Evidence map›Paper›PMID 33462307›Full record

ArticleScientific reports2021

Three-dimensional distribution of CT attenuation in the lumbar spine pedicle wall.

Tomoyo Y Irie, Tohru Irie, Alejandro A Espinoza Orías, Kazuyuki Segami, Norimasa Iwasaki, Howard S An, Nozomu Inoue

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 2 institutions in 2 countries.

Tomoyo Y IrieDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, 60612, USA.
Tohru IrieDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, 60612, USA.
Alejandro A Espinoza OríasDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, 60612, USA.
Kazuyuki SegamiDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, 60612, USA.
Norimasa IwasakiDepartment of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, 060-8638, Japan.
Howard S AnDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, 60612, USA.
Nozomu InoueDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, 60612, USA. Nozomu_Inoue@rush.edu.
Rush University Medical Center · USHokkaido University · JP

Funding

Segmental spine motion of the lumbar spineP01AR048152 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI MASUDA, KOICHI · 2001 to 2010
$13.7M
Novel Analytical Tools for 3 Dimensional Imaging Studies on Spinal ManipulationR01AT006692 · NCCIH · RUSH UNIVERSITY MEDICAL CENTER · PI INOUE, NOZOMU · 2012 to 2016
$1.8M
NCCIH NIH HHS R01 AT006692NIAMS NIH HHS P01 AR048152
6 · The paper itself

Abstract

This study investigated in vivo the three-dimensional distribution of CT attenuation in the lumbar spine pedicle wall measured in Hounsfield Unit (HU). Seventy-five volunteers underwent clinical lumbar spine CT scans. Data was analyzed with custom-written software to determine the regional variation in pedicle wall attenuation values. A cylindrical coordinate system oriented along the pedicle's long axis was used to calculate the pedicular wall attenuation distribution three-dimensionally and the highest attenuation value was identified. The pedicular cross-section was divided into four quadrants: lateral, medial, cranial, and caudal. The mean HU value for each quadrant was calculated for all lumbar spine levels (L1-5). The pedicle wall attenuation was analyzed by gender, age, spinal levels and anatomical quadrant. The mean HU values of the pedicle wall at L1 and L5 were significantly lower than the values between L2-4 in both genders and in both age groups. Furthermore, the medial quadrant showed higher HU values than the lateral quadrant at all levels and the caudal quadrant showed higher HU values at L1-3 and lower HU values at L4-5 than the cranial quadrant. These findings may explain why there is a higher incidence of pedicle screw breach in the pedicle lateral wall.

Indexed as

Tomography, X-Ray ComputedAdultFemaleHumansImage Processing, Computer-AssistedImaging, Three-DimensionalLumbar VertebraeMaleMiddle AgedVertebral BodyYoung Adult

Identifiers

PMID33462307
PMCPMC7813842
OpenAlexW3123706093

What OpenQuestion holds

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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.