Evidence map›Paper›PMID 41168478›Full record

ArticleCardiovascular and interventional radiology2026

Cone Beam Computed Tomography with Navigation Versus Computed Tomography with Navigation for Percutaneous Fixation of Pathologic Fractures: A Comparison of Radiation Dose, Procedural Time, and Outcome.

Youssef Ghosn, Amgad M Moussa, Max Vaynrub, Meredith Bartelstein, Ernesto Santos, Francois H Cornelis

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Cardiovascular and interventional radiology, 2026. 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. Trial
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

6 authors.

Youssef GhosnDepartment of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Amgad M MoussaDepartment of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Max VaynrubDepartment of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Meredith BartelsteinDepartment of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Ernesto SantosDepartment of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Francois H CornelisDepartment of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA. cornelif@mskcc.org.ORCID http://orcid.org/0000-0002-1058-0884

Funding

NCI NIH HHS NIH/NCI Cancer Center Support Grant P30 CA008748
6 · The paper itself

Abstract

purposeTo assess the difference in procedure time, radiation dose, and pain outcome of percutaneous fixation by internal cemented screws (FICS) for pathologic fractures using cone beam computed tomography with navigation (CBCT-NAV) versus computed tomography with electromagnetic navigation (CT-NAV). MATERIALS AND

methodsThis IRB-approved, single institution retrospective study included patients who underwent percutaneous FICS for pathologic fractures between 2020 and 2025. Radiation dose, procedure time, and pain outcomes were compared between two groups based on the navigation system used during the procedure (CBCT-NAV vs. CT-NAV). Dose parameters were converted to effective dose for comparison.

resultsA total of 37 procedures (32 patients) were identified, 20 in the CBCT-NAV group and 17 in the CT-NAV group. No significant differences were found between groups regarding age, gender, body mass index, primary cancer type, fracture location, lesion size, number of screws placed per patient, ablation performed, cementoplasty performed, pain reduction, or immediate adverse events. No significant differences were observed for effective dose (33.3 ± 30.1 vs. 39.4 ± 25.7 mSv, respectively, p = 0.514). Significant differences were observed for procedural time (108.6 ± 47.9 vs. 228.8 ± 79.8 min, respectively, p < 0.001).

conclusionCBCT navigation has a significantly lower procedural time compared to CT navigation for FCIS, with similar radiation dose and pain outcomes.

Indexed as

Cone-Beam Computed TomographyFracture Fixation, InternalFractures, SpontaneousRadiation DosageRadiography, InterventionalTomography, X-Ray ComputedAdultAgedAged, 80 and overBone ScrewsFemaleHumansMaleMiddle AgedOperative TimeRetrospective StudiesCemented screwsNavigation softwarePathologic fracturePelvic fracturePercutaneous fixation

Identifiers

PMID41168478

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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.