Evidence map›Paper›PMID 29150766›Full record

ArticleAnnals of biomedical engineering2018

SpinoBot: An MRI-Guided Needle Positioning System for Spinal Cellular Therapeutics.

Alexander Squires, John N Oshinski, Nicholas M Boulis, Zion Tsz Ho Tse

Abstract read
In one paragraph

Article in Annals of biomedical engineering, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Design and Evaluation of a Needle Manipulation System with EM Tracking for CT-Guided Spinal Injections.... International Symposium on Medical Robotics. International Symposium on Medical Robotics · 2025
    Article
  3. Fluoroscopy-Guided Robotic System for Transforaminal Lumbar Epidural Injections.IEEE transactions on medical robotics and bionics · 2022
    Article
  4. Review
  5. Article
  6. 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

4 authors.

Alexander SquiresEngineering, The University of Georgia, Athens, GA, USA.
John N OshinskiRadiology and Imaging Sciences, Emory University, Atlanta, GA, USA.
Nicholas M BoulisNeurosurgery, Emory University Hospital, Emory University School of Medicine, Atlanta, GA, USA.
Zion Tsz Ho TseEngineering, The University of Georgia, Athens, GA, USA. ziontse@uga.edu.ORCID http://orcid.org/0000-0001-9741-1137

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
American Society for Quality Dr. Richard J. Schlesinger GrantAU/UGA Medical Partnership Inter-Institutional Seed FundingNational Science Foundation 1359095 (REU site program)National Science Foundation 1617340 (I-Corps Team Grant)NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1TR000454 (PHS Grant)NCATS NIH HHS UL1 TR002378NIH HHS Bench-to-Bedside AwardNIH HHS Center for Interventional Oncology Grant
6 · The paper itself

Abstract

The neurodegenerative disease amyotrophic lateral sclerosis (ALS) results in the death of motor neurons in voluntary muscles. There are no cures for ALS and few available treatments. In studies with small animal models, injection of cellular therapeutics into the anterior horn of the spinal cord has been shown to inhibit the progression of ALS. It was hypothesized that spinal injection could be made faster and less invasive with the aid of a robot. The robotic system presented-SpinoBot-uses MRI guidance to position a needle for percutaneous injection into the spinal cord. With four degrees of freedom (DOF) provided by two translation stages and two rotational axes, SpinoBot proved capable of advanced targeting with a mean error of 1.12 mm and standard deviation of 0.97 mm in bench tests, and a mean error of 2.2 mm and standard deviation of 0.85 mm in swine cadaver tests. SpinoBot has shown less than 3% signal-to-noise ratio reduction in 3T MR imaging quality, demonstrating its compliance to the MRI environment. With the aid of SpinoBot, the length of the percutaneous injection procedure is reduced to less than 60 min with 10 min for each additional insertion. Although SpinoBot is designed for ALS treatment, it could potentially be used for other procedures that require precise access to the spine.

Indexed as

Imaging, Three-DimensionalInjections, SpinalMagnetic Resonance ImagingNeedlesRobotic Surgical ProceduresAmyotrophic Lateral SclerosisAnimalsHumansSwineMedical roboticsMRI compatibleMRI-guided interventionSpinal injectionStem cell therapy

Identifiers

PMID29150766
PMCPMC7215142

What OpenQuestion holds

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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.