{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T16:55:31Z","timestamp":1780332931136,"version":"3.54.1"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T00:00:00Z","timestamp":1684368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004826","name":"Natural Science Foundation of Beijing Municipality","doi-asserted-by":"publisher","award":["7212126"],"award-info":[{"award-number":["7212126"]}],"id":[{"id":"10.13039\/501100004826","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81971578"],"award-info":[{"award-number":["81971578"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82171927"],"award-info":[{"award-number":["82171927"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance Imaging"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Diffusion magnetic resonsance imaging (dMRI) can potentially predict the postoperative outcome of cervical spondylotic myelopathy (CSM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To explore preoperative dMRI parameters to predict the postoperative outcome of CSM through multifactor correlation analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Type<\/jats:title><jats:p>Prospective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Post\u2010surgery CSM patients; 102 total, 73 male (52.42\u2009\u00b1\u200910.60\u2009years old) and 29 female (52.0\u2009\u00b1\u200911.45\u2009years old).<\/jats:p><\/jats:sec><jats:sec><jats:title>Field Strength\/Sequence<\/jats:title><jats:p>3.0\u2009T\/Turbo spin echo <jats:styled-content style=\"fixed-case\">T1<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">T2<\/jats:styled-content>\u2010weighted, <jats:styled-content style=\"fixed-case\">T2<\/jats:styled-content>*\u2010weighted multiecho gradient echo and <jats:styled-content style=\"fixed-case\">dMRI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Assessment<\/jats:title><jats:p>Spinal cord function was evaluated using modified Japanese Orthopedic Association (mJOA) scoring at different time points: preoperative and 3, 6, and 12\u2009months postoperative. Single\u2010factor correlation and <jats:italic>t<\/jats:italic> test analyses were conducted based on fractional anisotropy (FA), mean diffusivity, intracellular volume fraction, isotropic volume fraction, orientation division index, increased signal intensity, compression ratio, age, sex, symptom duration and operation method, and multicollinearity was calculated. The linear quantile mixed model (LQMM) and the linear mixed\u2010effects regression model (LMER) were used for multifactor correlation analysis using the combinations of the above variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Statistical Tests<\/jats:title><jats:p>Distance correlation, Pearson's correlation, multiscale graph correlation and <jats:italic>t<\/jats:italic> tests were used for the single\u2010factor correlation analyses. The variance inflation factor (VIF) was used to calculate multicollinearity. LQMM and LMER were used for multifactor correlation analyses. <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05 was considered statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The single\u2010factor correlation between all variables and the postoperative mJOA score was weak (all <jats:italic>r<\/jats:italic>\u2009&lt;\u20090.3). The linear relationship was stronger than the nonlinear relationship, and there was no significant multicollinearity (VIF\u2009=\u20091.10\u20131.94). FA values in the LQMM and LMER models had a significant positive correlation with the mJOA score (<jats:italic>r<\/jats:italic>\u2009=\u20095.27\u20136.04), which was stronger than the other variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Conclusion<\/jats:title><jats:p>The FA value based on dMRI significantly positively correlated with CSM patient postoperative outcomes, helping to predict the surgical outcome and formulate a treatment plan before surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Evidence Level<\/jats:title><jats:p>1<\/jats:p><\/jats:sec><jats:sec><jats:title>Technical Efficacy<\/jats:title><jats:p>Stage 2<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmri.28789","type":"journal-article","created":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T05:50:10Z","timestamp":1684475410000},"page":"599-610","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Predictive Value of the Diffusion Magnetic Resonance Imaging Technique for the Postoperative Outcome of Cervical Spondylotic Myelopathy"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0225-4816","authenticated-orcid":false,"given":"Ming","family":"Ni","sequence":"first","affiliation":[{"name":"Department of Radiology Peking University Third Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyi","family":"Wen","sequence":"additional","affiliation":[{"name":"Institute of Statistics and Big Data Renmin University of China  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2164-1558","authenticated-orcid":false,"given":"Mengze","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiology Peking University Third Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenyu","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Radiology Peking University Third Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yali","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Radiology Peking University Third Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Peking University Third Hospital  Beijing China"},{"name":"Engineering Research Center of Bone and Joint Precision Medicine  Beijing China"},{"name":"Beijing Key Laboratory of Spinal Disease Research  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianchang","family":"Zhang","sequence":"additional","affiliation":[{"name":"MR Collaboration Siemens Healthcare Ltd.  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Radiology Peking University Third Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7501-1773","authenticated-orcid":false,"given":"Ning","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Radiology Peking University Third Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Peking University Third Hospital  Beijing China"},{"name":"Engineering Research Center of Bone and Joint Precision Medicine  Beijing China"},{"name":"Beijing Key Laboratory of Spinal Disease Research  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5320-4360","authenticated-orcid":false,"given":"Huishu","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Radiology Peking University Third Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000397"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-020-06381-z"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.1233"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/2192568217699208"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1980.53.1.0012"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199807000-00002"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0123022"},{"issue":"1","key":"e_1_2_7_9_1","first-page":"65\u201072","article-title":"Diffusion tensor imaging in cervical spondylotic myelopathy: a review","volume":"33","author":"Shabani S","year":"2020","journal-title":"J Neurosurg Spine"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2013.09.038"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182715bc3"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20201000"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-011-0844-4"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2013.06.011"},{"issue":"10","key":"e_1_2_7_15_1","first-page":"11461","article-title":"Correlations between preoperative diffusion tensor imaging and surgical outcome in patients with cervical spondylotic myelopathy","volume":"13","author":"Tian X","year":"2021","journal-title":"Am J Transl Res"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000913"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182a7f2c3"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.11.141"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001667"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2019.05.018"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.03.075"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jot.2018.08.006"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200109010-00014"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318074d62e"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.3171\/SPI\/2008\/8\/6\/524"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11222-013-9381-9"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v067.i01"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneumeth.2020.108908"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nicl.2017.05.010"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/hbm.23328"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-962832"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.22554"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/2192568217701914"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ncl.2012.09.003"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-006-0315-4"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2021.03.030"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001842"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.06.224"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-019-01106-3"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2014.12.001"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001784"},{"key":"e_1_2_7_42_1","unstructured":"Frank FalkR MillerNB.A primer for soft modeling.1992."}],"container-title":["Journal of Magnetic Resonance Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jmri.28789","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,21]],"date-time":"2024-01-21T13:59:20Z","timestamp":1705845560000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jmri.28789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,18]]},"references-count":41,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1002\/jmri.28789"],"URL":"https:\/\/doi.org\/10.1002\/jmri.28789","archive":["Portico"],"relation":{},"ISSN":["1053-1807","1522-2586"],"issn-type":[{"value":"1053-1807","type":"print"},{"value":"1522-2586","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,18]]},"assertion":[{"value":"2023-03-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}