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dc.contributor.authorFehlings, Michael G
dc.contributor.authorMartin, Allan R
dc.contributor.authorTetreault, Lindsay A
dc.contributor.authorAarabi, Bizhan
dc.contributor.authorAnderson, Paul
dc.contributor.authorArnold, Paul M
dc.contributor.authorBrodke, Darrel
dc.contributor.authorBurns, Anthony S
dc.contributor.authorChiba, Kazuhiro
dc.contributor.authorDettori, Joseph R
dc.contributor.authorFurlan, Julio C
dc.contributor.authorHawryluk, Gregory
dc.contributor.authorHolly, Langston T
dc.contributor.authorHowley, Susan
dc.contributor.authorJeji, Tara
dc.contributor.authorKalsi-Ryan, Sukhvinder
dc.contributor.authorKotter, Mark
dc.contributor.authorKurpad, Shekar
dc.contributor.authorKwon, Brian K
dc.contributor.authorMarino, Ralph J
dc.contributor.authorMassicotte, Eric
dc.contributor.authorMerli, Geno
dc.contributor.authorMiddleton, James W
dc.contributor.authorNakashima, Hiroaki
dc.contributor.authorNagoshi, Narihito
dc.contributor.authorPalmieri, Katherine
dc.contributor.authorSingh, Anoushka
dc.contributor.authorSkelly, Andrea C
dc.contributor.authorTsai, Eve C
dc.contributor.authorVaccaro, Alexander
dc.contributor.authorWilson, Jefferson R
dc.contributor.authorYee, Albert
dc.contributor.authorHarrop, James S
dc.date.accessioned2018-10-10T17:30:47Z
dc.date.available2018-10-10T17:30:47Z
dc.date.issued2017-09
dc.identifier.issn2192-5682
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/283580
dc.description.abstractIntroduction: The objective of this guideline is to outline the role of magnetic resonance imaging (MRI) in clinical decision making and outcome prediction in patients with traumatic spinal cord injury (SCI). Methods: A systematic review of the literature was conducted to address key questions related to the use of MRI in patients with traumatic SCI. This review focused on longitudinal studies that controlled for baseline neurologic status. A multidisciplinary Guideline Development Group (GDG) used this information, their clinical expertise, and patient input to develop recommendations on the use of MRI for SCI patients. Based on GRADE (Grading of Recommendation, Assessment, Development and Evaluation), a strong recommendation is worded as “we recommend,” whereas a weaker recommendation is indicated by “we suggest.” Results: Based on the limited available evidence and the clinical expertise of the GDG, our recommendations were: (1) “We suggest that MRI be performed in adult patients with acute SCI prior to surgical intervention, when feasible, to facilitate improved clinical decision-making” (quality of evidence, very low) and (2) “We suggest that MRI should be performed in adult patients in the acute period following SCI, before or after surgical intervention, to improve prediction of neurologic outcome” (quality of evidence, low). Conclusions: These guidelines should be implemented into clinical practice to improve outcomes and prognostication for patients with SCI.
dc.languagehttp://journals.sagepub.com/doi/10.1177/2192568217703089
dc.publisherSage
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectacute spinal cord injury
dc.subjectclinical decision making
dc.subjectclinical guideline
dc.subjectguideline
dc.subjectmagnetic resonance imaging
dc.subjectoutcome prediction
dc.subjectspinal cord injury
dc.subjecttraumatic spinal cord injury
dc.titleA Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury: Recommendations on the Role of Baseline Magnetic Resonance Imaging in Clinical Decision Making and Outcome Prediction
dc.typeArticle
prism.endingPage230S
prism.issueIdentifier3_suppl
prism.publicationDate2017
prism.publicationNameGlobal Spine Journal
prism.startingPage221S
prism.volume7
dc.identifier.doi10.17863/CAM.30942
dcterms.dateAccepted2017-09-01
rioxxterms.versionofrecord10.1177/2192568217703089
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
rioxxterms.licenseref.startdate2017-09
dc.contributor.orcidKotter, Mark [0000-0001-5145-7199]
dc.identifier.eissn2192-5690
rioxxterms.typeJournal Article/Review
cam.issuedOnline2017-09-05


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Attribution-NonCommercial-NoDerivatives 4.0 International
Except where otherwise noted, this item's licence is described as Attribution-NonCommercial-NoDerivatives 4.0 International