Evidence map›Paper›PMID 38353685›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Clinical compatibility of magnetic resonance imaging with magnetic intramedullary nails: a feasibility study.

Joseph D Femino, Samuel R Barnes, Scott C Nelson, Lee M Zuckerman

Open access · hybridAbstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 97% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

4 authors at 2 institutions in 1 country.

Joseph D FeminoDepartment of Orthopaedic Surgery, University of Southern California Keck School of Medicine, 1520 San Pablo St., Suite 2000, Los Angeles, CA, 90033, USA.ORCID http://orcid.org/0000-0001-6664-5678
Samuel R BarnesDepartment of Radiology, Loma Linda University Medical Center, Loma Linda, CA, USA.ORCID http://orcid.org/0000-0002-1065-8442
Scott C NelsonDepartment of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA.ORCID http://orcid.org/0000-0002-0122-9304
Lee M ZuckermanDepartment of Orthopaedic Surgery, University of Southern California Keck School of Medicine, 1520 San Pablo St., Suite 2000, Los Angeles, CA, 90033, USA. lzuckerm@usc.edu.ORCID http://orcid.org/0000-0001-7762-2906
Loma Linda University Medical Center · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of magnetic resonance imaging (MRI) with a magnetic intramedullary lengthening nail in place is contraindicated per the manufacturer due to the concern of implant activation and migration. A prior in vitro study did not confirm these complications only noting that a 3.0 T MRI weakened the internal magnet. Therefore, a retrospective analysis of patients who underwent an MRI with a magnetic nail in place was performed to determine if any adverse effects occurred in the clinical setting. MATERIALS AND

methodsA retrospective review of all patients who underwent an MRI with a magnetic lengthening nail in place was performed. The time spent being imaged in the MRI, number of times the patient entered the MRI suite, and the images obtained were recorded. Radiographs were performed before and after the MRI to determine if any hardware complications occurred. The patients were monitored for any adverse symptoms while they were in the suite.

resultsA total of 12 patients with 13 nails were identified. Two patients underwent imaging with a 3.0 T MRI while the remaining 10 underwent imaging with a 1.5 T MRI. Each patient entered the MRI suite 2.1 times and spent an average of 84.7 min being imaged in the MRI (range 21-494). No patients noted any adverse symptoms related to the nail while in the suite and no hardware complications were identified.

conclusionMRI appears to be safe with a magnetic nail in place and did not result in any complications. Given the manufacturer's recommendations, informed consent should be obtained prior to an MRI being performed and a 3.0 T MRI should be avoided when possible if further activation of the nail is required.

Indexed as

Bone LengtheningFracture Fixation, IntramedullaryBone NailsFeasibility StudiesFemurHumansLeg Length InequalityMagnetic Resonance ImagingRetrospective StudiesTreatment OutcomeDistraction osteogenesisLimb lengtheningMagnetic intramedullary lengthening nailsMagnetic resonance imaging (MRI) compatibilityPrecice Bone Transport NailPrecice nail

Identifiers

PMID38353685
PMCPMC10965604
OpenAlexW4391815889

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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.