Evidence map›Paper›PMID 24619953›Full record

Trial reportPediatric blood & cancer2014

Altered resting state functional connectivity in young survivors of acute lymphoblastic leukemia.

Shelli R Kesler, Meike Gugel, Mika Pritchard-Berman, Clement Lee, Emily Kutner, S M Hadi Hosseini, Gary Dahl, Norman Lacayo

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Pediatric blood & cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
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  13. Functional connectome biotypes of chemotherapy-related cognitive impairment.Journal of cancer survivorship : research and practice · 2020
    Article
  14. Article
  15. Pediatric cancer, posttraumatic stress and fear-related neural circuitry.International journal of hematologic oncology · 2019
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Neurocognitive Outcomes and Interventions in Long-Term Survivors of Childhood Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Review
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

8 authors at 2 institutions in 1 country.

Shelli R KeslerDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Meike Gugel
Mika Pritchard-Berman
Clement Lee
Emily Kutner
S M Hadi Hosseini
Gary Dahl
Norman Lacayo
Stanford University · USLucile Packard Children's Hospital · US

Funding

Neurobiologic Mechanisms of Cognitive Dysfunction and Decline in MedulloblastomaK07CA134639 · NCI · STANFORD UNIVERSITY · PI KESLER, SHELLI R · 2009 to 2013
$823k
NCI NIH HHS K07 CA134639
6 · The paper itself

Abstract

backgroundChemotherapy treatment for pediatric acute lymphoblastic leukemia (ALL) has been associated with long-term cognitive impairments in some patients. However, the neurobiologic mechanisms underlying these impairments, particularly in young survivors, are not well understood. This study aimed to examine intrinsic functional brain connectivity in pediatric ALL and its relationship with cognitive status. PROCEDURE: We obtained resting state functional magnetic resonance imaging (rsfMRI) and cognitive testing data from 15 ALL survivors age 8-15 years and 14 matched healthy children. The ALL group had a history of intrathecal chemotherapy treatment but were off-therapy for at least 6 months at the time of enrollment. We used seed-based analyses to compare intrinsic functional brain network connectivity between the groups. We also explored correlations between connectivity and cognitive performance, demographic, medical, and treatment variables.

resultsWe demonstrated significantly reduced connectivity between bilateral hippocampus, left inferior occipital, left lingual gyrus, bilateral calcarine sulcus, and right amygdala in the ALL group compared to controls. The ALL group also showed regions of functional hyperconnectivity including right lingual gyrus, precuneus, bilateral superior occipital lobe, and right inferior occipital lobe. Functional hypoconnectivity was associated with reduced cognitive function as well as younger age at diagnosis in the ALL group.

conclusionsThis is the first study to demonstrate that intrinsic functional brain connectivity is disrupted in pediatric ALL following chemotherapy treatment. These results help explain cognitive dysfunction even when objective test performance is seemingly normal. Children diagnosed at a younger age may show increased vulnerability to altered functional brain connectivity.

Indexed as

CognitionSurvivorsAdolescentBrainChildCognition DisordersFemaleHumansMaleNerve NetPrecursor Cell Lymphoblastic Leukemia-LymphomachemotherapycognitionfMRIleukemiaresting state

Identifiers

PMID24619953
PMCPMC4028071
OpenAlexW1543276344

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.