Evidence map›Paper›PMID 30237301›Full record

ArticleAJNR. American journal of neuroradiology2018

Spinal Imaging Findings of Open Spinal Dysraphisms on Fetal and Postnatal MRI.

U D Nagaraj, K S Bierbrauer, C B Stevenson, J L Peiro, F Y Lim, B Zhang, B M Kline-Fath

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Fetal magnetic resonance imaging of lumbar spine development in vivo: a retrospective study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. The Perplexity Surrounding Chiari Malformations - Are We Any Wiser Now?AJNR. American journal of neuroradiology · 2020
    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

7 authors at 5 institutions in 3 countries.

U D NagarajFrom the Department of Radiology and Medical Imaging (U.D.N., B.Z., B.M.K.-F.) usha.nagaraj@cchmc.org.ORCID 0000-0001-8251-7481
K S BierbrauerDepartment of Pediatric Neurosurgery (K.S.B., C.B.S.).ORCID 0000-0002-3806-9930
C B StevensonDepartment of Pediatric Neurosurgery (K.S.B., C.B.S.).ORCID 0000-0002-9375-2118
J L PeiroDepartment of Pediatric Surgery (J.L.P., F.Y.L.).ORCID 0000-0002-2272-1381
F Y LimDepartment of Pediatric Surgery (J.L.P., F.Y.L.).ORCID 0000-0003-4362-8431
B ZhangFrom the Department of Radiology and Medical Imaging (U.D.N., B.Z., B.M.K.-F.).ORCID 0000-0003-0607-1806
B M Kline-FathFrom the Department of Radiology and Medical Imaging (U.D.N., B.Z., B.M.K.-F.).ORCID 0000-0003-3872-9027
Cereal Disease Laboratory · USNorwegian Womens Public Health Association · NOCincinnati Children's Hospital Medical Center · USImaging Center · USNagara Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeFetal MRI has become a valuable tool in the evaluation of open spinal dysraphisms making studies comparing prenatal and postnatal MRI findings increasingly important. Our aim was to determine the accuracy of predicting the level of the spinal dysraphic defect of open spinal dysraphisms on fetal MR imaging and to report additional findings observed when comparing fetal and postnatal MR imaging of the spine in this population. MATERIALS AND

methodsA single-center retrospective analysis was performed of fetal MRIs with open spinal dysraphisms from 2004 through 2016 with available diagnostic postnatal spine MR imaging. Images were reviewed by 2 board-certified fellowship-trained pediatric neuroradiologists. Corresponding clinical/operative reports were reviewed.

resultsOne hundred nineteen fetal MRIs of open spinal dysraphisms were included. The level of the osseous defect between fetal and postnatal MR imaging was concordant in 42.9% (51/119) of cases and was 1 level different in 39% (47/119) of cases. On postnatal MR imaging, type II split cord malformation was seen in 8.4% (10/119) of cases, with only 50% (5/10) of these cases identified prospectively on fetal MR imaging. Syrinx was noted in 3% (4/119) of prenatal studies, all cervical, all confirmed on postnatal MR imaging.

conclusionsFetal MR imaging is accurate in detecting the level of the spinal dysraphic defect, which has an impact on prenatal counseling, neurologic outcomes, and eligibility for fetal surgery. In addition, fetal MR imaging is limited in its ability to detect split cord malformations in patients with open spinal dysraphisms. Although rare, fetal MR imaging has a high specificity for detection of cervical spinal cord syrinx.

Indexed as

FemaleFetusHumansMagnetic Resonance ImagingMalePregnancyRetrospective StudiesSpinal Dysraphism

Identifiers

PMID30237301
PMCPMC7410740
OpenAlexW2891851780

What OpenQuestion holds

Textmetadata
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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.