Evidence map›Paper›PMID 29456171›Full record

ArticleJournal of biomechanics2018

A magnetic resonance imaging framework for quantifying intervertebral disc deformation in vivo: Reliability and application to diurnal variations in lumbar disc shape.

John T Martin, Alexander B Oldweiler, Charles E Spritzer, Brian J Soher, Melissa M Erickson, Adam P Goode, Louis E DeFrate

Abstract read
In one paragraph

Article in Journal of biomechanics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 25 citations in OpenAlex.

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  13. Lumbar intervertebral disc diurnal deformations and T2 and T1rho relaxation times vary by spinal level and disc region.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
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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 1 institution in 1 country.

John T MartinDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, United States.
Alexander B OldweilerDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, United States.
Charles E SpritzerDepartment of Radiology, Duke University School of Medicine, Durham, NC, United States.
Brian J SoherDepartment of Radiology, Duke University School of Medicine, Durham, NC, United States.
Melissa M EricksonDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, United States.
Adam P GoodeDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, United States; Duke Clinical Research Institute, Durham, NC, United States.
Louis E DeFrateDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, United States; Department of Biomedical Engineering, Duke University, Durham, NC, United States; Department of Mechanical Engineering and Materials Science, Duke University, Durham, NC, United States. Electronic address: lou.defrate@duke.edu.
Duke University · US

Funding

Biomarkers to Advance Clinical Phenotypes of Low Back Pain (BACk)R01AR071440 · NIAMS · DUKE UNIVERSITY · PI Adam Goode · 2017 to 2026
$5.0M
In Vivo Knee Motion and ACL Biomechanics During Dynamic ActivitiesR01AR065527 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E. · 2014 to 2024
$4.8M
Age-related alterations in the in vivo mechanical function of the spineF32AR071223 · NIAMS · DUKE UNIVERSITY · PI MARTIN, JOHN · 2017 to 2019
$178k
NIAMS NIH HHS F32 AR071223NIAMS NIH HHS R01 AR065527NIAMS NIH HHS R01 AR071440
6 · The paper itself

Abstract

Low back pain is a significant socioeconomic burden in the United States and lumbar intervertebral disc degeneration is frequently implicated as a cause. The discs play an important mechanical role in the spine, yet the relationship between disc function and back pain is poorly defined. The objective of this work was to develop a technique using magnetic resonance imaging (MRI) and three-dimensional modeling to measure in vivo disc deformations. Using this method, we found that disc geometry was measurable with precision less than the in-plane dimensions of a voxel (≈100 µm, 10% of the MRI pixel size). Furthermore, there was excellent agreement between mean disc height, disc perimeter, disc volume and regional disc height measurements for multiple trials from an individual rater (standard deviation <3.1% across all measurements) and between mean height, perimeter, and volume measurements made by two independent raters (error <1.5% across all measurements). We then used this measurement system to track diurnal deformations in the L5-S1 disc in a young, healthy population (n = 8; age 24.1 ± 3.3 yrs; 2 M/6F). We measured decreases in the mean disc height (-8%) and volume (-9%) with no changes in perimeter over an eight-hour workday. We found that the largest height losses occurred in the posterior (-13%) and posterior-lateral (-14%) regions adjacent to the outer annulus fibrosus. Diurnal annulus fibrosus (AF) strains induced by posterior and posterior-lateral height loss may increase the risk for posterior disc herniation or posterior AF tears. These preliminary findings lay a foundation for determining how deviations from normal deformations may contribute to back pain.

Indexed as

Circadian RhythmMagnetic Resonance ImagingAdultBack PainFemaleHumansIntervertebral DiscIntervertebral Disc DegenerationIntervertebral Disc DisplacementLumbar VertebraeMaleReproducibility of ResultsYoung Adult

Identifiers

PMID29456171
PMCPMC5878126
OpenAlexW2794052654

What OpenQuestion holds

Textmetadata
LicenceTDM
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.