Evidence map›Paper›PMID 25128595›Full record

ArticleAmerican journal of ophthalmology2014

The role of magnetic resonance imaging in diagnosing optic nerve hypoplasia.

Phoebe D Lenhart, Nilesh K Desai, Beau B Bruce, Amy K Hutchinson, Scott R Lambert

Open access · greenAbstract read
In one paragraph

Article in American journal of ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 29 citations in OpenAlex.

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  12. Quantitative characterization of optic nerve atrophy in patients with multiple sclerosis.Multiple sclerosis journal - experimental, translational and clinical
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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

5 authors at 2 institutions in 1 country.

Phoebe D LenhartDepartment of Ophthalmology, Division of Pediatric Ophthalmology and Strabismus, Emory University School of Medicine, Emory Eye Center, Atlanta, Georgia. Electronic address: phoebe.lenhart@emory.edu.
Nilesh K DesaiDepartment of Radiology, Division of Neuroradiology, Emory University School of Medicine, Atlanta, Georgia.
Beau B BruceDepartment of Ophthalmology, Division of Neuro-Ophthalmology, Emory University School of Medicine, Emory Eye Center, Atlanta, Georgia; Department of Epidemiology, Rollins School of Public Health and Laney Graduate School, Emory University, Atlanta, Georgia.
Amy K HutchinsonDepartment of Ophthalmology, Division of Pediatric Ophthalmology and Strabismus, Emory University School of Medicine, Emory Eye Center, Atlanta, Georgia.
Scott R LambertDepartment of Ophthalmology, Division of Pediatric Ophthalmology and Strabismus, Emory University School of Medicine, Emory Eye Center, Atlanta, Georgia.
Emory University · USEmory Eye Center · US

Funding

P30-Core Grant for Vision Research Core CP30EY006360 · NEI · EMORY UNIVERSITY · PI GROSSNIKLAUS, HANS E. · 1986 to 2025
$15.3M
Ocular fundus photos in the emergency room: a new application for telemedicine?K23EY019341 · NEI · EMORY UNIVERSITY · PI BRUCE, BEAU BENJAMIN · 2010 to 2014
$718k
NEI NIH HHS K23 EY019341NEI NIH HHS K23EY019341NEI NIH HHS P30 EY006360NEI NIH HHS P30EY006360
6 · The paper itself

Abstract

purposeTo establish objective lower limits of normal optic nerve (ON) size in children based on high-resolution orbital magnetic resonance imaging (MRI).

designCase-control study of patients with ON hypoplasia vs normal controls.

methodsA neuroradiologist made 4 measurements of each ON at 2 locations (5 mm posterior to the optic disc and just posterior to the optic canal) in patients with ON hypoplasia and controls aged 0-17 years from an academic eye center and children's hospital. Primary analyses were performed using mixed linear models.

resultsMeasurements were made in 26 cases of clinically confirmed ON hypoplasia and 31 controls (median age: ON hypoplasia, 1 year; controls, 5.5 years). Nine of 26 cases (35%) and 19 of 31 controls (61%) underwent high-resolution T2-weighted imaging of the orbits. Mean ON diameter was 1.36 mm (95% CI: 1.19-1.54; P < .001) smaller for clinically hypoplastic ONs than for controls. Optic nerve diameter increased by 0.05 mm per year of age (95% CI: 0.03-0.07; P < .001). A lower bound to the 95% prediction interval for normal optic nerves was (2.24 mm + 0.052 × [age in years]) mm and excluded all but 1 case.

conclusionsAge was independently associated with normal ON size by MRI and should be taken into consideration when evaluating ON hypoplasia, based on MRI criteria. We have provided a formula to assist clinicians in objectively determining if ON hypoplasia is present.

Indexed as

Diagnostic Techniques, OphthalmologicalMagnetic Resonance ImagingAdolescentCase-Control StudiesChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleOptic DiskOptic NerveOptic Nerve DiseasesRetrospective Studies

Identifiers

PMID25128595
PMCPMC4252492
OpenAlexW1971465220

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.