Evidence map›Paper›PMID 25506943›Full record

ArticlePloS one2014

Identification of neonatal white matter on DTI: influence of more inclusive thresholds for atlas segmentation.

Rachel L Vassar, Naama Barnea-Goraly, Jessica Rose

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Rachel L VassarDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, United States of America; Neonatal Neuroimaging Laboratory, Stanford University School of Medicine, Stanford, CA, United States of America.
Naama Barnea-GoralyDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, United States of America; Neonatal Neuroimaging Laboratory, Stanford University School of Medicine, Stanford, CA, United States of America; Center for Interdisciplinary Brain Sciences Research, Stanford University School of Medicine, Stanford, CA, United States of America.
Jessica RoseDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, United States of America; Neonatal Neuroimaging Laboratory, Stanford University School of Medicine, Stanford, CA, United States of America.
Stanford University · US

Funding

Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
Stanford Center for Clinical and Translational Education and Research (SCCTER)UL1UL1RR025744 · NCRR · STANFORD UNIVERSITY · PI GREENBERG, HARRY BERNARD · 2008 to 2011
$22.4M
NCATS NIH HHS UL1 TR001085NCRR NIH HHS 1UL1 RR025744NCRR NIH HHS UL1 RR025744
6 · The paper itself

Abstract

purposeSemi-automated diffusion tensor imaging (DTI) analysis of white matter (WM) microstructure offers a clinically feasible technique to assess neonatal brain development and provide early prognosis, but is limited by variable methods and insufficient evidence regarding optimal parameters. The purpose of this research was to investigate the influence of threshold values on semi-automated, atlas-based brain segmentation in very-low-birth-weight (VLBW) preterm infants at near-term age. MATERIALS AND

methodsDTI scans were analyzed from 45 VLBW preterm neonates at near-term-age with no brain abnormalities evident on MRI. Brain regions were selected with a neonatal brain atlas and threshold values: trace <0.006 mm2/s, fractional anisotropy (FA)>0.15, FA>0.20, and FA>0.25. Relative regional volumes, FA, axial diffusivity (AD), and radial diffusivity (RD) were compared for twelve WM regions.

resultsNear-term brain regions demonstrated differential effects from segmentation with the three FA thresholds. Regional DTI values and volumes selected in the PLIC, CereP, and RLC varied the least with the application of different FA thresholds. Overall, application of higher FA thresholds significantly reduced brain region volume selected, increased variability, and resulted in higher FA and lower RD values. The lower threshold FA>0.15 selected 78±21% of original volumes segmented by the atlas, compared to 38±12% using threshold FA>0.25.

conclusionResults indicate substantial and differential effects of atlas-based DTI threshold parameters on regional volume and diffusion scalars. A lower, more inclusive FA threshold than typically applied for adults is suggested for consistent analysis of WM regions in neonates.

Indexed as

AnisotropyBrainDiffusion Tensor ImagingFemaleHumansInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightMagnetic Resonance ImagingMaleWhite Matter

Identifiers

PMID25506943
PMCPMC4266649
OpenAlexW2054531249

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.