Evidence map›Paper›PMID 25685710›Full record

Trial reportNeuroImage. Clinical2015

Relationship of white matter network topology and cognitive outcome in adolescents with d-transposition of the great arteries.

Ashok Panigrahy, Vincent J Schmithorst, Jessica L Wisnowski, Christopher G Watson, David C Bellinger, Jane W Newburger, Michael J Rivkin

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in NeuroImage. Clinical, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 6 institutions in 1 country.

Ashok PanigrahyDepartment of Pediatric Radiology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, CA, USA ; Department of Radiology and Bioinformatics, University of Pittsburgh, Pittsburgh, CA, USA ; Department of Radiology, Children's Hospital Los Angeles, CA, USA ; Brain and Creativity Institute, University of Southern California, CA, USA.
Vincent J SchmithorstDepartment of Pediatric Radiology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, CA, USA.
Jessica L WisnowskiDepartment of Pediatric Radiology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, CA, USA ; Department of Radiology, Children's Hospital Los Angeles, CA, USA ; Brain and Creativity Institute, University of Southern California, CA, USA.
Christopher G WatsonDepartment of Neurology, Boston Children's Hospital, Boston, MA, USA ; Graduate Program for Neuroscience, Boston University, Boston, MA, USA.
David C BellingerDepartment of Neurology, Boston Children's Hospital, Boston, MA, USA.
Jane W NewburgerDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA ; Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Michael J RivkinDepartment of Neurology, Boston Children's Hospital, Boston, MA, USA ; Department of Psychiatry, Boston Children's Hospital, Boston, MA, USA ; Department of Radiology, Boston Children's Hospital, Boston, MA, USA ; Department of Neurology, Harvard Medical School, Boston, MA, USA.
Harvard University · USBoston Children's Hospital · USBoston University · USChildren's Hospital of Los Angeles · USChildren's Hospital of Pittsburgh · USUniversity of Southern California · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Outcomes in Adolescence after Repair of d-TGAR01HL077681 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI NEWBURGER, JANE W. · 2004 to 2008
$3.1M
Advanced MR Imaging of Perinatal White Matter InjuryK23NS063371 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PANIGRAHY, ASHOK · 2009 to 2013
$846k
NCRR NIH HHS UL1 RR025758NHLBI NIH HHS R01 HL77681NINDS NIH HHS K23 NS063371PHS HHS NINDS K23063371
6 · The paper itself

Abstract

Patients with congenital heart disease (CHD) are at risk for neurocognitive impairments. Little is known about the impact of CHD on the organization of large-scale brain networks. We applied graph analysis techniques to diffusion tensor imaging (DTI) data obtained from 49 adolescents with dextro-transposition of the great arteries (d-TGA) repaired with the arterial switch operation in early infancy and 29 healthy referent adolescents. We examined whether differences in neurocognitive functioning were related to white matter network topology. We developed mediation models revealing the respective contributions of peri-operative variables and network topology on cognitive outcome. Adolescents with d-TGA had reduced global efficiency at a trend level (p = 0.061), increased modularity (p = 0.012), and increased small-worldness (p = 0.026) as compared to controls. Moreover, these network properties mediated neurocognitive differences between the d-TGA and referent adolescents across every domain assessed. Finally, structural network topology mediated the neuroprotective effect of longer duration of core cooling during reparative neonatal cardiac surgery, as well as the detrimental effects of prolonged hospitalization. Taken together, worse neurocognitive function in adolescents with d-TGA is mediated by global differences in white matter network topology, suggesting that disruption of this configuration of large-scale networks drives neurocognitive dysfunction. These data provide new insights into the interplay between perioperative factors, brain organization, and cognition in patients with complex CHD.

Indexed as

BrainCognition DisordersDiffusion Tensor ImagingFemaleHumansImage Processing, Computer-AssistedMaleNeuropsychological TestsTransposition of Great VesselsWhite MatterBraind-TGAFractional anisotropyMRINeurodevelopment

Identifiers

PMID25685710
PMCPMC4318874
OpenAlexW2144872190

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.