Evidence map›Paper›PMID 33532251›Full record

ArticleQuantitative imaging in medicine and surgery2021

Sternal transplant using cadaveric allograft: quantitative and qualitative assessment of bone healing by computed tomography.

Chiara Giraudo, Francesca Nistri, Pia Ferrigno, Giampiero Dolci, Roberto Stramare, Giuseppe Guglielmi, Marco Mammana, Emilio Quaia, Domenica Giunta, Andrea Dell'Amore and 1 more

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Article in Quantitative imaging in medicine and surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

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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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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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

11 authors at 3 institutions in 1 country.

Chiara GiraudoRadiology Institute, Department of Medicine - DIMED, University of Padova, Padova, Italy.
Francesca NistriRadiology Institute, Department of Medicine - DIMED, University of Padova, Padova, Italy.
Pia FerrignoThoracic Surgery Unit, Department of Cardiothoracic Surgery and Vascular Sciences, University of Padova, Padova, Italy.
Giampiero DolciDepartment of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy.
Roberto StramareRadiology Institute, Department of Medicine - DIMED, University of Padova, Padova, Italy.
Giuseppe GuglielmiDepartment of Clinical and Experimental Medicine, Foggia University School of Medicine, Foggia, Italy.
Marco MammanaThoracic Surgery Unit, Department of Cardiothoracic Surgery and Vascular Sciences, University of Padova, Padova, Italy.
Emilio QuaiaRadiology Institute, Department of Medicine - DIMED, University of Padova, Padova, Italy.
Domenica GiuntaDepartment of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy.
Andrea Dell'AmoreThoracic Surgery Unit, Department of Cardiothoracic Surgery and Vascular Sciences, University of Padova, Padova, Italy.
Federico ReaThoracic Surgery Unit, Department of Cardiothoracic Surgery and Vascular Sciences, University of Padova, Padova, Italy.
University of Padua · ITPoliclinico S.Orsola-Malpighi · ITUniversity of Foggia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSternal transplant using cadaveric allograft (STCA) is a complex and rarely performed surgical procedure usually applied for massive bone tissue loss, sternotomy complications, or neoplastic resections. Although radiological imaging and especially computed tomography (CT) is routinely applied for the post-surgical assessment, up to now, a standardized approach evaluating the outcome of STCAs is missing. Therefore, aim of this study was to qualitatively and quantitatively evaluate, by CT, bone healing after STCA.

methodsThe first and the last available postsurgical CT of patients who underwent STCA in two tertiary centers between 2009 and 2017 were collected. Standardized regions of interest were applied on the cancellous bone along the transplanted sternum, and, as reference, on the fourth thoracic vertebra, at both time points, collecting the density values. The areas nearby the fixation devices were assessed by a four-points qualitative score. To evaluate the mineralization, the analysis of the variance (ANOVA) with

resultsFourteen patients (11 females, 61±12.8 years) were examined. The first control CTs were performed 32±40.26 days after the STCA and the last CT were acquired after 729±745 days. The quantitative and the qualitative score significantly increased between the two intervals (P<0.05, each). The density of the transplanted sternum was lower than that of the vertebral reference at the first CT (P=0.006) while no differences occurred at the last control (P=0.361). The assessments showed high intra-rater reliability and agreement (ICC ≥0.890, k≥0.906).

conclusionsThe hereby-proposed qualitative and quantitative methods demonstrated to be good tools for assessing bone healing after STCA.

Indexed as

Bone transplantationcomputed tomography (CT)imagingthoracic surgery

Identifiers

PMID33532251
PMCPMC7779938
OpenAlexW3087230213

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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.