Evidence map›Paper›PMID 33033049›Full record

ArticleAJNR. American journal of neuroradiology2020

Variability of T2-Relaxation Times of Healthy Lumbar Intervertebral Discs is More Homogeneous within an Individual Than across Healthy Individuals.

A Sharma, R E Walk, S Y Tang, R Eldaya, P J Owen, D L Belavy

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. ISSLS PRIZE in basic science 2023: Lactate in lumbar discs-metabolic waste or energy biofuel? Insights from in vivo MRS and T2r analysis following exercise and nimodipine in healthy volunteers.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 · 2023
    Article
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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

6 authors.

A SharmaFrom the Mallinckrodt Institute of Radiology (A.S., R.E.) aseemsharma@wustl.edu.ORCID 0000-0001-5274-7999
R E WalkDepartment of Biomedical Engineering (R.E.W., S.Y.T.).ORCID 0000-0003-2234-7120
S Y TangDepartment of Biomedical Engineering (R.E.W., S.Y.T.).ORCID 0000-0002-5570-3921
R EldayaFrom the Mallinckrodt Institute of Radiology (A.S., R.E.).ORCID 0000-0001-7801-1015
P J OwenSchool of Exercise and Nutrition Sciences (P.J.O., D.L.B.), Institute for Physical Activity and Nutrition, Deakin University, Geelong, Australia.ORCID 0000-0003-3924-9375
D L BelavySchool of Exercise and Nutrition Sciences (P.J.O., D.L.B.), Institute for Physical Activity and Nutrition, Deakin University, Geelong, Australia.ORCID 0000-0002-9307-832X

Funding

The role of physiologic and pathologic AGEs on RAGE signaling in IVD degenerationR01AR074441 · NIAMS · WASHINGTON UNIVERSITY · PI TANG, SIMON YUE-CHEONG · 2019 to 2024
$2.1M
Tissue Level Deformations of the Loaded Spine in Humans with Low Back PainK01AR069116 · NIAMS · WASHINGTON UNIVERSITY · PI TANG, SIMON YUE-CHEONG · 2016 to 2019
$489k
NIAMS NIH HHS K01 AR069116NIAMS NIH HHS R01 AR074441
6 · The paper itself

Abstract

background and purposeWhen one uses T2 relaxometry to classify lumbar intervertebral discs as degenerated, it is unclear whether the normative data should be based on other intervertebral discs from the same individual or from a pool of extraneous controls. This study aimed to explore the extent of intra- versus intersubject variation in the T2 times of healthy intervertebral discs. MATERIALS AND

methodsUsing prospectively acquired T2-relaxometry data from 606 intervertebral discs in 101 volunteers without back pain (47 men, 54 women) in a narrow age range (25-35 years), we calculated intra- and intersubject variation in T2 times of intervertebral discs graded by 2 neuroradiologists on the Pfirrmann scale. Intrasubject variation of intervertebral discs was assessed relative to other healthy intervertebral discs (Pfirrmann grade, ≤2) in the same individual. Multiple intersubject variability measures were calculated using healthy extraneous references ranging from a single randomly selected intervertebral disc to all healthy extraneous intervertebral discs, without and with segmental stratification. These variability measures were compared for healthy and degenerated (Pfirrmann grade ≥3) intervertebral discs.

resultsThe mean T2 values of healthy (493/606, 81.3%) and degenerated intervertebral discs were 121.1 ± 22.5 ms and 91.5 ± 18.6 ms, respectively (

conclusionsNormative measures based on the T2 times of healthy intervertebral discs from the same individual are likely to provide the most discriminating means of identifying degenerated intervertebral discs on the basis of T2 relaxometry.

Indexed as

Biological Variation, IndividualBiological Variation, PopulationAdultFemaleHumansIntervertebral DiscIntervertebral Disc DegenerationLumbar VertebraeMagnetic Resonance ImagingMaleReference Values

Identifiers

PMID33033049
PMCPMC7658829

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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.