ReviewJournal of ultrasonography2025
Transesophageal echocardiography in the imaging of spinal cord structures - a systematic review of the literature.
Review in Journal of ultrasonography, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Transesophageal echocardiography enables visualization of structures within the spinal canal, particularly in the upper thoracic and lower cervical regions, but its diagnostic performance and clinical roles remain unclear. Aim: To systematically review studies evaluating the ability of transesophageal echocardiography to depict spinal canal anatomy and its potential diagnostic, monitoring, and interventional applications. Material and methods: A PRISMA-guided systematic review (PROSPERO CRD420251074380) was conducted to identify human studies evaluating transesophageal echocardiography for imaging spinal canal structures. PubMed/MEDLINE, Embase, and Web of Science were searched from inception to September 2025; screening and de-duplication were supported by Rayyan, and findings were synthesized narratively. Results: Thirteen studies met the inclusion criteria. Transesophageal echocardiography consistently identified key landmarks such as the epidural space, dura mater, subarachnoid compartment, and catheter position, with the best visualization reported in the upper thoracic and lower cervical segments. Reported applications included adjunctive diagnosis of selected pathologies, intraoperative assessment of spinal perfusion, and procedural guidance. Image quality and feasibility were influenced mainly by patient habitus and anatomy. Safety signals were favorable, although systematic assessment was lacking. No study provided robust comparative accuracy versus magnetic resonance imaging or computed tomography, and standardized outcome measures were uncommon. Conclusions: Transesophageal echocardiography shows promise for real-time visualization of spinal canal structures and select intraoperative and interventional uses. However, current evidence is limited to small, heterogeneous studies. Rigorous prospective research including standardized imaging endpoints and comparative evaluations is needed to define its diagnostic accuracy, safety, and clinical impact.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.