Evidence map›Paper›PMID 40676211›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

MR-based evaluation of osseous cervical neural foraminal stenosis (OCNFS) using fast-field-echo resembling CT using restricted echo-spacing (FRACTURE).

Dejun She, Dongmei Jiang, Junhuan Hong, Yuwei Pan, Xiang Lin, Weilin Huang, Xiaojun Lin, Peiying You, Xiance Zhao, Ruiquan Chen and 1 more

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Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Dejun She *Department of Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Dongmei Jiang *Department of Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Junhuan HongDepartment of Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Yuwei PanDepartment of Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Xiang LinDepartment of Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Weilin HuangDepartment of Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Xiaojun LinDepartment of Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Peiying YouDepartment of Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Xiance ZhaoPhilips (China), Shanghai, China.
Ruiquan ChenDepartment of Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China. 10659086@qq.com.
Dairong CaoDepartment of Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China. dairongcao@163.com.

Funding

Fujian Provincial Finance Department BPB-2023SDJ
6 · The paper itself

Abstract

purposeThis study aimed to assess the feasibility of fast-field-echo resembling CT using restricted echo-spacing (FRACTURE) for evaluating osseous cervical neural foraminal stenosis (OCNFS).

methodsA total of 280 cervical foramina from 28 patients with cervical radiculopathy (CR) were analyzed on oblique sagittal CT, FRACTURE, T1WI, and T2WI from bilateral C2/3 to C6/7 segments by three readers. CT served as the reference standard to identify OCNFS. Detection rate and grade of OCNFS were assessed. OCNFS severity was classified into four grades according to Park's system: Grade 0 (no stenosis), Grade 1 (mild stenosis), Grade 2 (moderate stenosis), and Grade 3 (severe stenosis). Inter-modality agreements of OCNFS grade were evaluated using linear weighted Cohen's kappa (κ). Sensitivity and specificity were calculated to compare diagnostic performance between FRACTURE and conventional MRI for the diagnosis of OCNFS.

resultsThe inter-modality agreement of OCNFS grade was substantial between CT and FRACTURE (κ = 0.689-0.715), and moderate between CT and T1WI (κ = 0.427-0.594) or T2WI (κ = 0.462-0.604). Among the 280 cervical neural foramina, 104 were diagnosed as OCNFS using CT. Detection rate of OCNFS was 96.15% (100/104) for FRACTURE, 76.92% (80/104) for T1WI, and 95.19% (99/104) for T2WI. FRACTURE achieved a sensitivity of 96.2% and a specificity of 97.2% for detecting OCNFS. T1WI demonstrated a sensitivity of 76.9% and a specificity of 85.2%, while T2WI exhibited a sensitivity of 95.2% and a specificity of 73.9% for detecting OCNFS.

conclusionFRACTURE can provide a reliable alternative to CT for evaluating OCNFS.

Indexed as

Cervical VertebraeMagnetic Resonance ImagingRadiculopathySpinal StenosisTomography, X-Ray ComputedAdultAgedAged, 80 and overFeasibility StudiesFemaleHumansMaleMiddle AgedSensitivity and SpecificityCervical radiculopathyDiagnostic accuracyMagnetic resonance bone imagingOsseous cervical foraminal stenosis

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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.