Evidence map›Paper›PMID 38040899›Full record

ArticleSkeletal radiology2024

Axial T1-weighted imaging of the lumbar spine: a redundancy or an asset?

Ali Ghasemi, Rodrigo Luna, Arvin Kheterpal, Patrick Debs, Laura Fayad

Abstract read
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In one paragraph

Article in Skeletal radiology, 2024. 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
0.8field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 3 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

5 authors at 2 institutions in 1 country.

Ali GhasemiThe Russell H. Morgan Department of Radiology & Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Rodrigo LunaThe Russell H. Morgan Department of Radiology & Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Arvin KheterpalDepartment of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Patrick DebsThe Russell H. Morgan Department of Radiology & Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Laura FayadThe Russell H. Morgan Department of Radiology & Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD, USA. lfayad1@jhmi.edu.
Johns Hopkins University · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the diagnostic value of axial T1-weighted imaging for patients suffering from lower back pain. MATERIALS AND

methodsIn this retrospective study, 100 consecutive lumbar spine MRIs obtained in patients with chronic low back pain were reviewed in two sessions: First, readers viewed core sequences (sagittal T1-weighted, STIR and T2-weighted, and axial T2-weighted) with axial T1-weighted sequences, and second, readers viewed cores sequences alone. Readers recorded the presence of disc degeneration, nerve root compromise, facet joint arthritis, and stenosis at each lumbar spine level as well as the presence of lipoma of filum terminale (LFT), spondylolisthesis, transitional vertebrae, and fractures. The McNemar, Wilcoxon signed-rank, and student T tests were utilized.

resultsFor 100 studies, 5 spine levels were evaluated (L1-L2 through L5-S1). There were cases of disc disease (444/500 bulges, 56/500 herniations), nerve root compromise (1/500 nerve enlargement, 36/500 contact only, 20/500 displacement or compression), facet arthritis (438/500), stenosis (58/500 central canal, 64/500 lateral recess, 137/500 neuroforaminal), 6/100 LFTs, and other abnormalities (58/500 spondylolisthesis, 10/100 transitional vertebrae, 10/500 fracture/spondylolysis). There was no difference in diagnostic performance between the interpretation sessions (with and without axial T1-weighted imaging) at any level (p > 0.05), although four small additional LFTs were identified with axial T1-weighted imaging availability.

conclusionThere was no clinically significant difference in the interpretation of lumbar spine MRI viewed with and without axial T1-weighted imaging, suggesting that the axial T1-weighted sequence does not add diagnostic value to routine lumbar spine MRI.

Indexed as

ArthritisIntervertebral Disc DegenerationLow Back PainSpondylolisthesisConstriction, PathologicHumansLumbar VertebraeMagnetic Resonance ImagingRetrospective StudiesIntervertebral discLow back painLumbar vertebraeMagnetic resonance imaging

Identifiers

PMID38040899
OpenAlexW4389258693

What OpenQuestion holds

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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.