Evidence map›Paper›PMID 21979494›Full record

ArticleAJNR. American journal of neuroradiology2011

Brain perfusion in asphyxiated newborns treated with therapeutic hypothermia.

P Wintermark, A Hansen, M C Gregas, J Soul, M Labrecque, R L Robertson, S K Warfield

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
12.7field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 1 synthesis or guideline pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Ultrafast Doppler reveals the mapping of cerebral vascular resistivity in neonates.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2014
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  4. Automated core-penumbra quantification in neonatal ischemic brain injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2012
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5 more citing papers are in PubMed but not listed here.

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

7 authors at 1 institution in 1 country.

P WintermarkDepartment of Radiology, Children’s Hospital Boston, Boston, MA, USA. Pia.Wintermark@bluemail.ch
A Hansen
M C Gregas
J Soul
M Labrecque
R L Robertson
S K Warfield
Boston Children's Hospital · US

Funding

SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI POMEROY, SCOTT LOREN · 1985 to 2015
$26.2M
Bioinformatics Software for MRI of Brain DevelopmentR01RR021885 · NCRR · BOSTON CHILDREN'S HOSPITAL · PI WARFIELD, SIMON K · 2006 to 2009
$1.6M
Bioinformatics Tools for Multi-Center Diagnostic TrialsR01GM074068 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI WARFIELD, SIMON K · 2006 to 2008
$666k
Improved Interoperability and Dissemination of Software for Simultaneous Truth anR03EB008680 · NIBIB · BOSTON CHILDREN'S HOSPITAL · PI WARFIELD, SIMON K · 2009 to 2009
$171k
NCRR NIH HHS R01 RR021885NIBIB NIH HHS R03 EB008680NICHD NIH HHS P30 HD018655NIGMS NIH HHS R01 GM074068
6 · The paper itself

Abstract

background and purposeInduced hypothermia is thought to work partly by mitigating reperfusion injury in asphyxiated term neonates. The purpose of this study was to assess brain perfusion in the first week of life in these neonates. MATERIALS AND

methodsIn this prospective cohort study, MR imaging and ASL-PI were used to assess brain perfusion in these neonates. We measured regional CBF values on 1-2 MR images obtained during the first week of life and compared these with values obtained in control term neonates. The same or later MR imaging scans were obtained to define the extent of brain injury.

resultsEighteen asphyxiated and 4 control term neonates were enrolled; 11 asphyxiated neonates were treated with hypothermia. Those developing brain injury despite being treated with induced hypothermia usually displayed hypoperfusion on DOL 1 and then hyperperfusion on DOL 2-3 in brain areas subsequently exhibiting injury. Asphyxiated neonates not treated with hypothermia who developed brain injury also displayed hyperperfusion on DOL 1-6 in brain areas displaying injury.

conclusionsOur data show that ASL-PI may be useful for identifying asphyxiated neonates at risk of developing brain injury, whether or not hypothermia is administered. Because hypothermia for 72 hours may not prevent brain injury when hyperperfusion is found early in the course of neonatal hypoxic-ischemic encephalopathy, such neonates may be candidates for adjustments in their hypothermia therapy or for adjunctive neuroprotective therapies.

Indexed as

Cerebrovascular CirculationAsphyxia NeonatorumBlood Flow VelocityBrainFemaleHumansHypothermia, InducedInfant, NewbornMagnetic Resonance AngiographyMaleReproducibility of ResultsSensitivity and SpecificityTreatment Outcome

Identifiers

PMID21979494
PMCPMC3776305
OpenAlexW2113401056

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.