Evidence map›Paper›PMID 29361876›Full record

ArticleJournal of neurotrauma2018

Impact of Admission Imaging Findings on Neurological Outcomes in Acute Cervical Traumatic Spinal Cord Injury.

H Francis Farhadi, Sunil Kukreja, Amy Minnema, Lohith Vatti, Meera Gopinath, Luciano Prevedello, Cheng Chen, Huiyun Xiang, Jan M Schwab

Abstract read
In one paragraph

Article in Journal of neurotrauma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

30 citing papers in PubMed, 63 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Observational
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. The Puzzle of Hereditary Spastic Paraplegia: From Epidemiology to Treatment.International journal of molecular sciences · 2022
    Review
  14. Assessment of acute traumatic cervical spinal cord injury using conventional magnetic resonance imaging in combination with diffusion tensor imaging-tractography: a retrospective comparative 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 · 2022
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
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

9 authors at 2 institutions in 1 country.

H Francis Farhadi1 Department of Neurological Surgery, The Ohio State University Wexner Medical Center , Columbus, Ohio.
Sunil Kukreja1 Department of Neurological Surgery, The Ohio State University Wexner Medical Center , Columbus, Ohio.
Amy Minnema1 Department of Neurological Surgery, The Ohio State University Wexner Medical Center , Columbus, Ohio.
Lohith Vatti1 Department of Neurological Surgery, The Ohio State University Wexner Medical Center , Columbus, Ohio.
Meera Gopinath1 Department of Neurological Surgery, The Ohio State University Wexner Medical Center , Columbus, Ohio.
Luciano Prevedello2 Department of Radiology, The Ohio State University Wexner Medical Center , Columbus, Ohio.
Cheng Chen4 Center for Pediatric Trauma Research. Nationwide Children's Hospital , Columbus, Ohio.
Huiyun Xiang3 Department of Neurology, The Ohio State University Wexner Medical Center , Columbus, Ohio.
Jan M Schwab3 Department of Neurology, The Ohio State University Wexner Medical Center , Columbus, Ohio.
The Ohio State University Wexner Medical Center · USNeurological Surgery · US

Funding

Reducing Infection Susceptibility by Immune Function Restoration in Spinal Cord InjuryR01NS118200 · NINDS · OHIO STATE UNIVERSITY · PI SCHWAB, JAN · 2020 to 2024
$1.9M
Protecting Endogenous Recovery from the "Infectious Insult" in Spinal Cord InjuryR01NS135237 · NINDS · OHIO STATE UNIVERSITY · PI Angela R Filous, Andrew Robert Sas · 2024 to 2026
$1.7M
NINDS NIH HHS R01 NS118200NINDS NIH HHS R01 NS135237
6 · The paper itself

Abstract

Variable and unpredictable spontaneous recovery can occur after acute cervical traumatic spinal cord injury (tSCI). Despite the critical clinical and interventional trial planning implications of this tSCI feature, baseline measures to predict neurologic recovery accurately are not well defined. In this study, we used data derived from 99 consecutive patients (78 male, 21 female) with acute cervical tSCIs to assess the sensitivity and specificity of various clinical and radiological factors in predicting recovery at one year after injury. Categorical magnetic resonance imaging parameters included maximum canal compromise (MCC), maximum spinal cord compression (MSCC), longitudinal length of intramedullary lesion (IML), Brain and Spinal Injury Center (BASIC) score, and a novel derived Combined Axial and Sagittal Score (CASS). Logistic regression analysis of the area under the receiver operating characteristic curve (AUC) was applied to assess the differential predictive value of individual imaging markers. Admission American Spinal Injury Association Impairment Scale (AIS) grade, presence of a spinal fracture, and central cord syndrome were predictive of AIS conversion at one year. Both BASIC and IML were stronger predictors of AIS conversion compared with MCC and MSCC (p = 0.0002 and p = 0.04). The BASIC score demonstrated the highest overall predictive value for AIS conversion at one year (AUC 0.94). We conclude that admission intrinsic cord signal findings are robust predictive surrogate markers of neurologic recovery after cervical tSCI. Direct comparison of imaging parameters in this cohort of patients indicates that the BASIC score is the single best acute predictor of the likelihood of AIS conversion.

Indexed as

Recovery of FunctionAdolescentAdultAgedAged, 80 and overCervical CordFemaleHumansMaleMiddle AgedSpinal Cord InjuriesYoung AdultAIS conversioncervicalintramedullary high-signal intensitymagnetic resonance imagingspinal cord injury

Identifiers

PMID29361876
PMCPMC13175224
OpenAlexW2784968475

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.