Evidence map›Paper›PMID 27405321›Full record

ArticleBMC neurology2016

Case control study: magnetic resonance spectroscopy of brain in HIV infected patients.

Devender Bairwa, Virendra Kumar, Surabhi Vyas, Bimal Kumar Das, Achal Kumar Srivastava, Ravinder M Pandey, Surendra K Sharma, Naranamangalam R Jagannathan, Sanjeev Sinha

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 23 citations in OpenAlex.

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  5. Frontiers in neuroscience · 2024
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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.

Devender BairwaDepartment of Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Virendra KumarDepartment of NMR & MRI Facility, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Surabhi VyasDepartment of Radio-diagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Bimal Kumar DasDepartment of Microbiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Achal Kumar SrivastavaDepartment of Neurology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Ravinder M PandeyDepartment of Biostatistics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Surendra K SharmaDepartment of Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Naranamangalam R JagannathanDepartment of NMR & MRI Facility, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Sanjeev SinhaDepartment of Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India. drsanjeevsinha@gmail.com.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn vivo proton magnetic resonance spectroscopy ((1)H-MRS) studies on brain in HIV infected patients have shown significant alteration in neuro-biochemicals.

methodsIn this study, we measured the neuro-biochemical metabolites from the left frontal white matter (FWM) and left basal ganglia (BG) caudate head nucleus in 71 subjects that include 30 healthy controls, 20 asymptomatic HIV and 21 HIV patients with CNS lesion. Proton MR spectra were acquired at 3 T MRI system and the concentration (institutional units) of tNAA (N-acetylaspartate, NAA + N-acetylaspartylglutamate, NAAG), tCr (Creatine, Cr + phosphocreatine, PCr), choline containing compounds (tCho), glutamate + glutamine (Glx) and lipid and macromolecules at 0.9 ppm were determined using LC Model.

resultsIn BG, the concentration of tNAA (6.71 ± 0.64) was decreased and in FWM, the concentration of Glx (20.4 ± 7.8), tCr (9.14 ± 3.04) and lipid and macromolecules at 0.9 ppm (8.69 ± 2.96) were increased in HIV patients with CNS lesion. In healthy controls, the concentration of tNAA in BG was 7.31 ± 0.47 and concentration of Glx, tCr and lipid and macromolecules in FWM were 15.0 ± 6.06, 6.95 ± 2.56, 5.59 ± 1.56, respectively.

conclusionReduced tNAA in BG suggests neuronal loss in HIV patients with CNS lesion while increased Glx in FWM may suggest excito-toxicity. In addition, increased levels of tCr in FWM of HIV patients were observed. The study indicates region specific metabolic changes in tNAA, tCr and Glx in brain of HIV infected patients.

Indexed as

AdultAspartic AcidBasal GangliaCase-Control StudiesCholineCreatineDipeptidesFemaleFrontal LobeGlutamic AcidGlutamineHIV InfectionsHumansInositolLipid MetabolismMacromolecular SubstancesAspartic AcidCholineCreatineDipeptidesGlutamic AcidGlutamineInositolisospaglumic acidMacromolecular SubstancesN-acetylaspartateAIDSGlutamateHIVMagnetic resonance spectroscopyMRS

Identifiers

PMID27405321
PMCPMC4942893
OpenAlexW2472775088

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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.