Evidence map›Paper›PMID 26937380›Full record

ArticleNeuroImage. Clinical2016

Wavelet coherence analysis of dynamic cerebral autoregulation in neonatal hypoxic-ischemic encephalopathy.

Fenghua Tian, Takashi Tarumi, Hanli Liu, Rong Zhang, Lina Chalak

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04242602 (Multimodal Monitoring of Cerebral Autoregulation After Pediatric Brain Injury), which is not on this map. Cited by 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
28.8field-weighted citation impact, top 1% 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.

NCT04242602 completednot on this mapstarted 2018, after this paper: background citation

Multimodal Monitoring of Cerebral Autoregulation After Pediatric Brain Injury

TypeobservationalSponsorUniversity of Texas Southwestern Medical CenterRan2018 to 2020Enrolled29ConditionsTraumatic Brain Injury, Brain Injuries, Brain Injury, VascularArmsTranscranial Doppler
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Stroke volume reduction impairs cerebrovascular regulation through ETCOClinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
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  12. Cerebral autoregulation in pediatric and neonatal intensive care: A scoping review.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
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  13. Review
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13 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 1 country.

Fenghua TianDepartment of Bioengineering, University of Texas at Arlington, United States.
Takashi TarumiDepartment of Internal Medicine, University of Texas Southwestern Medical Center, United States; Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, United States; Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital of Dallas, United States.
Hanli LiuDepartment of Bioengineering, University of Texas at Arlington, United States.
Rong ZhangDepartment of Internal Medicine, University of Texas Southwestern Medical Center, United States; Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, United States; Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital of Dallas, United States.
Lina ChalakDepartment of Pediatrics, University of Texas Southwestern Medical Center, United States. Electronic address: Lina.chalak@utsouthwestern.edu.
Presbyterian Hospital · USThe University of Texas at Arlington · USThe University of Texas Southwestern Medical Center · US

Funding

A Novel Wavelet Neurovascular Bundle for Real Time Detection of Injury in Neonatal EncephalopathyR01NS102617 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI LINA F CHALAK · 2017 to 2026
$4.0M
Cerebrovascular Dysfunction in Newborns with HIE during Hypothermia and RewarmingK23HD069521 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI CHALAK, LINA F · 2012 to 2014
$368k
NICHD NIH HHS 5K23HD069521-03NICHD NIH HHS K23 HD069521NINDS NIH HHS R01 NS102617
6 · The paper itself

Abstract

Cerebral autoregulation represents the physiological mechanisms that keep brain perfusion relatively constant in the face of changes in blood pressure and thus plays an essential role in normal brain function. This study assessed cerebral autoregulation in nine newborns with moderate-to-severe hypoxic-ischemic encephalopathy (HIE). These neonates received hypothermic therapy during the first 72 h of life while mean arterial pressure (MAP) and cerebral tissue oxygenation saturation (SctO2) were continuously recorded. Wavelet coherence analysis, which is a time-frequency domain approach, was used to characterize the dynamic relationship between spontaneous oscillations in MAP and SctO2. Wavelet-based metrics of phase, coherence and gain were derived for quantitative evaluation of cerebral autoregulation. We found cerebral autoregulation in neonates with HIE was time-scale-dependent in nature. Specifically, the spontaneous changes in MAP and SctO2 had in-phase coherence at time scales of less than 80 min (< 0.0002 Hz in frequency), whereas they showed anti-phase coherence at time scales of around 2.5 h (~ 0.0001 Hz in frequency). Both the in-phase and anti-phase coherence appeared to be related to worse clinical outcomes. These findings suggest the potential clinical use of wavelet coherence analysis to assess dynamic cerebral autoregulation in neonatal HIE during hypothermia.

Indexed as

Arterial PressureCerebrovascular CirculationFemaleHomeostasisHumansHypoxia-Ischemia, BrainInfantInfant, NewbornMaleOxygenSpectroscopy, Near-InfraredOxygenCerebral autoregulationHypothermiaHypoxic–ischemic encephalopathy (HIE)Near infrared spectroscopy (NIRS)Wavelet coherence

Identifiers

PMID26937380
PMCPMC4753811
OpenAlexW2264974286

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LicenceCC BY-NC-ND
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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.