Evidence map›Paper›PMID 34028300›Full record

ArticleThe neuroradiology journal2021

Percutaneous spine biopsy under cone beam computed tomography guidance for spondylodiscitis: Time is diagnosis.

Alessandro Cannavale, Piergiorgio Nardis, Pierleone Lucatelli, Mario Corona, Mariangela Santoni, Giuseppe Cannavale, Leonardo Teodoli, Mario Bezzi, Carlo Catalano

Open access · greenAbstract read
In one paragraph

Article in The neuroradiology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Metagenomic next-generation sequencing for the diagnosis of suspected spinal infections from biopsy samples: a novel biopsy toolkit design and real-life diagnostic value.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 · 2026
    Article
  3. Image-Guided Percutaneous Spinal Biopsy: CT or C-Arm Guidance?The Indian journal of radiology & imaging · 2026
    Review
  4. Review
  5. 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

9 authors at 1 institution in 1 country.

Alessandro CannavaleDepartment of Radiological Sciences, Umberto I Policlinico di Roma, Italy.ORCID https://orcid.org/0000-0001-8411-1805
Piergiorgio NardisDepartment of Radiological Sciences, Umberto I Policlinico di Roma, Italy.
Pierleone LucatelliDepartment of Radiological Sciences, Umberto I Policlinico di Roma, Italy.
Mario CoronaDepartment of Radiological Sciences, Umberto I Policlinico di Roma, Italy.
Mariangela SantoniDepartment of Radiological Sciences, Umberto I Policlinico di Roma, Italy.
Giuseppe CannavaleDepartment of Radiological Sciences, Umberto I Policlinico di Roma, Italy.
Leonardo TeodoliDepartment of Radiological Sciences, Umberto I Policlinico di Roma, Italy.
Mario BezziDepartment of Radiological Sciences, Umberto I Policlinico di Roma, Italy.
Carlo CatalanoDepartment of Radiological Sciences, Umberto I Policlinico di Roma, Italy.
Policlinico Umberto I · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePercutaneous spine biopsies for spondylodiscitis have been long discussed due to the low microbiologic yield. This retrospective study evaluated factors of cone beam computed tomography-guided spine biopsies that may affect microbiologic yield.

methodsWe retrospectively reviewed percutaneous spine biopsies under cone beam computed tomography for spondylodiscitis performed from January 2015-December 2020. Clinical and technical features such as the time from initial symptoms to biopsy, level biopsied, biopsy needle type/gauge, technical approach, radiation dose, technical success and microbiologic yield were recorded. Pre-procedure magnetic resonance imaging findings were also recorded such as the number of vertebral bodies involved, and disc morphology. Univariate logistic regression analysis and Receiver operating characteristic analysis were performed to assess any relationship between relevant factors and positive cultures.

resultsA total of 50 patients underwent cone beam computed tomography-guided biopsies for spondylodiscitis, with resulted positive cultures in 18 patients (36%). The mean time from the initial referral of spinal symptoms to procedure in the positive culture group was the most influential finding for positive cultures (odds ratio 56.3,

conclusionPercutaneous cone beam computed tomography-guided biopsy for spondylodiscitis is a reliable and safe technique and its microbiologic yield may increase if biopsy is performed within the acute phase of infection.

Indexed as

DiscitisCone-Beam Computed TomographyHumansImage-Guided BiopsyRetrospective StudiesSpinebiopsycone-beam computed tomographyinfectionmagnetic resonance imagingSpinespondylodiscitis

Identifiers

PMID34028300
PMCPMC8649179
OpenAlexW3165391564

What OpenQuestion holds

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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.