Evidence map›Paper›PMID 32592504›Full record

Trial reportJournal of orthopaedic research : official publication of the Orthopaedic Research Society2021

Evaluation of human cartilage endplate composition using MRI: Spatial variation, association with adjacent disc degeneration, and in vivo repeatability.

Linshanshan Wang, Misung Han, Jason Wong, Patricia Zheng, Ann A Lazar, Roland Krug, Aaron J Fields

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Minor endplate damage as an initiator of systemic biomechanical disruption of the lumbar disc: a finite element analysis of the 'mechanical tipping point' in disc failure.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 · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The contributions of cartilage endplate composition and vertebral bone marrow fat to intervertebral disc degeneration in patients with chronic low back pain.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
    Observational
  18. Article
  19. Comprehensive assessment ofQuantitative imaging in medicine and surgery · 2022
    Article
  20. 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 1 institution in 1 country.

Linshanshan WangDepartment of Orthopaedic Surgery, University of California, San Francisco, California.
Misung HanDepartment of Radiology & Biomedical Imaging, University of California, San Francisco, California.
Jason WongDepartment of Orthopaedic Surgery, University of California, San Francisco, California.
Patricia ZhengDepartment of Orthopaedic Surgery, University of California, San Francisco, California.
Ann A LazarDepartment of Epidemiology and Biostatistics, University of California, San Francisco, California.
Roland KrugDepartment of Radiology & Biomedical Imaging, University of California, San Francisco, California.
Aaron J FieldsDepartment of Orthopaedic Surgery, University of California, San Francisco, California.ORCID 0000-0001-6460-4506
University of California, San Francisco · US

Funding

Clinical and Translational Science InstituteUL1TR001872 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COLLARD, HAROLD R, JACOBY, VANESSA · 2016 to 2025
$112.1M
Back Pain Consortium (BACPAC) Research Program Data Integration, Algorithm Development and Operations Management CenterU24AR076730 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ANSTROM, KEVIN J, IVANOVA, ANASTASIA · 2019 to 2024
$60.0M
UCSF Core Center for Patient-centric Mechanistic Phenotyping in Chronic Low Back PainU19AR076737 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI O'NEILL, CONOR · 2019 to 2023
$34.1M
Skeletal Biology and Biomechanics (SBB) CoreP30AR075055 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EDWARD C HSIAO · 2019 to 2026
$7.1M
Novel imaging of endplate biomarkers in chronic low back painUH3AR076719 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FIELDS, AARON J · 2021 to 2021
$1.9M
Role of the cartilage endplate in spinal disc degenerationR01AR070198 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FIELDS, AARON J · 2017 to 2021
$1.7M
Novel imaging of endplate biomarkers in chronic low back painUH2AR076719 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FIELDS, AARON J, KRUG, ROLAND · 2019 to 2019
$1.1M
NCATS NIH HHS UL1 TR001872NIAMS NIH HHS P30 AR075055NIAMS NIH HHS P30AR075055NIAMS NIH HHS R01 AR070198NIAMS NIH HHS R01AR070198NIAMS NIH HHS U19 AR076737NIAMS NIH HHS U19AR076737NIAMS NIH HHS U24 AR076730NIAMS NIH HHS UH2 AR076719NIAMS NIH HHS UH2AR076719NIAMS NIH HHS UH3 AR076719
6 · The paper itself

Abstract

Cartilage endplate (CEP) biochemical composition may influence disc degeneration and regeneration. However, evaluating CEP composition in patients remains a challenge. We used T2* mapping from ultrashort echo-time (UTE) magnetic resonance imaging (MRI), which is sensitive to CEP hydration, to investigate spatial variations in CEP T2* values and to determine how CEP T2* values correlate with adjacent disc degeneration. Thirteen human cadavers (56.4 ± 12.7 years) and seven volunteers (36.9 ± 10.9 years) underwent 3T MRI, including UTE and T1ρ mapping sequences. Spatial mappings of T2* values in L4-S1 CEPs were generated from UTE images and compared between subregions. In the abutting discs, mean T1ρ values in the nucleus pulposus were compared between CEPs with high vs low T2* values. To assess in vivo repeatability, precision errors in mean T2* values, and intraclass correlation coefficients (ICC) were measured from repeat scans. Results showed that CEP T2* values were highest centrally and lowest posteriorly. In the youngest individuals (<50 years), who had mild-to-moderately degenerated Pfirrmann grade II-III discs, low CEP T2* values associated with severer disc degeneration: T1ρ values were 26.7% lower in subjects with low CEP T2* values (P = .025). In older individuals, CEP T2* values did not associate with disc degeneration (P = .39-.62). Precision errors in T2* ranged from 1.7 to 2.6 ms, and reliability was good-to-excellent (ICC = 0.89-0.94). These findings suggest that deficits in CEP composition, as indicated by low T2* values, associate with severer disc degeneration during the mild-to-moderate stages. Measuring CEP T2* values with UTE MRI may clarify the role of CEP composition in patients with mild-to-moderate disc degeneration.

Indexed as

AdultAgedAgingHealthy VolunteersHumansIntervertebral DiscIntervertebral Disc DegenerationLumbar VertebraeMagnetic Resonance ImagingMaleMiddle AgedReproducibility of Resultscartilage endplateintervertebral disc degenerationlow back painmagnetic resonance imaging (MRI)T2*

Identifiers

PMID32592504
PMCPMC7765737
OpenAlexW3037534626

What OpenQuestion holds

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LicenceCC BY
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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.