Accuracy, Repeatability, and Reproducibility of a Radiographic Technique to Assess Spinal Cord Stimulation Lead Position: A Validation Study

Quantitative Biology > Other Quantitative Biology [Submitted on 15 Jun 2026] Title:Accuracy, Repeatability, and Reproducibility of a Radiographic Technique to Assess Spinal Cord Stimulation Lead Position: A Validation Study View PDFAbstract:Spinal cord stimulation with implantable leads is a valuable therapy used to treat a variety of chronic pain conditions. However, lead migration is a common complication causing loss of efficacy. Previous reports have characterized lead migration using radiographs, but methods are not consistent and lack rigorous validation. The purpose of this study was to develop a technique to perform radiographic measurements of the position of epidural spinal cord leads within the lumbosacral spinal canal and establish its accuracy, repeatability, and reproducibility. Computed tomography scans were acquired from three clinical trial participants implanted percutaneously with two eight-contact cylindrical leads; from these, electrode positions were established using three-dimensional measurements, and digitally reconstructed radiographs were created. Two operators applied a digitization and measurement protocol for each lead. Bland-Altman plots were created to determine smallest detectable change, and a gage repeatability and reproducibility analysis was performed. Smallest detectable change was found to be less than the distance between adjacent electrodes and variability introduced by repeatability and reproducibility was less than 10% of the total study variability. We conclude that the method developed to measure lead electrode position has sufficient accuracy and acceptable repeatability and reproducibility. References & Citations Loading... Bibliographic and Citation Tools Bibliographic Explorer (What is the Explorer?) Connected Papers (What is Connected Papers?) Litmaps (What is Litmaps?) scite Smart Citations (What are Smart Citations?) Code, Data and Media Associated with this Article alphaXiv (What is alphaXiv?) CatalyzeX Code Finder for Papers (What is CatalyzeX?) DagsHub (What is DagsHub?) Gotit.pub (What is GotitPub?) Hugging Face (What is Huggingface?) ScienceCast (What is ScienceCast?) Demos Recommenders and Search Tools Influence Flower (What are Influence Flowers?) CORE Recommender (What is CORE?) arXivLabs: experimental projects with community collaborators arXivLabs is a framework that allows collaborators to develop and share new arXiv features directly on our website. Both individuals and organizations that work with arXivLabs have embraced and accepted our values of openness, community, excellence, and user data privacy. arXiv is committed to these values and only works with partners that adhere to them. Have an idea for a project that will add value for arXiv's community? Learn more about arXivLabs.