Evidence map›Paper›PMID 35224178›Full record

ArticleInnovative surgical sciences2022

Alterations in magnetic resonance imaging characteristics of bioabsorbable magnesium screws over time in humans: a retrospective single center study.

Lena Sonnow, Andreas Ziegler, Gesa H Pöhler, Martin H Kirschner, Maximilian Richter, Mustafa Cetin, Melih Unal, Ozkan Kose

Open access · goldAbstract read
In one paragraph

Article in Innovative surgical sciences, 2022. 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
1.0field-weighted citation impact, top 22% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  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 4 institutions in 3 countries.

Lena SonnowDepartment of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0001-5006-7260
Andreas ZieglerMedizincampus Davos, Davos, Switzerland.ORCID https://orcid.org/0000-0002-8386-5397
Gesa H PöhlerDepartment of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.
Martin H KirschnerSyntellix AG, Hannover, Germany.
Maximilian RichterPrivate Practice Center Leinhausen, Hannover, Germany.
Mustafa CetinDepartment of Radiology, Antalya Education and Research Hospital, Antalya, Turkey.ORCID https://orcid.org/0000-0002-3506-2039
Melih UnalDepartment of Orthopedics and Traumatology, Antalya Education and Research Hospital, Antalya, Turkey.ORCID https://orcid.org/0000-0002-8002-6408
Ozkan KoseDepartment of Orthopedics and Traumatology, Antalya Education and Research Hospital, Antalya, Turkey.ORCID https://orcid.org/0000-0002-7679-9635
Antalya Eğitim ve Araştırma Hastanesi · TRMedizinische Hochschule Hannover · DESyntellix (Germany) · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to examine the alterations in magnetic resonance imaging (MRI) characteristics of bioabsorbable magnesium (Mg) screws over time in a single center study in humans.

methodsSeventeen patients who underwent medial malleolar (MM) fracture or osteotomy fixation using bioabsorbable Mg screws and had at least one postoperative MRI were included in this retrospective study. Six of them had more than one MRI in the postoperative period and were subject of the artifact reduction measurements. 1.5T or 3T MRI scans were acquired in different periods in each patient. The size and extent of the artifact were assessed independently by two experienced radiologists both quantitatively (distance measurement) and qualitatively (Likert scale).

resultsIn the quantitative measurements of the six follow-up patients the screw's signal loss artifact extent significantly decreased over the time, regardless of the MRI field strength (p<0.001). The mean artifact reduction was 0.06 mm (95% confidence interval [CI]: 0.05-0.07) for proton density weighted [PDw] and 0.04 mm (95% CI: 0.03-0.05) for T1 weighted (T1w) sequences per week. The qualitative assessments similarly showed significant artifact reduction in all MRI sequences. Different imaging findings, like bone marrow edema (BME), liquid collections, and gas formation were reported. The overall inter-reader agreement was high (κ=0.88, p<0.001).

conclusionsThe time-dependent artifact reduction of Mg screws in postoperative controls might indicate the expected self-degradation of the Mg implants. In addition, different MRI findings were reported, which are characteristic of Mg implants. Further MRI studies are required to get a better understanding of Mg imaging properties.

Indexed as

bioabsorbable implantsmagnesium (Mg) implantsmagnetic resonance imaging (MRI)metal artifactsorthopedic implants

Identifiers

PMID35224178
PMCPMC8826160
OpenAlexW4200281593

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.