Evidence map›Paper›PMID 28076894›Full record

ArticleAnnals of neurology2017

Electrical impedance myography for assessment of Duchenne muscular dystrophy.

Seward B Rutkove, Kush Kapur, Craig M Zaidman, Jim S Wu, Amy Pasternak, Lavanya Madabusi, Sung Yim, Adam Pacheck, Heather Szelag, Tim Harrington and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Annals of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07502989 (Convenient Quantification of Myopathic Change in Muscle Via Electrical Impedance Myography), which is not on this map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
4.7field-weighted citation impact, top 5% 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.

NCT07502989 recruitingnot on this mapstarted 2025, after this paper: background citation

Convenient Quantification of Myopathic Change in Muscle Via Electrical Impedance Myography

Typeobservational_patient_registrySponsorBeth Israel Deaconess Medical CenterRan2025 to 2027Enrolled150ConditionsMyopathy, Muscular Dystrophies, Myositis, Myofibrillar MyopathyArmsElectrical Impedance Myography
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 78 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

11 authors at 3 institutions in 1 country.

Seward B RutkoveDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Kush KapurDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA.ORCID http://orcid.org/0000-0001-9022-913X
Craig M ZaidmanDepartment of Neurology, Washington University in St Louis, St Louis, MO.
Jim S WuDepartment of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Amy PasternakDepartment of Physical Therapy Services and Occupational Therapy Services, Boston Children's Hospital, Boston, MA.
Lavanya MadabusiDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Sung YimDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Adam PacheckDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Heather SzelagDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Tim HarringtonDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Basil T DarrasDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Boston Children's Hospital · USBeth Israel Deaconess Medical Center · USWashington University in St. Louis · US

Funding

Electrical impedance myography and quantitative ultrasound in Duchenne muscular dR01AR060850 · NIAMS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI DARRAS, BASIL T, RUTKOVE, SEWARD B. · 2011 to 2014
$1.7M
NIAMS NIH HHS R01 AR060850
6 · The paper itself

Abstract

objectiveSensitive, objective, and easily applied methods for evaluating disease progression and response to therapy are needed for clinical trials in Duchenne muscular dystrophy (DMD). In this study, we evaluated whether electrical impedance myography (EIM) could serve this purpose.

methodsIn this nonblinded study, 36 boys with DMD and 29 age-similar healthy boys underwent multifrequency EIM measurements for up to 2 years on 6 muscles unilaterally along with functional assessments. A linear mixed-effects model with random intercept and slope terms was used for the analysis of multifrequency EIM values and functional measures. Seven DMD boys were initiated on corticosteroids; these data were analyzed using a piecewise linear mixed-effects model.

resultsIn boys > 7.0 years old, a significant difference in the slope of EIM phase ratio trajectories in the upper extremity was observed by 6 months of -0.074/month, p = 0.023, 95% confidence interval (CI) = -0.013, -0.14; at 2 years, this difference was -0.048/month, p < 0.0001, 95% CI = -0.028, -0.068. In boys ≤ 7.0 years old, differences appeared at 6 months in gastrocnemius (EIM phase slope = -0.83 °/kHz/mo, p = 0.007, 95% CI = -0.26, -1.40). EIM outcomes showed significant differences earlier than functional tests. Initiation of corticosteroids significantly improved the slope of EIM phase ratio (0.057/mo, p = 0.00019, 95% CI = 0.028, 0.086) and EIM phase slope (0.14 °/kHz/mo, p = 0.013, 95% CI = 0.028, 0.25), consistent with corticosteroids' known clinical benefit.

interpretationEIM detects deterioration in muscles of both younger and older boys by 6 months; it also identifies the therapeutic effect of corticosteroid initiation. Because EIM is rapid to apply, painless, and requires minimal operator training, the technique deserves to be further evaluated as a biomarker in DMD clinical therapeutic trials. Ann Neurol 2017;81:622-632.

Indexed as

Disease ProgressionElectric ImpedanceAdolescentAdrenal Cortex HormonesAge FactorsChildChild, PreschoolFollow-Up StudiesHumansMaleMuscle, SkeletalMuscular Dystrophy, DuchenneMyographyAdrenal Cortex Hormones

Identifiers

PMID28076894
PMCPMC5444980
OpenAlexW2573423792

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.