Evidence map›Paper›PMID 28298941›Full record

ArticleJournal of ultrasound2017

In vivo feasibility of real-time MR-US fusion imaging lumbar facet joint injections.

Riccardo Sartoris, Davide Orlandi, Angelo Corazza, Luca Maria Sconfienza, Alice Arcidiacono, Silvia Perugin Bernardi, Simone Schiaffino, Giovanni Turtulici, Pietro Caruso, Enzo Silvestri

Open access · bronzeAbstract read
In one paragraph

Article in Journal of ultrasound, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Updates in ultrasound-guided musculoskeletal interventions.The British journal of radiology · 2026
    Review
  4. Article
  5. Article
  6. Magnetic resonance imaging ultrasonography fusion-guided transforaminal epidural steroid injection: a retrospective cohort.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 · 2025
    Article
  7. Article
  8. Ultrasound-guided axial facet joint interventions for chronic spinal pain: A narrative review.Canadian journal of pain = Revue canadienne de la douleur · 2023
    Review
  9. Real-time ultrasound-computed tomography image fusion for transforaminal lumbar approach: a lumbosacral spine phantoms study.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 · 2021
    Article
  10. Role of Fusion Imaging in Image-Guided Thermal Ablations.Diagnostics (Basel, Switzerland) · 2021
    Review
  11. Ultrasound of iliotibial band syndrome.Journal of ultrasound · 2020
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
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

10 authors at 4 institutions in 1 country.

Riccardo SartorisScuola di Specializzazione in Radiodiagnostica, Università degli studi di Genova, Genoa, Italy.
Davide OrlandiS.C. Diagnostica per Immagini, Radiologia, Ospedale Evangelico Internazionale, Corso Solferino 2A, 16100 Genoa, Italy.ORCID 0000-0001-5569-3359
Angelo CorazzaUnità Operativa di Radiologia Diagnostica ed Interventistica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Luca Maria SconfienzaUnità Operativa di Radiologia Diagnostica ed Interventistica, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Alice ArcidiaconoScuola di Specializzazione in Radiodiagnostica, Università degli studi di Genova, Genoa, Italy.
Silvia Perugin BernardiScuola di Specializzazione in Radiodiagnostica, Università degli studi di Genova, Genoa, Italy.
Simone SchiaffinoScuola di Specializzazione in Radiodiagnostica, Università degli studi di Genova, Genoa, Italy.
Giovanni TurtuliciS.C. Diagnostica per Immagini, Radiologia, Ospedale Evangelico Internazionale, Corso Solferino 2A, 16100 Genoa, Italy.
Pietro CarusoS.C. Diagnostica per Immagini, Radiologia, Ospedale Evangelico Internazionale, Corso Solferino 2A, 16100 Genoa, Italy.
Enzo SilvestriS.C. Diagnostica per Immagini, Radiologia, Ospedale Evangelico Internazionale, Corso Solferino 2A, 16100 Genoa, Italy.
Presidio Ospedaliero · ITUniversity of Genoa · ITIstituto Ortopedico Galeazzi · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTraditionally, facet joint injections (FJI) are performed under fluoroscopic or computed tomography (CT) guidance, mainly due to the deep anatomical location and the presence of bony landmarks. Fusion imaging technology, which couples the ultrasound scan with the corresponding CT or magnetic resonance (MR) image obtained from the diagnostic examination and reformatted in real time according to the ultrasound scanning plane, allows to combine the panoramic view and the elevated anatomical detail of MR or CT with the ease of use of ultrasound without patient exposure to ionizing radiation.

methodsThirty eight patients (24 females; mean age ± SD: 64 ± 9 years) received MR fusion-assisted ultrasound-guided FJI of 1 ml of a mixture of local anaesthetic and corticosteroid using a ultrasound machine (Logiq E9, GE Healthcare) equipped with a GPS-enhanced fusion imaging technology which couples real-time B-mode images with those of the previous recent diagnostic MR examination. Low-dose CT needle positioning confirmation was performed in the first 28 patients. Patients' pain was recorded using a visual analogue scale (VAS), at baseline and at 2, 4 and 8 weeks.

resultsAll fusion imaging-guided injections were performed successfully. Out of 112, 96 FJI had optimal intra-articular needle positioning (accuracy: 85.7%). Patients VAS significantly decreases after the procedure with no differences among who received CT needle positioning control and who did not receive it. No major complications were observed.

conclusionsUltrasound needle guidance with MR fusion assistance allows for safe and effective injection of degenerative facet joint disease.

Indexed as

Adrenal Cortex HormonesAgedAged, 80 and overAnesthetics, LocalAnti-Inflammatory AgentsChronic PainFeasibility StudiesFemaleHumansInjections, Intra-ArticularLow Back PainMagnetic Resonance ImagingMaleMepivacaineMethylprednisoloneMethylprednisolone AcetateAdrenal Cortex HormonesAnesthetics, LocalAnti-Inflammatory AgentsMepivacaineMethylprednisoloneMethylprednisolone AcetateFacet jointFusion imagingInjectionMagnetic resonanceUltrasound

Identifiers

PMID28298941
PMCPMC5334272
OpenAlexW2574138175

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.