree of confidence in need for surgery (P < 0.001), 41% in timing of surgery (P < 0.01), 30% in approach to surgery (P < 0.05), 58% in degree of confidence in approach to surgery (P < 0.001), 30% in estimated length of surgery (P < 0.05) and 27% in length of incision (P < 0.05). The dichotomous decision regarding surgical or nonsurgical treatment changed from pro to con in 17%.

conclusionMRN results significantly influenced the diagnostic thinking and therapeutic recommendations of peripheral nerve surgeons. KEY POINTS: • In patients with peripheral neuropathy, MRN significantly impacts diagnostic thinking. • In patients with peripheral neuropathy, MRN significantly impacts therapeutic choices. • 3-T MRN should be considered in presurgical planning of patients with peripheral neuropathy.

Indexed as

Disease ManagementImage EnhancementAdolescentAdultAgedChildEquipment DesignFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPeripheral NervesPeripheral Nervous System DiseasesYoung AdultDecision-makingDiagnostic approachMR neurographyPeripheral nerve injuryTherapeutic management

Identifiers

PMID26396110
OpenAlexW2104928975

What OpenQuestion holds

Textmetadata
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.