Evidence map›Paper›PMID 25217469›Full record

ArticleCerebral cortex (New York, N.Y. : 1991)2015

Structural Connectivity Networks of Transgender People.

Andreas Hahn, Georg S Kranz, Martin Küblböck, Ulrike Kaufmann, Sebastian Ganger, Allan Hummer, Rene Seiger, Marie Spies, Dietmar Winkler, Siegfried Kasper and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Cerebral cortex (New York, N.Y. : 1991), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02715232 (Effects of Sex Steroid Hormones on Serotonin Synthesis and Degradation Measured With PET), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–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.

NCT02715232 phase4unknown statusnot on this mapstarted 2017, after this paper: background citation

Effects of Sex Steroid Hormones on Serotonin Synthesis and Degradation Measured With PET

TypeinterventionalSponsorMedical University of ViennaRan2017 to 2020Enrolled92ConditionsGender DysphoriaArmsTestosterone, Lynestrenol, Cyproterone Acetate, Estradiol, Triptorelin acetate
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. The Effects of Testosterone on the Brain of Transgender Men.Androgens: clinical research and therapeutics · 2021
    Review
  9. Characterization of theJournal of clinical medicine · 2021
    Article
  10. Cortical Gyrification in Transgender Individuals.Cerebral cortex (New York, N.Y. : 1991) · 2021
    Article
  11. Observational
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Making Sense of Connectivity.The international journal of neuropsychopharmacology · 2019
    Review
  18. What has sex got to do with it? The role of hormones in the transgender brain.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019
    Review
  19. Health considerations for transgender women and remaining unknowns: a narrative review.Therapeutic advances in endocrinology and metabolism · 2019
    Review
  20. 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

13 authors.

Andreas HahnDepartment of Psychiatry and Psychotherapy.
Georg S KranzDepartment of Psychiatry and Psychotherapy.
Martin KüblböckMR Center of Excellence, Center for Medical Physics and Biomedical Engineering.
Ulrike KaufmannDepartment of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria.
Sebastian GangerDepartment of Psychiatry and Psychotherapy.
Allan HummerMR Center of Excellence, Center for Medical Physics and Biomedical Engineering.
Rene SeigerDepartment of Psychiatry and Psychotherapy.
Marie SpiesDepartment of Psychiatry and Psychotherapy.
Dietmar WinklerDepartment of Psychiatry and Psychotherapy.
Siegfried KasperDepartment of Psychiatry and Psychotherapy.
Christian WindischbergerMR Center of Excellence, Center for Medical Physics and Biomedical Engineering.
Dick F SwaabNetherlands Institute for Neuroscience, Institute of the Royal Netherlands Academy of Arts and Sciences, Amsterdam, The Netherlands.
Rupert LanzenbergerDepartment of Psychiatry and Psychotherapy.

Funding

Austrian Science Fund FWF P 23021
6 · The paper itself

Abstract

Although previous investigations of transsexual people have focused on regional brain alterations, evaluations on a network level, especially those structural in nature, are largely missing. Therefore, we investigated the structural connectome of 23 female-to-male (FtM) and 21 male-to-female (MtF) transgender patients before hormone therapy as compared with 25 female and 25 male healthy controls. Graph theoretical analysis of whole-brain probabilistic tractography networks (adjusted for differences in intracranial volume) showed decreased hemispheric connectivity ratios of subcortical/limbic areas for both transgender groups. Subsequent analysis revealed that this finding was driven by increased interhemispheric lobar connectivity weights (LCWs) in MtF transsexuals and decreased intrahemispheric LCWs in FtM patients. This was further reflected on a regional level, where the MtF group showed mostly increased local efficiencies and FtM patients decreased values. Importantly, these parameters separated each patient group from the remaining subjects for the majority of significant findings. This work complements previously established regional alterations with important findings of structural connectivity. Specifically, our data suggest that network parameters may reflect unique characteristics of transgender patients, whereas local physiological aspects have been shown to represent the transition from the biological sex to the actual gender identity.

Indexed as

Gender DysphoriaAdultBrainDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingFemaleHumansMaleNerve NetNeural PathwaysTransgender PersonsYoung Adultgraph theoryprobabilistic tractographystructural connectivitytransgender

Identifiers

PMID25217469
PMCPMC4585501

What OpenQuestion holds

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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.