Evidence map›Paper›PMID 30531650›Full record

ArticleClinical and experimental otorhinolaryngology2019

Development of a Novel Intraoperative Neuromonitoring System Using a Surface Pressure Sensor to Detect Muscle Movement: A Rabbit Model Study.

Eui-Suk Sung, Jin-Choon Lee, Sung-Chan Shin, Hyun-Geun Kwon, Min-Sik Kim, Dong-Jo Kim, Jung-Hoon Ro, Byung-Joo Lee

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical and experimental otorhinolaryngology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Eui-Suk SungDepartment of Otolaryngology, Head and Neck Surgery and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University College of Medicine, Yangsan, Korea.
Jin-Choon LeeDepartment of Otolaryngology, Head and Neck Surgery and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University College of Medicine, Yangsan, Korea.
Sung-Chan ShinDepartment of Otolaryngology, Head and Neck Surgery and Medical Research Institute, Pusan National University College of Medicine, Busan, Korea.
Hyun-Geun KwonDepartment of Otolaryngology, Head and Neck Surgery and Medical Research Institute, Pusan National University College of Medicine, Busan, Korea.
Min-Sik KimDepartment of Otolaryngology, Head and Neck Surgery and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University College of Medicine, Yangsan, Korea.
Dong-Jo KimDepartment of Otolaryngology, Head and Neck Surgery and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University College of Medicine, Yangsan, Korea.
Jung-Hoon RoDepartment of Biomedical Engineering, Pusan National University Hospital, Busan, Korea.
Byung-Joo LeeDepartment of Otolaryngology, Head and Neck Surgery and Medical Research Institute, Pusan National University College of Medicine, Busan, Korea.
Pusan National University · KRPusan National University Hospital · KR

Funding

Korean Thyroid Association Outstanding Investigator Award
6 · The paper itself

Abstract

objectivesFalse-negative or false-positive responses in intraoperative neuromonitoring (IONM) using electromyography (EMG) in thyroid surgery pose a challenge. Therefore, we developed a novel IONM system that uses a surface pressure sensor instead of EMG to detect muscle twitching. This study aimed to investigate the feasibility and safety of a new IONM system using a piezo-electric surface pressure sensor in an experimental animal model.

methodsWe developed the surface pressure sensor by modifying a commercial piezo-electric sensor. We evaluated the stimulus thresholds to detect muscle movement, as well as the amplitude and latency of the EMG and surface pressure sensor in six sciatic nerves of three rabbits, according to the stimulus intensity.

resultsThe surface pressure sensor detected the muscle movements in response to a 0.1 mA stimulation of all six sciatic nerves. There were no differences in the thresholds of stimulus intensity between the surface pressure sensor and EMG recordings to detect muscle movements.

conclusionIt is possible to measure the change in surface pressure by using a piezo-electric surface pressure sensor instead of EMG to detect muscle movement induced by nerve stimulation. The application of IONM using a piezo-electric surface pressure sensor during surgery is noninvasive, safe, and feasible. Measuring muscle twitching to identify the state of the nerves using the novel IONM system can be an alternative to recording of EMG responses.

Indexed as

ElectromyographyIntraoperative Neurophysiological MonitoringRecurrent Laryngeal NerveSurface Pressure SensorThyroidectomy

Identifiers

PMID30531650
PMCPMC6453788
OpenAlexW2904024067

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.