ArticleKorean journal of radiology
A New MRI Grading System for Cervical Foraminal Stenosis Based on Axial T2-Weighted Images.
Article in Korean journal of radiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.
- Systematic review of radiological cervical foraminal grading systems.Neuroradiology · 2021Pooled it
- Posterior cervical foraminotomy versus anterior cervical discectomy for Cervical Brachialgia: the FORVAD RCT.Health technology assessment (Winchester, England) · 2023Trial
- Degenerative findings on MRI of the cervical spine: an inter- and intra-rater reliability study.Chiropractic & manual therapies · 2018Trial
- Laminectomy Width and Postoperative C5 Palsy After Posterior Cervical Decompression Fusion for Cervical Spondylosis: A Comparative Cohort Study.International journal of spine surgery · 2026Article
- Is motor weakness in cervical radiculopathy an indication for surgery? Analysis of risk factors for poor recovery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Cervical Multifidus Fatty Degeneration and Bony Foraminal Stenosis Are Associated with Unsuccessful Response to Stellate Ganglion Block in Cervical Radicular Pain: A Retrospective Study.Medicina (Kaunas, Lithuania) · 2026Article
- Preliminary Quantitative MRI Assessment After Combined Posterior Endoscopic Cervical Discectomy and Foraminotomy: An Exploratory Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Effectiveness, Safety, and Cost-Effectiveness of Ultrasound-Guided Acupotomy for Degenerative Cervical Radiculopathy: A Protocol for a Randomized Controlled Trial.Journal of pain research · 2026Article
- Does residual foraminal stenosis at levels not covered by anterior cervical discectomy and fusion aggravate postoperative outcomes in cervical radiculopathy?Asian spine journal · 2025Article
- Grading cervical neural foraminal stenosis via 3-T MR nerve/bone fusion imaging compared with T2-weighted imaging.Insights into imaging · 2025Article
- Determination of the Most Suitable Cut-Off Point of the Cervical Foraminal Cross-Sectional Area at the C5/6 Level to Predict Cervical Foraminal Bony Stenosis.Tomography (Ann Arbor, Mich.) · 2025Article
- Comparing Outcomes between Cage Alone and Plate Fixation in Single-Level Anterior Cervical Fusion: A Retrospective Clinical Series.Clinics in orthopedic surgery · 2025Article
- Ultrasonic Bone Scalpel in Anterior Cervical Discectomy and Fusion Enhances Outcomes and Foraminal Decompression in Cervical Radiculopathy: A Retrospective Cohort Study.Journal of pain research · 2025Article
- Predicting Neck Dysfunction After Open-Door Cervical Laminoplasty - A Prospective Cohort Patient-Reported Outcome Measurement Study.Neurospine · 2024Article
- Cervical Column and Cord and Column Responses in Whiplash With Stenosis: A Finite Element Modeling Study.Journal of engineering and science in medical diagnostics and therapy · 2024Article
- Deep Learning Algorithm Trained on Oblique Cervical Radiographs to Predict Outcomes of Transforaminal Epidural Steroid Injection for Pain from Cervical Foraminal Stenosis.Pain and therapy · 2024Article
- The imaging of cervical spondylotic myeloradiculopathy.Skeletal radiology · 2023Review
- How Does the Severity of Neuroforaminal Compression in Cervical Radiculopathy Affect Outcomes of Anterior Cervical Discectomy and Fusion.Asian spine journal · 2023Article
- Cervical Foraminal Changes in Patients with Intermittent Arm Radiculopathy Studied with a New MRI-Compatible Compression Device.Journal of clinical medicine · 2023Article
- Time for change? Radiologists highly concordant assessing change in stenoses on follow-up cervical spine MRI.The neuroradiology journal · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purpose of this study was to evaluate the reliability of a new magnetic resonance imaging (MRI) grading system for cervical neural foraminal stenosis (NFS). MATERIALS AND
methodsCervical NFS at bilateral C4/5, C5/6, and C6/7 was classified into the following three grades based on the T2-weighted axial images: Grade 0 = absence of NFS, with the narrowest width of the neural foramen greater than the width of the extraforaminal nerve root (EFNR); Grade 1 = the narrowest width of the neural foramen the same or less than (but more than 50% of) the width of the EFNR; Grade 2 = the width of the neural foramen the same or less than 50% of the width of the EFNR. The MRIs of 96 patients who were over 60 years old (M:F = 50:46; mean age 68.4 years; range 61-86 years) were independently analyzed by seven radiologists. Interobserver and intraobserver agreements were analyzed using the percentage agreement, kappa statistics, and intraclass correlation coefficient (ICC).
resultsFor the distinction among the three individual grades at all six neural foramina, the ICC ranged from 0.68 to 0.73, indicating fair to good reproducibility. The percentage agreement ranged from 60.2% to 70.6%, and the kappa values (κ = 0.50-0.58) indicated fair to moderate agreement. The percentages of intraobserver agreement ranged from 85.4% to 93.8% (κ = 0.80-0.92), indicating near perfect agreement.
conclusionThe new MRI grading system shows sufficient interobserver and intraobserver agreement to reliably assess cervical NFS.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.