Evidence map›Paper›PMID 25572951›Full record

ArticleAJNR. American journal of neuroradiology2015

Clinical utility of arterial spin-labeling as a confirmatory test for suspected brain death.

K M Kang, T J Yun, B-W Yoon, B S Jeon, S H Choi, J-H Kim, J E Kim, C-H Sohn, M H Han

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 14 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

9 authors at 1 institution in 1 country.

K M KangFrom the Institute of Radiation Medicine (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.), Seoul National University Medical Research Center, Seoul, Republic of Korea Departments of Radiology (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.).
T J YunFrom the Institute of Radiation Medicine (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.), Seoul National University Medical Research Center, Seoul, Republic of Korea Departments of Radiology (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.) radiologyyun@gmail.com.
B-W YoonNeurology (B.-W.Y., B.S.J.) Clinical Research Center for Stroke (B.-W.Y., B.S.J.), Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea.
B S JeonNeurology (B.-W.Y., B.S.J.) Clinical Research Center for Stroke (B.-W.Y., B.S.J.), Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea.
S H ChoiFrom the Institute of Radiation Medicine (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.), Seoul National University Medical Research Center, Seoul, Republic of Korea Departments of Radiology (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.).
J-H KimFrom the Institute of Radiation Medicine (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.), Seoul National University Medical Research Center, Seoul, Republic of Korea Departments of Radiology (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.).
J E KimNeurosurgery (J.E.K.).
C-H SohnFrom the Institute of Radiation Medicine (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.), Seoul National University Medical Research Center, Seoul, Republic of Korea Departments of Radiology (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.).
M H HanFrom the Institute of Radiation Medicine (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.), Seoul National University Medical Research Center, Seoul, Republic of Korea Departments of Radiology (K.M.K., T.J.Y., S.H.C., J.-h.K., C.-H.S., M.H.H.).
Seoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diagnosis of brain death is made on the basis of 3 essential findings: coma, absence of brain stem reflexes, and apnea. Although confirmatory tests are not mandatory in most situations, additional testing may be necessary to declare brain death in patients in whom results of specific components of clinical testing cannot be reliably evaluated. Recently, arterial spin-labeling has been incorporated as part of MR imaging to evaluate cerebral perfusion. Advantages of arterial spin-labeling include being completely noninvasive and providing information about absolute CBF. We retrospectively reviewed arterial spin-labeling findings according to the following modified criteria based on previously established confirmatory tests to determine brain death: 1) extremely decreased perfusion in the whole brain, 2) bright vessel signal intensity around the entry of the carotid artery to the skull, 3) patent external carotid circulation, and 4) "hollow skull sign" in a series of 5 patients. Arterial spin-labeling findings satisfied the criteria for brain death in all patients. Arterial spin-labeling imaging has the potential to be a completely noninvasive confirmatory test to provide additional information to assist in the diagnosis of brain death.

Indexed as

Spin LabelsAgedBrain DeathFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesSpin Labels

Identifiers

PMID25572951
PMCPMC7990594
OpenAlexW2096503762

What OpenQuestion holds

Textmetadata
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.