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ArticleNeurology. Clinical practice2025

uSINE-PAMS Artificial Intelligence-Driven, Ultrasound-Guided Lumbar Puncture to Improve Procedural Accuracy: A Pilot Study Report.

Xuling Lin, Mei Lyn Carissa Lam, Ding Fang Chuang, Joanne Yong Ern Yuen, Liqing Fu, Valerie Jun Zhi Teh, Aynul Marliya, Seyed Ehsan Saffari, Christen Sheng Jie Lim, Yu-Lin Wong and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Neurology. Clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05824546 (uSINE-PAMS Artificial Intelligence Driven, Ultrasound-Guided Lumbar Puncture to Improve Procedural Accuracy), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

NCT05824546 naunknown statusnot on this map

uSINE-PAMS Artificial Intelligence Driven, Ultrasound-Guided Lumbar Puncture to Improve Procedural Accuracy

TypeinterventionalSponsorNational Neuroscience InstituteRan2023 to 2024Enrolled50ConditionsUltrasound Therapy, Lumbar PunctureArmsIntervention Arm (uSINE-PAMS-technique)
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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

11 authors.

Xuling LinDepartment of Neurology, National Neuroscience Institute, Singapore.ORCID https://orcid.org/0000-0001-9551-7659
Mei Lyn Carissa LamDepartment of Research, National Neuroscience Institute, Singapore.
Ding Fang ChuangDepartment of Neurology, National Neuroscience Institute, Singapore.ORCID https://orcid.org/0009-0005-7705-9080
Joanne Yong Ern YuenDepartment of Research, National Neuroscience Institute, Singapore.ORCID https://orcid.org/0009-0000-1016-4736
Liqing FuDepartment of Nursing, National Neuroscience Institute, Singapore.ORCID https://orcid.org/0009-0002-7036-5729
Valerie Jun Zhi TehDepartment of Research, National Neuroscience Institute, Singapore.ORCID https://orcid.org/0009-0003-1328-7194
Aynul MarliyaDepartment of Research, National Neuroscience Institute, Singapore.ORCID https://orcid.org/0009-0009-5592-9961
Seyed Ehsan SaffariCentre for Quantitative Medicine, Health Services & Systems Research, Duke-NUS Medical School, Singapore; and.ORCID https://orcid.org/0000-0002-6473-4375
Christen Sheng Jie LimDepartment of Neurology, National Neuroscience Institute, Singapore.ORCID https://orcid.org/0009-0001-4458-527X
Yu-Lin WongDepartment of Anaesthesia and Intensive Care Medicine, Tan Tock Seng Hospital, Singapore.ORCID https://orcid.org/0009-0002-9452-0359
Ying Hao Christopher SeetDepartment of Neurology, National Neuroscience Institute, Singapore.ORCID https://orcid.org/0000-0001-8197-0225

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Traditional lumbar punctures (LPs) often fail, leading to diagnostic delays and increased risks. Ultrasound guidance provides improved success rates but faces adoption barriers due to neuraxial-ultrasound training and implementation challenges. The Ultrasound-Guided Spinal Landmark Identification With Needle Navigation System and Position and Angular Marking System (uSINE-PAMS) were designed to address these issues: uSINE is a machine-learning software for neuraxial-ultrasound guidance; PAMS is a hardware that translates ultrasound data for accurate needle insertion. Recent Findings: A pilot study with 10 patients showed that uSINE-PAMS-guided LP achieved an 80% first-pass success rate with no complication; the median patient age was 43 years, and the median body mass index was 24.5 kg/m Implications for Practice: This pilot study showed that uSINE-PAMS-guided LP is feasible with a promising first-pass success rate at 80%. An ongoing phase 2 study (NCT05824546) of uSINE-PAMS may alter future standard of practice for LPs. Trial Registration Information: This pilot study is registered under ClinicalTrials.gov (ID: NCT05824546).

Identifiers

PMID40201070
PMCPMC11975302

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