Evidence map›Paper›PMID 35072794›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2022

Lumbar intervertebral disc diurnal deformations and T2 and T1rho relaxation times vary by spinal level and disc region.

John T Martin, Alexander B Oldweiler, Andrzej S Kosinski, Charles E Spritzer, Brian J Soher, Melissa M Erickson, Adam P Goode, Louis E DeFrate

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Article in 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, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Effective disc age: a statistical model for age-dependent and level-specific lumbar disc degeneration using magnetic resonance imaging (MRI).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 · 2025
    Article
  6. Article
  7. Article
  8. Morphological alterations of lumbar intervertebral discs in patients with adolescent idiopathic scoliosis.The spine journal : official journal of the North American Spine Society · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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.

John T MartinDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Alexander B OldweilerDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Andrzej S KosinskiDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Charles E SpritzerDepartment of Radiology, Duke University School of Medicine, Durham, NC, USA.
Brian J SoherDepartment of Radiology, Duke University School of Medicine, Durham, NC, USA.
Melissa M EricksonDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Adam P GoodeDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Louis E DeFrateDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA. lou.defrate@duke.edu.

Funding

Biomarkers to Advance Clinical Phenotypes of Low Back Pain (BACk)R01AR071440 · NIAMS · DUKE UNIVERSITY · PI Adam Goode · 2017 to 2026
$5.0M
Mechanical Biomarkers of Chronic Low Back PainR01AR075399 · NIAMS · DUKE UNIVERSITY · PI Louis E. DeFrate, Adam Goode · 2019 to 2026
$3.7M
Exercise-Induced Recovery of Intervertebral Disc HealthR00AR077685 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI MARTIN, JOHN · 2023 to 2025
$732k
Age-related alterations in the in vivo mechanical function of the spineF32AR071223 · NIAMS · DUKE UNIVERSITY · PI MARTIN, JOHN · 2017 to 2019
$178k
NIAMS NIH HHS F32 AR071223NIAMS NIH HHS R00 AR077685NIAMS NIH HHS R01 AR071440NIAMS NIH HHS R01 AR075399
6 · The paper itself

Abstract

purposeMagnetic resonance imaging (MRI) is routinely used to evaluate spine pathology; however, standard imaging findings weakly correlate to low back pain. Abnormal disc mechanical function is implicated as a cause of back pain but is not assessed using standard clinical MRI. Our objective was to utilize our established MRI protocol for measuring disc function to quantify disc mechanical function in a healthy cohort.

methodsWe recruited young, asymptomatic volunteers (6 male/6 female; age 18-30 years; BMI < 30) and used MRI to determine how diurnal deformations in disc height, volume, and perimeter were affected by spinal level, disc region, MRI biomarkers of disc health (T2, T1rho), and Pfirrmann grade.

resultsLumbar discs deformed by a mean of -6.1% (95% CI: -7.6%, -4.7%) to -8.0% (CI: -10.6%, -5.4%) in height and -5.4% (CI: -7.6%, -3.3%) to -8.5% (CI: -11.0%, -6.0%) in volume from AM to PM across spinal levels. Regional deformations were more uniform in cranial lumbar levels and concentrated posteriorly in the caudal levels, reaching a maximum of 13.1% at L5-S1 (CI:-16.1%, -10.2%). T2 and T1rho relaxation times were greatest in the nucleus and varied circumferentially within the annulus. T2 relaxation times were greatest at the most cranial spinal levels and decreased caudally. In this young healthy cohort, we identified a weak association between nucleus T2 and the diurnal change in the perimeter.

conclusionsSpinal level is a key factor in determining regional disc deformations. Interestingly, deformations were concentrated in the posterior regions of caudal discs where disc herniation is most prevalent.

Indexed as

Intervertebral DiscIntervertebral Disc DegenerationIntervertebral Disc DisplacementLow Back PainAdolescentAdultFemaleHumansLumbar VertebraeMagnetic Resonance ImagingMaleYoung AdultBiomechanicsIntervertebral discMagnetic resonance imagingSpineT1rho relaxation timeT2 relaxation time

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Registered trials

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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.