Evidence map›Paper›PMID 36560906›Full record

ArticleActa radiologica (Stockholm, Sweden : 1987)2024

Dixon T2 imaging of vertebral bone edema: reliability and comparison with short tau inversion recovery.

Magnhild H Dagestad, Monika K Toppe, Per M Kristoffersen, Elisabeth Gjefsen, Erling Andersen, Jörg Assmus, Nils Vetti, Ansgar Espeland

Abstract read
In one paragraph

Article in Acta radiologica (Stockholm, Sweden : 1987), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Development of a risk scoring system for surgical site infection after lumbar surgery using Dixon MRI and clinical parameters.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
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  4. Article
  5. Observational
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.

Magnhild H DagestadDepartment of Radiology, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0003-4856-6321
Monika K ToppeDepartment of Radiology, Haukeland University Hospital, Bergen, Norway.
Per M KristoffersenDepartment of Radiology, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0001-6471-8861
Elisabeth GjefsenResearch and Communication Unit for Musculoskeletal Health (FORMI), Oslo University Hospital HF, Oslo, Norway.
Erling AndersenDepartment of Clinical Engineering, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0001-8268-1206
Jörg AssmusCentre for Clinical Research, Haukeland University Hospital, Bergen, Norway.
Nils VettiDepartment of Radiology, Haukeland University Hospital, Bergen, Norway.
Ansgar EspelandDepartment of Radiology, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0002-0693-7465

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is uncertain whether T2-weighted Dixon water images (DixonT2w) and short tau inversion recovery (STIR) are interchangeable when evaluating vertebral bone edema, or if one method is superior or visualizes the edema differently. PURPOSE: To compare image quality and Modic change (MC)-related edema between DixonT2w and STIR and estimate inter-observer reliability for MC edema on DixonT2w. MATERIAL AND

methodsConsecutive patients (n = 120) considered for the Antibiotics in Modic changes (AIM) trial underwent lumbar 1.5-T magnetic resonance imaging with two-point DixonT2w and STIR. Two radiologists assessed MC-related high-signal lesions on DixonT2w and compared image quality and lesion extent with STIR. Cohen's kappa and mean of differences ± limits of agreement were calculated.

resultsFat suppression and artefacts were similar on DixonT2w and STIR in 116 of 120 (97%) patients. Lesion conspicuity was similar in 88, better on STIR in 10, and better on DixonT2w in 9 of 107 patients with MC-related high-signal lesions. Contrast-to-noise ratio for STIR versus DixonT2w was 19.1 versus 17.1 (mean of differences 2.0 ± 8.2). Of 228 lesions L4-S1, 215 (94%) had similar extent on DixonT2w and STIR, 11 were smaller/undetected on STIR, and two were smaller/undetected on DixonT2w. Lesions missed on STIR (n = 9) or DixonT2w (n = 1) had a weak signal increase on the other sequence (≤17%; 0% = vertebral body, 100% = cerebrospinal fluid). Inter-observer reliability (mean kappa L4-S1) was very good for presence (0.87), moderate for height (0.44), and good for volume (0.63) of lesions on DixonT2w.

conclusionDixonT2w provided similar visualization of MC-related vertebral edema as STIR.

Indexed as

Magnetic Resonance ImagingSpineClinical Trials as TopicEdemaHumansReproducibility of Resultsadultsimaging sequencesMagnetic resonance imagingobserver performanceskeletal-axialspine

Identifiers

PMID36560906
PMCPMC10964391

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