Evidence map›Paper›PMID 39710723›Full record

ArticleSkeletal radiology2025

Comparison of patient radiation exposure and procedure time between CT-fluoroscopy and spiral CT for lumbar epidural steroid injections.

Tina Shiang, Ged G Wieschhoff, Jim S Wu, Jacob C Mandell

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Skeletal radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Tina ShiangBrigham and Women's Hospital, 75 Francis Street, Boston, MA, 02215, USA. tshiang@bwh.harvard.edu.ORCID http://orcid.org/0000-0003-3290-3143
Ged G WieschhoffBrigham and Women's Hospital, 75 Francis Street, Boston, MA, 02215, USA.
Jim S WuBrigham and Women's Hospital, 75 Francis Street, Boston, MA, 02215, USA.
Jacob C MandellBrigham and Women's Hospital, 75 Francis Street, Boston, MA, 02215, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare patient radiation exposure and procedure time for lumbar epidural steroid injections (ESIs) performed under CT-fluoroscopy (CTF) vs spiral CT-guidance. MATERIALS AND

methodsA retrospective cohort study of 767 consecutive lumbar ESIs performed between 2015-2023 using CTF vs spiral CT-guidance was conducted. Patient characteristics (age, sex, weight), procedural characteristics (injection level, type of ESI, trainee participation), and outcomes (patient radiation exposure, procedure time, pain relief, complications) were compared. Student's t and chi-squared tests were performed for statistical analysis.

resultsThere were 240 CTF and 527 spiral CT-guided lumbar ESIs. There were no significant differences in patient demographics between groups. Radiation exposure for the CTF group was 37.2 ± 50.5 mGy

conclusionImage-guided lumbar ESIs using CTF were associated with less patient radiation exposure and shorter procedure times without differences in pain relief when compared with spiral CT technique in our practice.

Indexed as

Radiation ExposureRadiography, InterventionalSteroidsTomography, Spiral ComputedAdultAgedFemaleFluoroscopyHumansInjections, EpiduralLumbar VertebraeMaleMiddle AgedRetrospective StudiesTime FactorsTomography, X-Ray ComputedSteroidsBack painCTCT-fluoroscopyEpidural steroid injectionInterlaminarRadiationSpineTransforaminal

Identifiers

PMID39710723

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.