ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2017
Radiographic assessment of degenerative lumbar spinal stenosis: is MRI superior to CT?
Article in 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, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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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.
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Who cites it
20 citing papers in PubMed, 41 citations in OpenAlex.
- Surgical versus nonsurgical treatment of lumbar degenerative kyphosis.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 · 2017Trial
- Synthesizing lumbar computed tomography myelography from plain computed tomography images using a cycle-consistent generative adversarial network.North American Spine Society journal · 2026Article
- Agreement of CT versus MRI in reinvestigation of patients operated for lumbar spinal stenosis. a comparison of surgically and non-surgically treated levels.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
- MRI underestimates lumbar spinal canal cross-sectional area compared to CT in patients with lumbar spinal stenosis.Journal of orthopaedic surgery and research · 2025Article
- An Optimized CT Protocol for Detecting Suspected Cauda Equina Syndrome: A Comparative Analysis with MRI.AJNR. American journal of neuroradiology · 2024Article
- Diagnostic performance of dual-energy CT with electron-density reconstruction for lumbar disc herniation.SA journal of radiology · 2024Article
- Balancing ability of patients with lumbar spinal canal stenosis.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 · 2023Article
- Lumbar intradural space reduction during the Valsalva maneuver observed using cine MRI and MR myelography: a single-case experimental study.Acta neurochirurgica · 2023Article
- The Essence of Clinical Practice Guidelines for Lumbar Spinal Stenosis, 2021: 2. Diagnosis and Evaluation.Spine surgery and related research · 2023Article
- Relationship between lumbar spinal stenosis and cauda equina movement during the Valsalva maneuver.Skeletal radiology · 2023Article
- Deep learning for automated, interpretable classification of lumbar spinal stenosis and facet arthropathy from axial MRI.European radiology · 2023Article
- Use of MRI-based vertebral bone quality score (VBQ) of S1 body in bone mineral density assessment for patients with lumbar degenerative diseases.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 · 2023Article
- Cauda equina movement during the Valsalva maneuver in two patients with Lumbar spinal canal stenosis.Fukushima journal of medical science · 2022Article
- Best Practices for Minimally Invasive Lumbar Spinal Stenosis Treatment 2.0 (MIST): Consensus Guidance from the American Society of Pain and Neuroscience (ASPN).Journal of pain research · 2022Review
- Assessment of thoracic disk herniation by using virtual noncalcium dual-energy CT in comparison with standard grayscale CT.European radiology · 2021Article
- Cerebrospinal fluid dynamics correlate with neurogenic claudication in lumbar spinal stenosis.PloS one · 2021Article
- Sonoelastographic evaluation of the sciatic nerve in patients with unilateral lumbar disc herniation.Skeletal radiology · 2019Article
- The Michel Benoist and Robert Mulholland yearly European Spine Journal Review: a survey of the "surgical and research" articles in the European Spine Journal, 2017.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 · 2018Review
- Non-invasive quantification of age-related changes in the vertebral endplate in rats using in vivo DCE-MRI.Journal of orthopaedic surgery and research · 2017Article
- Effect of epidural corticosteroid injection on magnetic resonance imaging findings.The Korean journal of pain · 2017Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the reliability and dependability of magnetic resonance imaging (MRI) and computerized tomography (CT) in the assessment of lumbar spinal stenosis and correlate the qualitative assessment to both a quantitative assessment and functional outcome measures. Multiple studies have addressed the issue of CT and MRI imaging in lumbar spinal stenosis. None showed superiority of one modality.
methodsWe performed a standardized qualitative and quantitative review of CT and MRI scans of 54 patients. Intra-observer and inter-observer reliability was determined between three reviewer using Kappa coefficient. Agreement between the two modalities was analyzed. ODI and SF-36 outcomes were correlated with the imaging assessments.
resultsAlmost perfect intra-observer reliability for MRI was achieved by the two expert reviewers (κ = 0.91 for surgeon and κ = 0.92 for neuro-radiologist). For CT, substantial intra-observer agreement was found for the surgeon (κ = 0.77) while the neuro-radiologist was higher (κ = 0.96). For both CT and MRI the standardized qualitative assessment used by the two expert reviewers had a better inter-observer reliability than that between the expert reviewers and the general reporting radiologist, who did not utilize a standardized assessment system. When the qualitative assessment was compared directly, CT overestimated the degree of stenosis 20-35 % of the time (p < 0.05) while MRI overestimated the degree of stenosis 2-11 % of the time (p < 0.05). No correlation was found between qualitative and quantitative analysis with functional status.
conclusionsThis study directly demonstrates that MRI is a more reliable tool than CT, but neither correlates with functional status. Both experience of the reader and the standardization of a qualitative assessment are influential to the reliability.
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