Evidence map›Paper›PMID 20547639›Full record

Trial reportPediatrics2010

Incidental findings on brain magnetic resonance imaging of children with sickle cell disease.

Lori C Jordan, Robert C McKinstry, Michael A Kraut, William S Ball, Bruce A Vendt, James F Casella, Michael R DeBaun, John J Strouse, Silent Infarct Transfusion Trial Investigators

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00072761 (Silent Cerebral Infarct Transfusion Multi-Center Clinical Trial), which is not on this map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 12% of its field
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.

NCT00072761 phase3completednot on this map

Silent Cerebral Infarct Transfusion Multi-Center Clinical Trial

TypeinterventionalSponsorWashington University School of MedicineRan2004 to 2013Enrolled196ConditionsSickle Cell Anemia, StrokeArmstransfusion therapy
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Review
  7. Isolated Propriospinal Myoclonus as a Presentation of Cervical Myelopathy.Tremor and other hyperkinetic movements (New York, N.Y.) · 2018
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Neuroimaging findings in sickle cell disease.The British journal of radiology · 2014
    Review
  13. Article
  14. Neuroethical issues in clinical neuroscience research.Handbook of clinical neurology · 2013
    Review
  15. Article
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

9 authors at 5 institutions in 1 country.

Lori C JordanDepartment of Neurology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Robert C McKinstry
Michael A Kraut
William S Ball
Bruce A Vendt
James F Casella
Michael R DeBaun
John J Strouse
Silent Infarct Transfusion Trial Investigators
Johns Hopkins University · USCincinnati Children's Hospital Medical Center · USMallinckrodt (United States) · USSt. Louis Children's Hospital · USUniversity Radiology · US

Funding

Silent Cerebral Infarct Multi-Center Clinical TrialU01NS042804 · NINDS · WASHINGTON UNIVERSITY · PI DEBAUN, MICHAEL R. · 2003 to 2010
$20.7M
Predictors of recovery from intracerebral hemorrhage in childrenK23NS062110 · NINDS · VANDERBILT UNIVERSITY · PI JORDAN, LORI CHAFFIN · 2008 to 2012
$884k
Predictors of Cognitive Deficits in Sickle Cell DiseaseK23HL078819 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI STROUSE, JOHN J · 2007 to 2011
$695k
NHLBI NIH HHS K23 HL078819NHLBI NIH HHS K23HL078819NINDS NIH HHS K23 NS062110NINDS NIH HHS K23NS062110NINDS NIH HHS U01 NS042804NINDS NIH HHS U01-NS-042804
6 · The paper itself

Abstract

objectiveWe describe the prevalence and range of incidental intracranial abnormalities identified through MRI of the brain in a large group of children screened for a clinical trial.

methodsWe included 953 children between 5 and 14 years of age who were screened with MRI of the brain for the Silent Infarct Transfusion Trial. All had sickle cell anemia or sickle beta-null thalassemia. MRI scans were interpreted by 3 neuroradiologists. MRI scans reported to have any abnormality were reviewed by 2 study neuroradiologists. Incidental findings were classified into 4 categories, that is, no, routine, urgent, or immediate referral recommended. Cerebral infarctions and vascular lesions were not considered incidental and were excluded.

resultsWe identified 63 children (6.6% [95% confidence interval: 5.1%-8.4%]) with 68 incidental intracranial MRI findings. Findings were classified as urgent in 6 cases (0.6%), routine in 25 cases (2.6%), and no referral required in 32 cases (3.4%). No children required immediate referral. Two children with urgent findings underwent surgery in the subsequent 6 months.

conclusionIn this large cohort of children, incidental intracranial findings were identified for 6.6%, with potentially serious or urgent findings for 0.6%.

Indexed as

Incidental FindingsMagnetic Resonance ImagingAdolescentAnemia, Sickle CellBrainBrain DiseasesCerebral InfarctionChildChild, PreschoolConfidence IntervalsFemaleFollow-Up StudiesHumansMaleMass ScreeningPatient Selection

Identifiers

PMID20547639
PMCPMC3153884
OpenAlexW2159060698

What OpenQuestion holds

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LicenceTDM
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Registered trials

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.