Evidence map›Paper›PMID 23478641›Full record

ArticlePediatric research2013

Quantification of white matter injury following neonatal stroke with serial DTI.

Niek E van der Aa, Frances J Northington, Brian S Stone, Floris Groenendaal, Manon J N L Benders, Giorgio Porro, Shoko Yoshida, Susumu Mori, Linda S de Vries, Jiangyang Zhang

Registry-linked trialAbstract read
In one paragraph

Article in Pediatric research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05013736 (Perinatal Stroke), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05013736 recruitingnot on this mapstarted 2022, after this paper: background citation

Perinatal Stroke: Longitudinal Assessment of Infant Brain Organization and Recovery Through Neuroexcitability, Neuroimaging and Motor Development

TypeobservationalSponsorUniversity of Wisconsin, MadisonRan2022 to 2026Enrolled65ConditionsPerinatal StrokeArmsMagnetic Resonance Imaging, Behavioral Assessments, Non invasive Transcranial Magnetic Stimulation
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Intraoperative sodium range affects white matter microstructure in neonatal congenital heart disease.International journal of cardiology. Congenital heart disease · 2026
    Article
  5. Review
  6. Article
  7. Cerebral ischemia in the developing brain.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Left-hemispheric microstructural abnormalities in children with high-functioning autism spectrum disorder.Autism research : official journal of the International Society for Autism Research · 2015
    Article
  17. Article
  18. 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

10 authors.

Niek E van der AaDepartment of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Frances J Northington
Brian S Stone
Floris Groenendaal
Manon J N L Benders
Giorgio Porro
Shoko Yoshida
Susumu Mori
Linda S de Vries
Jiangyang Zhang

Funding

Imaging Neonatal Hypoxic Ischemic InjuryR01HD074593 · NICHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI FRANCES J NORTHINGTON, JIANGYANG ZHANG · 2013 to 2026
$6.8M
In vivo Imaging of Hypoxic-Ischemic Encephalopathy in Neonatal MiceR21NS059529 · NINDS · JOHNS HOPKINS UNIVERSITY · PI ZHANG, JIANGYANG · 2008 to 2009
$395k
NICHD NIH HHS R01 HD074593NINDS NIH HHS NS 059529NINDS NIH HHS R21 NS059529
6 · The paper itself

Abstract

backgroundDiffusion tensor imaging (DTI) can be used to predict outcome following perinatal arterial ischemic stroke (PAIS), although little is known about white matter changes over time.

methodsInfants with PAIS were serially scanned in the neonatal period (n = 15), at 3 mo (n = 16), and at 24 mo (n = 8). Fractional anisotropy (FA) values in five regions of interest (anterior and posterior limb of the internal capsule, corpus callosum, optic radiation, and posterior thalamic radiation) were obtained and compared with FA values of healthy controls and neurodevelopmental outcome.

resultsIn the neonatal period, no differences in FA values were found. At 3 mo, the six infants who ultimately developed motor deficits showed lower FA values in all affected regions. Four infants developed a visual field defect and showed lower FA values in the affected optic radiation at 3 mo (0.22 vs. 0.29; P = 0.03). Finally, a correlation between FA values of the corpus callosum at 3 mo and the Griffiths developmental quotients was found (r = 0.66; P = 0.03). At 24 mo, a similar pattern was observed.

conclusionNeonatal FA measurements may underestimate the extent of injury following PAIS. FA measurements at 3 mo could be considered a more reliable predictor of neurodevelopmental outcome and correlate with DTI findings at 24 mo.

Indexed as

Child, PreschoolDiffusion Tensor ImagingFollow-Up StudiesHumansInfantInfant, NewbornInfant, Newborn, DiseasesLeukoencephalopathiesStrokeVisual Fields

Identifiers

PMID23478641
PMCPMC6117163

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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.