Evidence map›Paper›PMID 36805320›Full record

Observational studyEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023

ISSLS Prize in Bioengineering Science 2023: Age- and sex-related differences in lumbar intervertebral disc degeneration between patients with chronic low back pain and asymptomatic controls.

Noah B Bonnheim, Ann A Lazar, Anika Kumar, Zehra Akkaya, Jiamin Zhou, Xiaojie Guo, Conor O'Neill, Thomas M Link, Jeffrey C Lotz, Roland Krug and 1 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in 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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Article
  3. ISSLS Prize in Clinical Science 2026: Data-driven classification of lumbar spine degeneration trajectories in chronic low back pain.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 · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Effective disc age: a statistical model for age-dependent and level-specific lumbar disc degeneration using magnetic resonance imaging (MRI).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
  12. Article
  13. 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

11 authors at 1 institution in 1 country.

Noah B BonnheimDepartment of Orthopaedic Surgery, University of California, San Francisco, USA.ORCID http://orcid.org/0000-0003-2191-180X
Ann A LazarDepartment of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA.
Anika KumarDepartment of Orthopaedic Surgery, University of California, San Francisco, USA.
Zehra AkkayaDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
Jiamin ZhouDepartment of Orthopaedic Surgery, University of California, San Francisco, USA.
Xiaojie GuoDepartment of Orthopaedic Surgery, University of California, San Francisco, USA.
Conor O'NeillDepartment of Orthopaedic Surgery, University of California, San Francisco, USA.
Thomas M LinkDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
Jeffrey C LotzDepartment of Orthopaedic Surgery, University of California, San Francisco, USA.
Roland KrugDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
Aaron J FieldsDepartment of Orthopaedic Surgery, University of California, San Francisco, USA. aaron.fields@ucsf.edu.ORCID http://orcid.org/0000-0001-6460-4506
University of California, San Francisco · US

Funding

UCSF Core Center for Patient-centric Mechanistic Phenotyping in Chronic Low Back PainU19AR076737 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOTZ, JEFFREY C. · 2019 to 2023
$34.1M
Technology Research Site for Advanced, Faster Quantitative Imaging for BACPACUH3AR076724 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MAJUMDAR, SHARMILA · 2020 to 2023
$4.8M
UCSF Core Center for Musculoskeletal Biology and MedicineP30AR066262 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOTZ, JEFFREY C. · 2014 to 2018
$3.0M
Phenotypes of pathologic vertebral endplate degenerationR01AR063705 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOTZ, JEFFREY C. · 2013 to 2017
$3.0M
Novel imaging of endplate biomarkers in chronic low back painUH3AR076719 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FIELDS, AARON J · 2021 to 2021
$1.9M
Role of the cartilage endplate in spinal disc degenerationR01AR070198 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FIELDS, AARON J · 2017 to 2021
$1.7M
Novel imaging of endplate biomarkers in chronic low back painUH2AR076719 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FIELDS, AARON J, KRUG, ROLAND · 2019 to 2019
$1.1M
Technology Research Site for Advanced, Faster Quantitative Imaging for BACPACUH2AR076724 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MAJUMDAR, SHARMILA · 2019 to 2019
$514k
Effects of in situ orientation on quantitative MR-based measures of cartilage endplate healthF32AR081139 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BONNHEIM, NOAH BYRON · 2023 to 2024
$157k
NIAMS NIH HHS F32 AR081139NIAMS NIH HHS P30 AR066262NIAMS NIH HHS R01 AR063705NIAMS NIH HHS R01 AR070198NIAMS NIH HHS U19 AR076737NIAMS NIH HHS UH2 AR076719NIAMS NIH HHS UH2 AR076724NIAMS NIH HHS UH3 AR076719NIAMS NIH HHS UH3 AR076724
6 · The paper itself

Abstract

purposeClinical management of disc degeneration in patients with chronic low back pain (cLBP) is hampered by the challenge of distinguishing pathologic changes relating to pain from physiologic changes related to aging. The goal of this study was to use imaging biomarkers of disc biochemical composition to distinguish degenerative changes associated with cLBP from normal aging.

methodsT1ρ MRI data were acquired from 133 prospectively enrolled subjects for this observational study (80 cLBP, 53 controls; mean ± SD age = 43.9 ± 13.4 years; 61 females, 72 males). The mean T1ρ relaxation time in the nucleus pulposus (NP-T1ρ; n = 650 discs) was used as a quantitative biomarker of disc biochemical composition. Linear regression was used to assess associations between NP-T1ρ and age, sex, spinal level, and study group, and their interactions.

resultsNP-T1ρ values were lower in cLBP patients than controls (70.8 ± 22.8 vs. 76.4 ± 22.2 ms, p = 0.009). Group differences were largest at L5-S1 (ΔT1ρ

conclusionAging effects on the biochemical composition of the L5-S1 disc may involve a relatively uniform set of factors from which many cLBP patients deviate. NP-T1ρ values at L5-S1 may be highly relevant to clinical phenotyping, particularly in younger individuals.

Indexed as

Intervertebral DiscIntervertebral Disc DegenerationLow Back PainAdultBioengineeringFemaleHumansLumbar VertebraeMagnetic Resonance ImagingMaleMiddle AgedAgingChronic low back painDisc degenerationLumbar spineT1ρ (T1rho) magnetic resonance imaging (MRI)

Identifiers

PMID36805320
PMCPMC10205694
OpenAlexW4321337844

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.