Evidence map›Paper›PMID 23526799›Full record

Trial reportJournal of magnetic resonance imaging : JMRI2013

BOLD fMRI in infants under sedation: Comparing the impact of pentobarbital and propofol on auditory and language activation.

Mark W DiFrancesco, Sara A Robertson, Prasanna Karunanayaka, Scott K Holland

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of magnetic resonance imaging : JMRI, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

19 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Is Orally Administered Pentobarbital a Safe and Effective Alternative to Chloral Hydrate for Pediatric Procedural Sedation?The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG
    Article
  19. 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

4 authors at 2 institutions in 1 country.

Mark W DiFrancescoCincinnati Children's Hospital Medical Center, Pediatric Neuroimaging Research Consortium, Cincinnati, Ohio, USA.
Sara A Robertson
Prasanna Karunanayaka
Scott K Holland
Cincinnati Children's Hospital Medical Center · USPennsylvania State University · US

Funding

FMRI OF NORMAL LANGUAGE DEVELOPMENT IN CHILDRENR01HD038578 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI HOLLAND, SCOTT K. · 2000 to 2010
$2.5M
fMRI, Genes and Outcome for Cochlear Implants in InfantsR01DC007186 · NIDCD · CINCINNATI CHILDRENS HOSP MED CTR · PI HOLLAND, SCOTT K. · 2005 to 2009
$2.4M
NICHD NIH HHS R01 HD038578NICHD NIH HHS R01-HD38578NIDCD NIH HHS R01 DC007186NIDCD NIH HHS R01-DC07186
6 · The paper itself

Abstract

purposeTo elucidate differences in the disruption of language network function, as measured by blood oxygenation level-dependent (BOLD) contrast functional MRI (fMRI), attributable to two common sedative agents administered to infants under clinical imaging protocols. MATERIALS AND

methodsThe sedatives pentobarbital (Nembutal) and Propofol, administered clinically to infants at 1 year of age, were compared with respect to BOLD activation profiles in response to passive story-listening stimulation. An intermittent event-related imaging protocol was used with which the temporal evolution of language processing resulting from this stimulation was explored.

resultsPropofol and Nembutal were found to have distinct and complementary responses to story-listening. Propofol exhibited more activation in higher processing networks with increasing response toward the end of narrative stimulus. Nembutal, in contrast, had much more robust activation of primary and secondary sensory cortices but a decreasing response over time in fronto-parietal default-mode regions. This may suggest a breakdown of top-down feedback for Propofol versus the lack of bottom-up feed-forward processing for Nembutal.

conclusionTwo popular sedative agents for use in children for clinical fMRI were found to induce distinct alteration of activation patterns from a language stimulus. This has ramifications for clinical fMRI of sedated infants and encourages further study to build a framework for more confident interpretation.

Indexed as

LanguageBrain MappingFemaleHumansHypnotics and SedativesInfantMagnetic Resonance ImagingMalePentobarbitalPropofolSomatosensory CortexSpeech PerceptionHypnotics and SedativesPentobarbitalPropofolanesthesiafMRIinfantslanguagePentobarbitalPropofolsedation

Identifiers

PMID23526799
PMCPMC3695003
OpenAlexW1688621005

What OpenQuestion holds

Textmetadata
LicenceTDM
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.