Evidence map›Paper›PMID 33988003›Full record

ArticleJournal of biomedical optics2021

Minimally invasive intrathecal spinal cord imaging with optical coherence tomography.

Christopher R Pasarikovski, Jerry C Ku, Joel Ramjist, Yuta Dobashi, Stefano M Priola, Leodante da Costa, Ashish Kumar, Victor X D Yang

Open access · goldAbstract read
In one paragraph

Article in Journal of biomedical optics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

8 authors at 3 institutions in 1 country.

Christopher R PasarikovskiUniversity of Toronto, Division of Neurosurgery, Department of Surgery, Toronto, Ontario, Canada.
Jerry C KuUniversity of Toronto, Division of Neurosurgery, Department of Surgery, Toronto, Ontario, Canada.
Joel RamjistUniversity of Toronto, Sunnybrook Hospital, Division of Neurosurgery, Toronto, Ontario, Canada.
Yuta DobashiUniversity of Toronto, Sunnybrook Hospital, Division of Neurosurgery, Toronto, Ontario, Canada.
Stefano M PriolaHealth Sciences North, Division of Neurosurgery, Department of Surgery, Sudbury, Ontario, Canada.
Leodante da CostaUniversity of Toronto, Sunnybrook Hospital, Division of Neurosurgery, Toronto, Ontario, Canada.
Ashish KumarUniversity of Toronto, Sunnybrook Hospital, Division of Neurosurgery, Toronto, Ontario, Canada.
Victor X D YangUniversity of Toronto, Sunnybrook Hospital, Division of Neurosurgery, Toronto, Ontario, Canada.
University of Toronto · CASunnybrook Hospital · CAHealth Sciences North · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

significanceImaging of the spinal cord is challenging due to the surrounding bony anatomy, physiologic motion, and the small diameter of the spinal cord. This precludes the use of non-invasive imaging techniques in assessing structural changes related to trauma and evaluating residual function.

aimThe purpose of our research was to apply endovascular technology and techniques and construct a preclinical animal model of intrathecal spinal cord imaging using optical coherence tomography (OCT). APPROACH: Five animals (2 Yorkshire Swine and 3 New Zealand Rabbits) were utilized. Intrathecal access was gained using a 16-guage Tuohy, and an OCT catheter was advanced under roadmap technique into the cervical canal. The OCT catheter has a motorized pullback, and a total length of 54 mm of the spinal canal is imaged.

resultsImage acquisition was successful for all animals. There were no instances of difficult catheter navigation, enabling OCT imaging rostrally to C2. The thecal sac provided excellent thoroughfare for the OCT catheter. The clear cerebrospinal fluid also provided an excellent medium for image acquisition, with no detectable artifact from the contents of the cerebrospinal fluid. The anatomical space of the spinal canal could be readily appreciated including: dural lining of the thecal sac, epidural veins, pial lining of the spinal cord, arachnoid bands, dentate ligaments, and nerve rootlets/roots.

conclusionMinimally invasive intrathecal imaging using endovascular OCT was feasible in this preclinical animal study. The repurposing of an endovascular device for spinal imaging comes with limitations, and a spine-specific device is necessary.

Indexed as

Spinal CordTomography, Optical CoherenceAnimalsMovementRabbitsSwineimagingoptical coherence tomographyspinal canalspinal cord

Identifiers

PMID33988003
PMCPMC8118064
OpenAlexW3161639853

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.