Evidence map›Paper›PMID 40666576›Full record

ReviewCureus2025

The Impact of Intraoperative Imaging on Outcomes in Combined Neurosurgical and Reconstructive Procedures: A Systematic Review.

Muhammad Ilyas Alozai, Omar Amgad Yehia Elassra, Aliaa H Alkhazendar, Ahmed S Ibrahim, Abdul Sattar Gatta, Syed Muhammad Baqar Raza, Abdelrahman Sahnon Abaker Sahnon, Jarallah Hj Alkhazendar, David O Oriko, Shafaq Mushtaq

RetractedAbstract readReviewRetracted Publication
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. 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. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Muhammad Ilyas AlozaiInternal Medicine, Punjab Medical College, Faisalabad Medical University, Faisalabad, PAK.
Omar Amgad Yehia ElassraPlastic Surgery, Ain Shams University, Cairo, EGY.
Aliaa H AlkhazendarSurgery, The Islamic University of Gaza, Gaza, PSE.
Ahmed S IbrahimOrthopedics and Traumatology, Royal Care International Hospital, Khartoum, SDN.
Abdul Sattar GattaAccident and Emergency, Liaquat National Hospital, Karachi, PAK.
Syed Muhammad Baqar RazaCardiac Surgery, Rawalpindi Institute of Cardiology, Rawalpindi, PAK.
Abdelrahman Sahnon Abaker SahnonGeneral Physician, Speedy Recovery Clinic, Jeddah, SAU.
Jarallah Hj AlkhazendarGeneral and Emergency Surgery, East and North Hertfordshire NHS Trust - Lister Hospital, Stevenage, GBR.
David O OrikoNeurology, University of Maryland Medical Center, Baltimore, USA.
Shafaq MushtaqSurgery, Liaquat National Hospital, Karachi, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review evaluates the impact of intraoperative imaging on surgical outcomes in combined neurosurgical and reconstructive procedures. A comprehensive literature search was conducted across four databases, including PubMed, Scopus, Web of Science, and the Cochrane Central Register of Controlled Trials (CENTRAL), focusing on clinical trials published between 2019 and 2024. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, six studies that met stringent eligibility criteria were selected, including randomized controlled trials (RCTs) and prospective cohort studies involving imaging modalities such as intraoperative MRI (iMRI), intraoperative ultrasound (iUS), fluoroscopy, neuronavigation, and machine vision-based systems. Data were extracted on sample size, intervention type, control group characteristics, and primary surgical outcomes, including extent of resection, complication rates, and functional recovery. Qualitative synthesis revealed consistent benefits associated with intraoperative imaging, including enhanced anatomical precision, reduced complication rates, improved extent of resection, and fewer reoperations. Quality appraisal indicated low to moderate risk of bias across most studies. These findings endorse the broader integration of intraoperative imaging into complex surgical workflows and highlight the need for further research in reconstructive domains.

Indexed as

clinical trialsimriintraoperative imagingintraoperative ultrasoundneuronavigationneurosurgeryreconstructive surgerysurgical outcomes

Identifiers

PMID40666576
PMCPMC12260741

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.