PMID- 37967463
OWN - NLM
STAT- MEDLINE
DCOM- 20240105
LR  - 20240409
IS  - 1728-7731 (Electronic)
IS  - 1726-4901 (Linking)
VI  - 87
IP  - 1
DP  - 2024 Jan 1
TI  - Usefulness of cone-beam computed tomography-reformatted epidurography in 
      percutaneous epidural adhesiolysis: A pilot study.
PG  - 131-137
LID - 10.1097/JCMA.0000000000001024 [doi]
AB  - BACKGROUND: Conventional epidurography (CE) is thought to have insufficient 
      usefulness on percutaneous epidural adhesiolysis (PEA). We aimed to evaluate the 
      association between the outcome of PEA and cone-beam computed 
      tomography-reformatted epidurography (CBCT-RE). METHODS: After ethics board 
      approval and written informed consent were obtained, we performed 30 PEA in 26 
      participants, and evaluated their post-PEA image findings. Two independent 
      radiologists categorized and recorded the occurrence of contrast in the 
      intracanal ventral and extraforaminal regions on CE, and in the dorsal canal 
      (DC), ventral canal (VC), dorsal foramen (DF), and ventral foramen (VF) on 
      CBCT-RE. Reproducibility was assessed using intraclass correlation coefficients 
      (ICCs). Baseline characteristics along with contrast distribution patterns of CE 
      and CBCT-RE were analyzed in terms of their association with symptom relief at 1 
      month after PEA. RESULTS: The rate of patients with symptoms relief >50% after 
      PEA was 63.3%. The inter-reader agreement was higher for CBCT-RE (ICC = 0.955) 
      than for CE (ICC = 0.793). Participants with contrast coexisting in VC and DF 
      adjacent to the irritated nerve root on CBCT-RE ( p = 0.015) had a significantly 
      better response after PEA than those without contrast at these locations on 
      CBCT-RE, independent of baseline characteristics (adjusted odds ratio: 11.414 [ p 
      = 0.012]). CONCLUSION: CBCT-RE with identifying contrast distribution patterns is 
      useful for predicting outcome of PEA.
CI  - Copyright (c) 2023, the Chinese Medical Association.
FAU - Kao, Hao-Lun
AU  - Kao HL
AD  - Department of Radiology, Tri-Service General Hospital, National Defense Medical 
      Center, Taipei, Taiwan, ROC.
FAU - Huang, Guo-Shu
AU  - Huang GS
AD  - Department of Radiology, Tri-Service General Hospital, National Defense Medical 
      Center, Taipei, Taiwan, ROC.
AD  - Department of Medical Research, Tri-Service General Hospital, National Defense 
      Medical Center, Taipei, Taiwan, ROC.
FAU - Tang, Chi-Tun
AU  - Tang CT
AD  - Department of Neurosurgery, Tri-Service General Hospital, National Defense 
      Medical Center, Taipei, Taiwan, ROC.
FAU - Yang, Fu-Chi
AU  - Yang FC
AD  - Department of Neurology, Tri-Service General Hospital, National Defense Medical 
      Center, Taipei, Taiwan, ROC.
FAU - Chao, Kuo-Hua
AU  - Chao KH
AD  - Department of Orthopedics, Tri-Service General Hospital, National Defense Medical 
      Center, Taipei, Taiwan, ROC.
FAU - Huang, Han-Bin
AU  - Huang HB
AD  - School of Public Health, National Defense Medical Center, Taipei, Taiwan, ROC.
FAU - Hsu, Yi-Chih
AU  - Hsu YC
AD  - Department of Radiology, Tri-Service General Hospital, National Defense Medical 
      Center, Taipei, Taiwan, ROC.
LA  - eng
PT  - Journal Article
DEP - 20231115
PL  - Netherlands
TA  - J Chin Med Assoc
JT  - Journal of the Chinese Medical Association : JCMA
JID - 101174817
SB  - IM
MH  - Humans
MH  - Pilot Projects
MH  - Reproducibility of Results
MH  - *Cone-Beam Computed Tomography/methods
COIS- Conflicts of interest: The authors declare that they have no conflicts of 
      interest related to the subject matter or materials discussed in this article.
EDAT- 2023/11/15 18:41
MHDA- 2024/01/05 06:42
CRDT- 2023/11/15 17:25
PHST- 2024/01/05 06:42 [medline]
PHST- 2023/11/15 18:41 [pubmed]
PHST- 2023/11/15 17:25 [entrez]
AID - 02118582-990000000-00301 [pii]
AID - 10.1097/JCMA.0000000000001024 [doi]
PST - ppublish
SO  - J Chin Med Assoc. 2024 Jan 1;87(1):131-137. doi: 10.1097/JCMA.0000000000001024. 
      Epub 2023 Nov 15.