Evidence map›Paper›PMID 28283747›Full record

ArticleBrain structure & function2017

Magnetic resonance diffusion tensor imaging for the pedunculopontine nucleus: proof of concept and histological correlation.

A T D L Alho, C Hamani, E J L Alho, R E da Silva, G A B Santos, R C Neves, L L Carreira, C M M Araújo, G Magalhães, D B Coelho and 7 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Brain structure & function, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
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  4. Effects of levodopa on motor and cerebellar network connectivity in Parkinson's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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  16. Gait-Phase Modulates Alpha and Beta Oscillations in the Pedunculopontine Nucleus.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
    Article
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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

17 authors at 5 institutions in 4 countries.

A T D L AlhoHospital Israelita Albert Einstein, Instituto do Cérebro, São Paulo, Brazil.
C HamaniDivision of Neurosurgery, Toronto Western Hospital, University of Toronto, Centre for Addiction and Mental Health, Toronto, Canada.
E J L AlhoDepartment of Neurology Faculdade de Medicina da Universidade de São Paulo, Divisão de Neurocirurgia Funcional do, Instituto de Psiquiatria-HCFMUSP, São Paulo, Brazil.
R E da SilvaDepartment of Radiology, Faculdade de Medicina da Universidade de São Paulo, Instituto de Radiologia, São Paulo, Brazil.
G A B SantosDepartment of Radiology, Faculdade de Medicina da Universidade de São Paulo, Instituto de Radiologia, São Paulo, Brazil.
R C NevesGrupo de Estudos em Envelhecimento Cerebral e LIM 22, Department of Pathology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
L L CarreiraDepartment of Radiology, Faculdade de Medicina da Universidade de São Paulo, Instituto de Radiologia, São Paulo, Brazil.
C M M AraújoDepartment of Radiology, Faculdade de Medicina da Universidade de São Paulo, Instituto de Radiologia, São Paulo, Brazil.
G MagalhãesHospital Israelita Albert Einstein, Instituto do Cérebro, São Paulo, Brazil.
D B CoelhoEscola de Educação Física e Esporte da Universidade de São Paulo, São Paulo, Brazil.
M C AlegroHospital Israelita Albert Einstein, Instituto do Cérebro, São Paulo, Brazil.
M G M MartinDepartment of Radiology, Faculdade de Medicina da Universidade de São Paulo, Instituto de Radiologia, São Paulo, Brazil.
L T GrinbergGrupo de Estudos em Envelhecimento Cerebral e LIM 22, Department of Pathology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
C A PasqualucciGrupo de Estudos em Envelhecimento Cerebral e LIM 22, Department of Pathology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
H HeinsenDepartment of Radiology, Faculdade de Medicina da Universidade de São Paulo, Instituto de Radiologia, São Paulo, Brazil.
E T FonoffDepartment of Neurology Faculdade de Medicina da Universidade de São Paulo, Divisão de Neurocirurgia Funcional do, Instituto de Psiquiatria-HCFMUSP, São Paulo, Brazil. fonoffet@usp.br.
E AmaroHospital Israelita Albert Einstein, Instituto do Cérebro, São Paulo, Brazil.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade de São Paulo · BRHospital Israelita Albert Einstein · BRUniversity Memory and Aging Center · USUniversity of Toronto · CA

Funding

Brainstem as an early site in AD and FTLD: closing the etiopathogenic gapR01AG040311 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRINBERG, LEA TENENHOLZ · 2011 to 2015
$2.0M
NIA NIH HHS R01 AG040311
6 · The paper itself

Abstract

The pedunculopontine nucleus (PPN) has been proposed as target for deep brain stimulation (DBS) in patients with postural instability and gait disorders due to its involvement in muscle tonus adjustments and control of locomotion. However, it is a deep-seated brainstem nucleus without clear imaging or electrophysiological markers. Some studies suggested that diffusion tensor imaging (DTI) may help guiding electrode placement in the PPN by showing the surrounding fiber bundles, but none have provided a direct histological correlation. We investigated DTI fractional anisotropy (FA) maps from in vivo and in situ post-mortem magnetic resonance images (MRI) compared to histological evaluations for improving PPN targeting in humans. A post-mortem brain was scanned in a clinical 3T MR system in situ. Thereafter, the brain was processed with a special method ideally suited for cytoarchitectonic analyses. Also, nine volunteers had in vivo brain scanning using the same MRI protocol. Images from volunteers were compared to those obtained in the post-mortem study. FA values of the volunteers were obtained from PPN, inferior colliculus, cerebellar crossing fibers and medial lemniscus using histological data and atlas information. FA values in the PPN were significantly lower than in the surrounding white matter region and higher than in areas with predominantly gray matter. In Nissl-stained histologic sections, the PPN extended for more than 10 mm in the rostro-caudal axis being closely attached to the lateral parabrachial nucleus. Our DTI analyses and the spatial correlation with histological findings proposed a location for PPN that matched the position assigned to this nucleus in the literature. Coregistration of neuroimaging and cytoarchitectonic features can add value to help establishing functional architectonics of the PPN and facilitate neurosurgical targeting of this extended nucleus.

Indexed as

AdultAgedAnatomic LandmarksAnisotropyAutopsyDiffusion Tensor ImagingFemaleHumansImage Interpretation, Computer-AssistedImaging, Three-DimensionalMagnetic Resonance ImagingMaleMiddle AgedPedunculopontine Tegmental NucleusPredictive Value of TestsReproducibility of ResultsDeep brain stimulationDiffusion tensor imagingHistologyPedunculopontine nucleus

Identifiers

PMID28283747
PMCPMC5610900
OpenAlexW2594251290

What OpenQuestion holds

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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.