Evidence map›Paper›PMID 27699478›Full record

ArticleSkeletal radiology2016

Cone beam computed tomography and its image guidance technology during percutaneous nucleoplasty procedures at L5/S1 lumbar level.

Anna Maria Ierardi, Filippo Piacentino, Francesca Giorlando, Alberto Magenta Biasina, Alessandro Bacuzzi, Raffaele Novario, Gianpaolo Carrafiello

Abstract read
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In one paragraph

Article in Skeletal radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

7 authors at 2 institutions in 1 country.

Anna Maria IerardiUnit of Interventional Radiology, Department of Radiology, University of Insubria, Varese, 21100, Italy.
Filippo PiacentinoUnit of Interventional Radiology, Department of Radiology, University of Insubria, Varese, 21100, Italy.
Francesca GiorlandoUnit of Interventional Radiology, Department of Radiology, University of Insubria, Varese, 21100, Italy.
Alberto Magenta BiasinaDepartment of Diagnostic and Interventional Radiology, University of Milan, San Paolo Hospital, 20142, Milan, Italy.
Alessandro BacuzziAnaesthesia and Palliative Care, University of Insubria, Varese, 21100, Italy.
Raffaele NovarioMedical Physics Department, University of Insubria, 21100, Varese, Italy.
Gianpaolo CarrafielloDepartment of Diagnostic and Interventional Radiology, University of Milan, San Paolo Hospital, 20142, Milan, Italy. gcarraf@gmail.com.
University of Insubria · ITOspedale San Paolo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo demonstrate the feasibility of percutaneous nucleoplasty procedures at L5/S1 level using cone beam CT (CBCT) and its associated image guidance technology for the treatment of lumbar disc herniation (LDH). MATERIALS AND

methodsWe retrospectively reviewed 25 cases (20 men, 5 women) of LDH at L5/S1 levels. CBCT as guidance imaging was chosen after a first unsuccessful fluoroscopy attempt that was related to complex anatomy (n = 15), rapid pathological changes due to degenerative diseases (n = 7) or both (n = 3). Technical success, defined as correct needle positioning in the target LDH, and safety were evaluated; overall procedure time and radiation dose were registered. A visual analog scale (VAS) was used to evaluate pain and discomfort pre-intervention after 1 week and 1, 3, and 6 months after the procedure.

resultsTechnical success was 100 %; using CBCT as guidance imaging the needle was correctly positioned at the first attempt in 20 out of 25 patients. Neither major nor minor complications were registered during or after the procedure. The average procedure time was 11 min and 56 s (range, 9-15 min), whereas mean procedural radiation dose was 46.25 Gy.cm

conclusionsCBCT-guided percutaneous nucleoplasty is a highly effective technique for LDH with acceptable procedure time and radiation dose.

Indexed as

Cone-Beam Computed TomographyFemaleFluoroscopyHumansIntervertebral Disc DisplacementLumbar VertebraeMaleNeedlesOrthopedic ProceduresPain MeasurementPatient PositioningRetrospective StudiesSoftwareSurgery, Computer-AssistedTreatment OutcomeCBCTCone beam computed tomographyL5/S1 lumbar levelPercutaneous nucleoplasty

Identifiers

PMID27699478
OpenAlexW2529821754

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.