Evidence map›Paper›PMID 25160542›Full record

Observational studyPediatric neurology2014

White matter injury in newborns with congenital heart disease: a diffusion tensor imaging study.

Sarah B Mulkey, Xiawei Ou, Raghu H Ramakrishnaiah, Charles M Glasier, Christopher J Swearingen, Maria S Melguizo, Vivien L Yap, Michael L Schmitz, Adnan T Bhutta

Abstract readObservational Study
In one paragraph

Observational study in Pediatric neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–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.

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

25 citing papers in PubMed.

  1. Review
  2. Intraoperative sodium range affects white matter microstructure in neonatal congenital heart disease.International journal of cardiology. Congenital heart disease · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Fetal brain issues in congenital heart disease.Translational pediatrics · 2021
    Review
  11. Brain MRI Radiomics Analysis of School-Aged Children with Tetralogy of Fallot.Computational and mathematical methods in medicine · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Observational
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

9 authors.

Sarah B MulkeyDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas. Electronic address: mulkeysarah@uams.edu.
Xiawei OuDepartment of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Raghu H RamakrishnaiahDepartment of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Charles M GlasierDepartment of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Christopher J SwearingenDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Maria S MelguizoDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Vivien L YapDepartment of Pediatrics, NewYork-Presbyterian-Weill Cornell Medical College, New York, New York.
Michael L SchmitzDepartment of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Adnan T BhuttaDepartment of Pediatrics, University of Maryland, Baltimore, Maryland.

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR029884 · NCRR · UNIV OF ARKANSAS FOR MED SCIS · PI LOWERY, CURTIS L · 2009 to 2011
$11.4M
Telemedicine CoreP30GM110702 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI GARCIA-RILL, EDGAR E. · 2014 to 2018
$6.1M
Center for Translational NeuroscienceP20GM103425 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI GARCIA-RILL, EDGAR E. · 2012 to 2013
$4.1M
NCRR NIH HHS 1 UL1RR029884NCRR NIH HHS UL1 RR029884NIGMS NIH HHS P20 GM103425NIGMS NIH HHS P30 GM110702
6 · The paper itself

Abstract

backgroundBrain injury is observed on cranial magnetic resonance imaging preoperatively in up to 50% of newborns with congenital heart disease. Newer imaging techniques such as diffusion tensor imaging provide sensitive measures of the white matter integrity. The objective of this study was to evaluate the diffusion tensor imaging analysis technique of tract-based spatial statistics in newborns with congenital heart disease.

methodsTerm newborns with congenital heart disease who would require surgery at less than 1 month of age were prospectively enrolled (n = 19). Infants underwent preoperative and postoperative brain magnetic resonance imaging with diffusion tensor imaging. Tract-based spatial statistics, an objective whole-brain diffusion tensor imaging analysis technique, was used to determine differences in white matter fractional anisotropy between infant groups. Term control infants were also compared with congenital heart disease infants. Postmenstrual age was equivalent between congenital heart disease infant groups and between congenital heart disease and control infants.

resultsTen infants had preoperative brain injury, either infarct or white matter injury, by conventional brain magnetic resonance imaging. The technique of tract-based spatial statistics showed significantly lower fractional anisotropy (P < 0.05, corrected) in multiple major white matter tracts in the infants with preoperative brain injury compared with infants without preoperative brain injury. Fractional anisotropy values increased in the white matter tracts from the preoperative to the postoperative brain magnetic resonance imaging correlating with brain maturation. Control infants had higher fractional anisotropy in multiple white matter tracts compared with infants with congenital heart disease.

conclusionTract-based spatial statistics is a valuable diffusion tensor imaging analysis technique that may have better sensitivity in detecting white matter injury compared with conventional brain magnetic resonance imaging in term newborns with congenital heart disease.

Indexed as

AnisotropyBrainBrain InjuriesDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingHeart DiseasesHumansInfant, NewbornPilot ProjectsProspective StudiesWhite Matterbrain magnetic resonance imagingcongenital heart diseasediffusion tensor imagingfractional anisotropynewborn brain injurytract-based spatial statisticswhite matter injury

Identifiers

PMID25160542
PMCPMC4147255

What OpenQuestion holds

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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.