Evidence map›Paper›PMID 30868184›Full record

ArticleNeuroradiology2019

Radiation exposure of image-guided intrathecal administration of nusinersen to adult patients with spinal muscular atrophy.

D Oldenburg, N Guberina, B Stolte, K Kizina, E Stenzel, A Radbruch, C Kleinschnitz, T Hagenacker, M Forsting, C Mönninghoff

Abstract read
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In one paragraph

Article in Neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Treatment satisfaction in 5q-spinal muscular atrophy under nusinersen therapy.Therapeutic advances in neurological disorders · 2021
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. 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

10 authors.

D OldenburgInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany. Denise.Oldenburg@uk-essen.de.ORCID http://orcid.org/0000-0002-9585-9787
N GuberinaInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany.
B StolteDepartment of Neurology, University Hospital Essen, Essen, Germany.
K KizinaDepartment of Neurology, University Hospital Essen, Essen, Germany.
E StenzelInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany.
A RadbruchInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany.
C KleinschnitzDepartment of Neurology, University Hospital Essen, Essen, Germany.
T HagenackerDepartment of Neurology, University Hospital Essen, Essen, Germany.
M ForstingInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany.
C MönninghoffInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine diagnostic reference levels (DRL) and achievable doses (AD) of image-guided and size-specific dose estimates (SSDE) and organ and effective doses of CT-guided intrathecal nusinersen administration to adult patients with spinal muscular atrophy (SMA).

methodsThis study involved a total of 60 image-guided intrathecal nusinersen treatments between August 2017 and June 2018. Patient cohort comprised 14 adult patients with the following SMA types: type 2 (n = 9) and type 3 (n = 5) with a mean age of 33.6 years (age range 25-57 years). DRL, AD, SSDE, organ, and effective doses were assessed with a dose-monitoring program based on the Monte Carlo simulation techniques.

resultsDRL and AD for computed tomography are summarised as follows: in terms of CT-dose index (CTDI

conclusionRadiation exposure of SMA patients measured as DRLs is generally not higher compared with patients without SMA despite severe anatomical hazards. Dose monitoring data may allow clinicians to stratify radiation risk, identify organs at risk, and adopt measures for specific radiation dose reduction.

Indexed as

AdultFemaleHumansInjections, SpinalMaleMiddle AgedMonte Carlo MethodMuscular Atrophy, SpinalOligonucleotidesRadiation ExposureRadiography, InterventionalTomography, X-Ray ComputednusinersenOligonucleotidesComputed tomographyFluoroscopyRadiation exposureSpinal injectionSpinal muscular atrophy

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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.