Evidence map›Paper›PMID 40746795›Full record

ReviewCureus2025

The Role of MRI in Evaluating Spinal Cord Injuries: Diagnostic Accuracy, Prognostic Value, and Clinical Decision-Making.

Khaled Agha Tabari, Shivling S Swami, Alousious Kasagga, Amanuel Kefyalew Assefa, Maysaa N Amin, Rahma Hashish, Ann Kashmer Yu

Abstract readReview
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. 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

7 authors.

Khaled Agha TabariRadiology, Queen Elizabeth University Hospital, Glasgow, GBR.
Shivling S SwamiInternal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Alousious KasaggaPathology, Peking University, Beijing, CHN.
Amanuel Kefyalew AssefaOrthopaedics and Trauma, University Hospitals of Leicester NHS Foundation Trust, Leicester, GBR.
Maysaa N AminMicrobiology/Immunology, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Rahma HashishInternal Medicine, Sherwood Forest Hospitals NHS Foundation Trust, Nottingham, GBR.
Ann Kashmer YuInternal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal cord injury (SCI) happens when the spinal cord is damaged, which can be caused by different types of trauma or other non-traumatic factors. These injuries are a major contributor to disability and long-term morbidity on a global scale, often resulting in severe neurological deficits and complications. While radiography and computed tomography (CT) frequently provide guidance for initial assessment, magnetic resonance imaging (MRI) is the most effective method for imaging soft tissues. MRI is essential in identifying and managing SCI because it can demonstrate relevant details, detect bleeding, swelling, and ligament damage, and offer valuable insights for prognosis. This traditional review evaluates the role of MRI in managing SCI by examining relevant literature. The review examines MRI's diagnostic accuracy, its value in predicting outcomes, and how it influences clinical decisions. The paper provides a well-rounded view of its advantages and limitations. It includes full-text review articles and meta-analyses published in English between 1996 and 2024, with additional studies included if the selected articles reference them. Our findings demonstrate that MRI is crucial for diagnosing acute SCI due to its ability to provide detailed visualization of spinal cord pathology, which other imaging techniques often miss. It aids in prognosis, with features like intramedullary hemorrhage and lesion length correlating with neurological recovery; however, features of edema and cord compression are not as clear-cut when it comes to predicting outcomes. MRI also influences surgical planning and timing through its ability to assist in determining the need for decompression and stabilization procedures. Future research should focus on developing standardized MRI criteria and conducting high-quality trials to enhance the clinical utility, prognostic reliability, and diagnostic accuracy in the treatment of SCI.

Indexed as

acute spinal cord injury (asci)magnetic resonance imaging (mri)mri spinerole of mrispinal cord injury

Identifiers

PMID40746795
PMCPMC12310408

What OpenQuestion holds

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Registered trials

None linked

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.