Evidence map›Paper›PMID 33573175›Full record

ReviewBrain sciences2021

Diagnostic Accuracy of the Magnetic Resonance Imaging in Adult Post-Ganglionic Brachial Plexus Traumatic Injuries: A Systematic Review and Meta-Analysis.

Massimiliano Leigheb, Stefano Tricca, Ilaria Percivale, Davide Licandro, Andrea Paladini, Michela Barini, Giuseppe Guzzardi, Federico A Grassi, Alessandro Stecco, Alessandro Carriero

Open access · goldAbstract readReview
In one paragraph

Review in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Massimiliano LeighebOrthopaedics and Traumatology Unit, "Maggiore della carità" Hospital, Department of Health Sciences, University of Piemonte Orientale (UPO), Via Solaroli 17, 28100 Novara, Italy.ORCID 0000-0002-7818-2209
Stefano TriccaDepartment of Diagnosis and Treatment Services, Radiodiagnostics, "Maggiore della carità" Hospital, University of Piemonte Orientale (UPO), Via Solaroli 17, 28100 Novara, Italy.ORCID 0000-0003-0555-3117
Ilaria PercivaleDepartment of Diagnosis and Treatment Services, Radiodiagnostics, "Maggiore della carità" Hospital, University of Piemonte Orientale (UPO), Via Solaroli 17, 28100 Novara, Italy.ORCID 0000-0001-9388-8667
Davide LicandroDepartment of Diagnosis and Treatment Services, Radiodiagnostics, "Maggiore della carità" Hospital, University of Piemonte Orientale (UPO), Via Solaroli 17, 28100 Novara, Italy.ORCID 0000-0002-4128-0358
Andrea PaladiniDepartment of Diagnosis and Treatment Services, Radiodiagnostics, "Maggiore della carità" Hospital, University of Piemonte Orientale (UPO), Via Solaroli 17, 28100 Novara, Italy.ORCID 0000-0003-1968-1590
Michela BariniDepartment of Diagnosis and Treatment Services, Radiodiagnostics, "Maggiore della carità" Hospital, University of Piemonte Orientale (UPO), Via Solaroli 17, 28100 Novara, Italy.
Giuseppe GuzzardiDepartment of Diagnosis and Treatment Services, Radiodiagnostics, "Maggiore della carità" Hospital, University of Piemonte Orientale (UPO), Via Solaroli 17, 28100 Novara, Italy.
Federico A GrassiOrthopaedics and Traumatology Unit, "Maggiore della carità" Hospital, Department of Health Sciences, University of Piemonte Orientale (UPO), Via Solaroli 17, 28100 Novara, Italy.ORCID 0000-0003-0912-5726
Alessandro SteccoDepartment of Diagnosis and Treatment Services, Radiodiagnostics, "Maggiore della carità" Hospital, University of Piemonte Orientale (UPO), Via Solaroli 17, 28100 Novara, Italy.ORCID 0000-0002-0712-7595
Alessandro CarrieroDepartment of Diagnosis and Treatment Services, Radiodiagnostics, "Maggiore della carità" Hospital, University of Piemonte Orientale (UPO), Via Solaroli 17, 28100 Novara, Italy.
Università degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic brachial plexus injuries are rare but serious consequences of major traumas. Pre-ganglionic lesions are considered irreparable, while post-ganglionic injuries can be potentially treated if an early diagnosis is available. Pre-surgical diagnosis is important to distinguish low-grade from high-grade lesions and to identify their location. The aim of the review is to evaluate the diagnostic accuracy of magnetic resonance imaging (MRI) in the identification of adult post-ganglionic lesions due to traumatic brachial plexus injuries, compared to intraoperative findings.

methodsResearch on the main scientific electronic databases was conducted. Studies of adults with traumatic post-ganglionic brachial plexus injuries were included. The index test was preoperative MRI and the reference standard was surgical exploration. Pooled sensitivity and specificity were calculated.

resultsFour studies were included for the systematic review, of which three articles met the inclusion criteria for the meta-analysis. Pooled sensitivity and pooled specificity values resulted high. The sensitivity value is associated with a high heterogeneity index of the selected literature.

conclusionMRI can be considered, despite the limits, the gold standard exam in morphological evaluation of brachial plexus injuries, particularly in the diagnosis of post-ganglionic traumatic injuries.

Indexed as

brachial plexusMRI diffusion weightedMRI scannervous system traumasperipheral nerves

Identifiers

PMID33573175
PMCPMC7911314
OpenAlexW3128745311

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.