Evidence map›Paper›PMID 25161892›Full record

ArticleNeuroImage. Clinical2014

Mapping cortical haemodynamics during neonatal seizures using diffuse optical tomography: a case study.

Harsimrat Singh, Robert J Cooper, Chuen Wai Lee, Laura Dempsey, Andrea Edwards, Sabrina Brigadoi, Dimitrios Airantzis, Nick Everdell, Andrew Michell, David Holder and 2 more

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in NeuroImage. Clinical, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04347590 (Impact of Continuous Glucose Monitoring on Cerebral Oxygenation in Preterm Infants), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 5% 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.

NCT04347590 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Impact of Continuous Glucose Monitoring on Cerebral Oxygenation in Preterm Infants (the Babyglucolight Trial)

TypeinterventionalSponsorUniversity Hospital PadovaRan2020 to 2025Enrolled60ConditionsInfant Development, Hypoglycemia Neonatal, Neurodevelopmental AbnormalityArmsUnblinded - CGM (Medtronic Guardian), Blinded - CGM (Medtronic Guardian)
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  13. Neonatal NIRS monitoring: recommendations for data capture and review of analytics.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Review
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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

12 authors at 4 institutions in 2 countries.

Harsimrat SinghneoLAB, The Evelyn Perinatal Imaging Centre, Rosie Hospital, Cambridge CB2 0QQ, UK ; Department of Medical Physics and Bioengineering, University College London, London WC1E 6BT, UK.
Robert J CooperneoLAB, The Evelyn Perinatal Imaging Centre, Rosie Hospital, Cambridge CB2 0QQ, UK ; Department of Medical Physics and Bioengineering, University College London, London WC1E 6BT, UK.
Chuen Wai LeeneoLAB, The Evelyn Perinatal Imaging Centre, Rosie Hospital, Cambridge CB2 0QQ, UK ; Neonatal Unit, Rosie Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
Laura DempseyneoLAB, The Evelyn Perinatal Imaging Centre, Rosie Hospital, Cambridge CB2 0QQ, UK ; Department of Medical Physics and Bioengineering, University College London, London WC1E 6BT, UK.
Andrea EdwardsneoLAB, The Evelyn Perinatal Imaging Centre, Rosie Hospital, Cambridge CB2 0QQ, UK ; Neonatal Unit, Rosie Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
Sabrina BrigadoiDepartment of Developmental Psychology, University of Padova, Padova, Italy.
Dimitrios AirantzisDepartment of Medical Physics and Bioengineering, University College London, London WC1E 6BT, UK.
Nick EverdellneoLAB, The Evelyn Perinatal Imaging Centre, Rosie Hospital, Cambridge CB2 0QQ, UK ; Department of Medical Physics and Bioengineering, University College London, London WC1E 6BT, UK.
Andrew MichellneoLAB, The Evelyn Perinatal Imaging Centre, Rosie Hospital, Cambridge CB2 0QQ, UK ; Department of Neurophysiology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
David HolderneoLAB, The Evelyn Perinatal Imaging Centre, Rosie Hospital, Cambridge CB2 0QQ, UK ; Department of Medical Physics and Bioengineering, University College London, London WC1E 6BT, UK.
Jeremy C HebdenneoLAB, The Evelyn Perinatal Imaging Centre, Rosie Hospital, Cambridge CB2 0QQ, UK ; Department of Medical Physics and Bioengineering, University College London, London WC1E 6BT, UK.
Topun AustinneoLAB, The Evelyn Perinatal Imaging Centre, Rosie Hospital, Cambridge CB2 0QQ, UK ; Neonatal Unit, Rosie Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
Rosie Hospital · GBUniversity College London · GBCambridge University Hospitals NHS Foundation Trust · GBUniversity of Padua · IT

Funding

Medical Research Council MR/K00767X/1
6 · The paper itself

Abstract

Seizures in the newborn brain represent a major challenge to neonatal medicine. Neonatal seizures are poorly classified, under-diagnosed, difficult to treat and are associated with poor neurodevelopmental outcome. Video-EEG is the current gold-standard approach for seizure detection and monitoring. Interpreting neonatal EEG requires expertise and the impact of seizures on the developing brain remains poorly understood. In this case study we present the first ever images of the haemodynamic impact of seizures on the human infant brain, obtained using simultaneous diffuse optical tomography (DOT) and video-EEG with whole-scalp coverage. Seven discrete periods of ictal electrographic activity were observed during a 60 minute recording of an infant with hypoxic-ischaemic encephalopathy. The resulting DOT images show a remarkably consistent, high-amplitude, biphasic pattern of changes in cortical blood volume and oxygenation in response to each electrographic event. While there is spatial variation across the cortex, the dominant haemodynamic response to seizure activity consists of an initial increase in cortical blood volume prior to a large and extended decrease typically lasting several minutes. This case study demonstrates the wealth of physiologically and clinically relevant information that DOT-EEG techniques can yield. The consistency and scale of the haemodynamic responses observed here also suggest that DOT-EEG has the potential to provide improved detection of neonatal seizures.

Indexed as

BrainBrain MappingElectroencephalographyHemodynamicsHumansHypoxia-Ischemia, BrainImage Interpretation, Computer-AssistedInfant, NewbornMagnetic Resonance ImagingSeizuresSignal Processing, Computer-AssistedSpectroscopy, Near-InfraredTomography, OpticalDiffuse optical tomography (DOT)Functional near infrared spectroscopy (fNIRS)Hypoxic–ischaemic encephalopathy (HIE)Neonatal seizures

Identifiers

PMID25161892
PMCPMC4141980
OpenAlexW2058637980

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.