Evidence map›Paper›PMID 35783907›Full record

ArticleJOR spine2022

In vivo fluid transport in human intervertebral discs varies by spinal level and disc region.

John T Martin, Benjamin Wesorick, Alexander B Oldweiler, Andrzej S Kosinski, Adam P Goode, Louis E DeFrate

Open access · goldAbstract read
In one paragraph

Article in JOR spine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

7 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. 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
  5. Genetics of Intervertebral Disc Degeneration.Current osteoporosis reports · 2023
    Review
  6. Article
  7. 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

6 authors at 1 institution in 1 country.

John T MartinDepartment of Orthopaedic Surgery Duke University School of Medicine Durham North Carolina USA.ORCID https://orcid.org/0000-0002-5772-3926
Benjamin WesorickDepartment of Orthopaedic Surgery Duke University School of Medicine Durham North Carolina USA.
Alexander B OldweilerDepartment of Orthopaedic Surgery Duke University School of Medicine Durham North Carolina USA.
Andrzej S KosinskiDuke Clinical Research Institute Duke University School of Medicine Durham North Carolina USA.
Adam P GoodeDepartment of Orthopaedic Surgery Duke University School of Medicine Durham North Carolina USA.
Louis E DeFrateDepartment of Orthopaedic Surgery Duke University School of Medicine Durham North Carolina USA.ORCID https://orcid.org/0000-0002-6982-349X
Duke University · US

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
Exercise-induced recovery of intervertebral disc healthK99AR077685 · NIAMS · DUKE UNIVERSITY · PI MARTIN, JOHN · 2020 to 2021
$167k
NIAMS NIH HHS F32 AR071223NIAMS NIH HHS K99 AR077685NIAMS NIH HHS R00 AR077685NIAMS NIH HHS R01 AR071440NIAMS NIH HHS R01 AR075399
6 · The paper itself

Abstract

Background: The lumbar discs are large, dense tissues that are primarily avascular, and cells residing in the central region of the disc are up to 6-8 mm from the nearest blood vessel in adults. To maintain homeostasis, disc cells rely on nutrient transport between the discs and adjacent vertebrae. Thus, diminished transport has been proposed as a factor in age-related disc degeneration. Methods: In this study, we used magnetic resonance imaging (MRI) to quantify diurnal changes in T2 relaxation time, an MRI biomarker related to disc hydration, to generate 3D models of disc fluid distribution and determine how diurnal changes in fluid varied by spinal level. We recruited 10 participants (five males/five females; age: 21-30 years; BMI: 19.1-29.0 kg/m Results: We found that the baseline (AM) T2 relaxation time and the diurnal change in T2 relaxation time were greatest in the cranial lumbar discs, decreasing along the lumbar spine from cranial to caudal. In cranial discs, T2 relaxation times decreased in each disc region (nucleus pulposus [NP], inner annulus fibrosus [IAF], and outer annulus fibrosus [OAF]), whereas in caudal discs, T2 relaxation times decreased in the NP but increased in the AF. Conclusions: Fluid transport varied by spinal level, where transport was greatest in the most cranial lumbar discs and decreased from cranial to caudal along the lumbar spine. Future work should evaluate what level-dependent factors affect transport.

Indexed as

disc degenerationmagnetic resonance imagingspineT2 mapping

Identifiers

PMID35783907
PMCPMC9238288
OpenAlexW4224305256

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.