Evidence map›Paper›PMID 29968070›Full record

ArticleLa Radiologia medica2018

Real-time fusion-imaging in low back pain: a new navigation system for facet joint injections.

Elena Massone, Davide Orlandi, Alberto Bellelli, Fabio Martino, Luca Cavagnaro, Matteo Formica, Pietro Caruso, Enzo Silvestri

Abstract read
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. 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
  3. Ultrasound-guided axial facet joint interventions for chronic spinal pain: A narrative review.Canadian journal of pain = Revue canadienne de la douleur · 2023
    Review
  4. 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
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

8 authors at 5 institutions in 1 country.

Elena MassoneDepartment of Radiology, Genoa University, Genoa, Italy.
Davide OrlandiDiagnostica per Immagini e Ecografia Interventistica, Ospedale Evangelico Internazionale, Corso Solferino 1a, 16122, Genoa, Italy. my.davideorlandi@gmail.com.ORCID http://orcid.org/0000-0001-5569-3359
Alberto BellelliRadiologia Diagnostica ed Interventistica Ospedale San Pietro Fatebenefratelli, Rome, Italy.
Fabio MartinoRadiologia Ambulatoriale, ASL BA, Bari, Italy.
Luca CavagnaroClinica Ortopedica, IRCCS Azienda Ospedaliera Universitaria San Martino, Genoa, Italy.
Matteo FormicaClinica Ortopedica, IRCCS Azienda Ospedaliera Universitaria San Martino, Genoa, Italy.
Pietro CarusoDiagnostica per Immagini e Ecografia Interventistica, Ospedale Evangelico Internazionale, Corso Solferino 1a, 16122, Genoa, Italy.
Enzo SilvestriDiagnostica per Immagini e Ecografia Interventistica, Ospedale Evangelico Internazionale, Corso Solferino 1a, 16122, Genoa, Italy.
National Institute for Astrophysics · ITOspedale Policlinico San Martino · ITOspedale San Pietro Fatebenefratelli · ITOspedale Santa Maria · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS AND

objectivesThe aim of the current study is to present our experience in lumbar spine interventional procedures performed with a newly developed multimodal echo-navigator (EcoNav) and to evaluate short-term clinical outcomes of a series of patients affected by facet joint disease (FJD) treated with steroid and anaesthetic injection under fusion-imaging guidance, compared to a cohort of patients that received the same treatment under computed tomography (CT) guidance.

methodsSixty-five consecutive patients (34 females; mean age 68.3 ± 12.8 years) with a clinical diagnosis of non-radicular low back pain lasting for more than 6-weeks and magnetic resonance (MR) or CT confirmed FJD were enrolled for image-guided FJI. Twenty-eight patients underwent FJI with fusion-guided technique, while CT-guided procedures were performed in the other cases. Clinical and procedural data were recorded and compared at a mean follow-up of 6.1 ± 2.0 months.

resultsA significant improvement in clinical parameters was observed for both fusion-guided and CT-guided group. Comparing both groups, no statistically significant difference could be detected neither at baseline conditions nor during the follow-up period. No significant periprocedural complication occurred in both groups. A satisfaction rate of 92.3 and 81.1% was reported for fusion-guided and CT-guided group, respectively.

conclusionEcoNav fusion-imaging system represents a safe, feasible, effective and reproducible guidance option in FJD infiltration procedures, also avoiding use of ionising radiations.

Indexed as

Tomography, X-Ray ComputedAgedFemaleHumansInjections, SpinalLow Back PainMaleRetrospective StudiesZygapophyseal JointComputed tomographyFacet joints injectionFusion-imagingMagnetic resonanceMinimally invasive spineSpineUltrasound guidance

Identifiers

PMID29968070
OpenAlexW2810047698

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.