Evidence map›Paper›PMID 36695112›Full record

ArticleGlobal spine journal2024

Low Radiation Protocol for Intraoperative Robotic C-Arm Can Enhance Adolescent Idiopathic Scoliosis Deformity Correction Accuracy and Safety.

Masahiro Tanaka, Jordy Schol, Daisuke Sakai, Kosuke Sako, Kazuyuki Yamamoto, Kensuke Yanagi, Akihiko Hiyama, Hiroyuki Katoh, Masato Sato, Masahiko Watanabe

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 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
3.8field-weighted citation impact, top 7% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Usefulness of portrait imaging for intraoperative cone beam computed tomography in adolescent idiopathic scoliosis surgery: a phantom study.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
  3. Review
  4. Robotic CBCT meets robotic ultrasound.International journal of computer assisted radiology and surgery · 2025
    Article
  5. 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

10 authors at 1 institution in 1 country.

Masahiro TanakaDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Kanagawa, Japan.
Jordy ScholDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Kanagawa, Japan.ORCID 0000-0001-5489-2591
Daisuke SakaiDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Kanagawa, Japan.
Kosuke SakoDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Kanagawa, Japan.
Kazuyuki YamamotoDepartment of Diagnostic Radiology, Tokai University School of Medicine, Kanagawa, Japan.
Kensuke YanagiDepartment of Diagnostic Radiology, Tokai University School of Medicine, Kanagawa, Japan.ORCID 0000-0002-5286-4535
Akihiko HiyamaDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Kanagawa, Japan.ORCID 0000-0002-2474-9118
Hiroyuki KatohDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Kanagawa, Japan.ORCID 0000-0003-0046-3008
Masato SatoDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Kanagawa, Japan.
Masahiko WatanabeDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Kanagawa, Japan.
Tokai University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective case-series study.

objectivesTo assess (1) low cone beam CT (CBCT) mediated intraoperative navigation to limit radiation exposure without compromising surgical accuracy, and (2) the potential of intraoperative C-arm CBCT navigation to augment pedicle screw (PS) placement accuracy in AIS surgery compared to pre-surgery CT-based planning.

methodsThe first part involved a prospective phantom study, comparing radiation doses for conventional CT, and standard (6sDCT) and a low dose (5sDCT) Artis Zeego

resultsThe phantom study demonstrated a reduction in radiation for the 5sDCT protocol. Moreover, 5sDCT-imaged patients (n = 15) showed a significantly lower SD (-27.41%) and DAP (-30.92%), without compromising PS accuracy compared with 6sDCT-settings (n = 15). Finally, AIS correction through intraoperative CBCT C-arm navigation (n = 27) significantly reduced screw deviation rates (6.83% versus 10.75%,

conclusionsIntraoperative navigation using a CBCT C-arm system improved the accuracy of PS insertion and reduced surgery time. Moreover, it reduced radiation exposure compared with conventional CT, which was further curtailed by adapting the low-dose 5sDCT protocol. In short, our study highlights the benefits of intraoperative CBCT navigation for PS placement in AIS surgery.

Indexed as

artis zeegocone beam CTidiopathic scoliosisnavigationradiation dosescrew perforation

Identifiers

PMID36695112
PMCPMC11394515
OpenAlexW4317932455

What OpenQuestion holds

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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.