Evidence map›Paper›PMID 36574327›Full record

ArticleAJNR. American journal of neuroradiology2022

Utility of Dual-Energy CT to Improve Diagnosis of CSF Leaks on CT Myelography following Lateral Decubitus Digital Subtraction Myelography with Negative Findings.

S J Huls, D P Shlapak, D K Kim, S Leng, C M Carr

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Spinal CSF Leaks: The Neuroradiologist Transforming Care.AJNR. American journal of neuroradiology · 2024
    Article
  2. Myelographic Timing Matters.AJNR. American journal of neuroradiology · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

S J HulsFrom the Department of Radiology, Mayo Clinic, Ringgold Standard Institution, Rochester, Minnesota huls.sean@mayo.edu.ORCID 0000-0001-8741-5425
D P ShlapakFrom the Department of Radiology, Mayo Clinic, Ringgold Standard Institution, Rochester, Minnesota.ORCID 0000-0002-8704-4115
D K KimFrom the Department of Radiology, Mayo Clinic, Ringgold Standard Institution, Rochester, Minnesota.ORCID 0000-0003-3696-2474
S LengFrom the Department of Radiology, Mayo Clinic, Ringgold Standard Institution, Rochester, Minnesota.ORCID 0000-0002-6453-9481
C M CarrFrom the Department of Radiology, Mayo Clinic, Ringgold Standard Institution, Rochester, Minnesota.ORCID 0000-0002-4585-2958

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CSF leaks, including CSF-venous fistulas, which cause spontaneous intracranial hypotension, remain difficult to diagnose, even on digital subtraction myelography and CT myelography. Dual-energy CT technology has been used to improve diagnostic utility within multiple organ systems. The capability of dual-energy CT to create virtual monoenergetic images can be leveraged to increase conspicuity of contrast in CSF-venous fistulas and direct epidural CSF leakage to improve the diagnostic utility of CT myelography. Six cases (in 5 patients) are shown in which virtual monoenergetic images demonstrate a leak location that was either occult or poorly visible on high- or low-kilovolt series. This clinical report describes the novel application of dual-energy CT for the detection of subtle CSF leaks including CSF-venous fistulas.

Indexed as

FistulaIntracranial HypotensionCerebrospinal Fluid LeakHumansMyelographyTomography, X-Ray Computed

Identifiers

PMID36574327
PMCPMC9575522

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.