Evidence map›Paper›PMID 36006462›Full record

ReviewSkeletal radiology2023

MRI-guided sacroiliac joint injections in children and adults: current practice and future developments.

Danoob Dalili, Amanda Isaac, Jan Fritz

Abstract readReview
PubMed Publisher
In one paragraph

Review in Skeletal radiology, 2023. 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 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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

3 authors at 3 institutions in 2 countries.

Danoob DaliliAcademic Surgical Unit, South West London Elective Orthopaedic Centre (SWLEOC), Dorking Road, KT18 7EG, London, UK.ORCID http://orcid.org/0000-0001-6872-2040
Amanda IsaacSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0001-5827-0562
Jan FritzDepartment of Radiology, New York University Grossman School of Medicine, 660 1st Ave, 3rd Floor, Rm 313, New York, NY, 10016, USA. jan.fritz@nyulangone.org.ORCID http://orcid.org/0000-0003-4456-3043
Epsom Hospital · GBKing's College London · GBNew York University · US

Funding

MRI Compatible Robot for Improved Pain Injections in Adults and ChildrenR01EB025179 · NIBIB · CHILDREN'S RESEARCH INSTITUTE · PI CLEARY, KEVIN R. · 2018 to 2021
$2.8M
Image Overlay for MRI-Guided Needle InsertionsR01CA118371 · NCI · JOHNS HOPKINS UNIVERSITY · PI CARRINO, JOHN ANTHONY · 2007 to 2010
$1.4M
NIH HHS R01 CA118371NIH HHS R01 EB025179
6 · The paper itself

Abstract

Common etiologies of low back pain include degenerative arthrosis and inflammatory arthropathy of the sacroiliac joints. The diagnostic workup revolves around identifying and confirming the sacroiliac joints as a pain generator. Diagnostic sacroiliac joint injections often serve as functional additions to the diagnostic workup through eliciting a pain response that tests the hypothesis that the sacroiliac joints do or do not contribute to the patient's pain syndrome. Therapeutic sacroiliac joint injections aim to provide medium- to long-term relief of symptoms and reduce inflammatory activity and, ultimately, irreversible structural damage. Ultrasonography, fluoroscopy, computed tomography, and magnetic resonance imaging (MRI) may be used to guide sacroiliac joint injections. The populations that may benefit most from MRI-guided sacroiliac joint procedures include children, adolescents, adults of childbearing age, and patients receiving serial injections due to the ability of interventional MRI to avoid radiation exposure. Most clinical wide-bore MRI systems can be used for MRI-guided sacroiliac joint injections. Turbo spin echo pulse sequences optimized for interventional needle display visualize the needle tip with an error margin of < 1 mm or less. Published success rates of intra-articular sacroiliac joint drug delivery with MRI guidance range between 87 and 100%. The time required for MR-guided sacroiliac joint injections in adults range between 23-35 min and 40 min in children. In this article, we describe techniques for MRI-guided sacroiliac joint injections, share our practice of incorporating interventional MRI in the care of patients with sacroiliac joint mediated pain, discuss the rationales, benefits, and limitations of interventional MRI, and conclude with future developments.

Indexed as

Low Back PainSacroiliac JointAdolescentAdultArthralgiaChildHumansInjections, Intra-ArticularMagnetic Resonance ImagingNeedlesComputed tomographyImaging guidanceInjectionMagnetic resonanceSacroiliac joints

Identifiers

PMID36006462
OpenAlexW4293105810

What OpenQuestion holds

Textmetadata
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.