Evidence map›Paper›PMID 28348958›Full record

ArticleNeuroImage. Clinical2017

Diffusion imaging of reversible and irreversible microstructural changes within the corticospinal tract in idiopathic normal pressure hydrocephalus.

Kouhei Kamiya, Masaaki Hori, Ryusuke Irie, Masakazu Miyajima, Madoka Nakajima, Koji Kamagata, Kouhei Tsuruta, Asami Saito, Misaki Nakazawa, Yuichi Suzuki and 5 more

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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  15. The Spatial Distribution of Water Components with Similar TMagnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2021
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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

15 authors at 4 institutions in 1 country.

Kouhei KamiyaDepartment of Radiology, The University of Tokyo, Bunkyo, Tokyo, Japan; Department of Radiology, Juntendo University School of Medicine, Bunkyo, Tokyo, Japan.
Masaaki HoriDepartment of Radiology, Juntendo University School of Medicine, Bunkyo, Tokyo, Japan.
Ryusuke IrieDepartment of Radiology, The University of Tokyo, Bunkyo, Tokyo, Japan; Department of Radiology, Juntendo University School of Medicine, Bunkyo, Tokyo, Japan.
Masakazu MiyajimaDepartment of Neurosurgery, Juntendo University School of Medicine, Bunkyo, Tokyo, Japan.
Madoka NakajimaDepartment of Neurosurgery, Juntendo University School of Medicine, Bunkyo, Tokyo, Japan.
Koji KamagataDepartment of Radiology, Juntendo University School of Medicine, Bunkyo, Tokyo, Japan.
Kouhei TsurutaDepartment of Radiology, Juntendo University School of Medicine, Bunkyo, Tokyo, Japan.
Asami SaitoDepartment of Radiology, Juntendo University School of Medicine, Bunkyo, Tokyo, Japan.
Misaki NakazawaDepartment of Radiological Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Arakawa, Tokyo, Japan.
Yuichi SuzukiDepartment of Radiology, The University of Tokyo Hospital, Bunkyo, Tokyo, Japan.
Harushi MoriDepartment of Radiology, The University of Tokyo, Bunkyo, Tokyo, Japan.
Akira KunimatsuDepartment of Radiology, The University of Tokyo, Bunkyo, Tokyo, Japan.
Hajime AraiDepartment of Neurosurgery, Juntendo University School of Medicine, Bunkyo, Tokyo, Japan.
Shigeki AokiDepartment of Radiology, Juntendo University School of Medicine, Bunkyo, Tokyo, Japan.
Osamu AbeDepartment of Radiology, The University of Tokyo, Bunkyo, Tokyo, Japan.
Juntendo University · JPBunkyo University · JPTokyo Metropolitan University · JPUniversity of Tokyo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The symptoms of idiopathic normal pressure hydrocephalus (iNPH) can be improved by shunt surgery, but prediction of treatment outcome is not established. We investigated changes of the corticospinal tract (CST) in iNPH before and after shunt surgery by using diffusion microstructural imaging, which infers more specific tissue properties than conventional diffusion tensor imaging. Two biophysical models were used: neurite orientation dispersion and density imaging (NODDI) and white matter tract integrity (WMTI). In both methods, the orientational coherence within the CSTs was higher in patients than in controls, and some normalization occurred after the surgery in patients, indicating axon stretching and recovery. The estimated axon density was lower in patients than in controls but remained unchanged after the surgery, suggesting its potential as a marker for irreversible neuronal damage. In a Monte-Carlo simulation that represented model axons as undulating cylinders, both NODDI and WMTI separated the effects of axon density and undulation. Thus, diffusion MRI may distinguish between reversible and irreversible microstructural changes in iNPH. Our findings constitute a step towards a quantitative image biomarker that reflects pathological process and treatment outcomes of iNPH.

Indexed as

Diffusion Tensor ImagingAgedAged, 80 and overAnalysis of VarianceCase-Control StudiesComputer SimulationFemaleHumansHydrocephalus, Normal PressureImage Processing, Computer-AssistedMaleMonte Carlo MethodNerve NetPyramidal TractsSeverity of Illness IndexAD, axial diffusivityAWF, axonal water fractionAxon densityAxon undulationCSF, cerebrospinal fluidCST, corticospinal tractDiffusion MRIDTI, diffusion tensor imagingFA, fractional anisotropyIdiopathic normal pressure hydrocephalusiNPH, idiopathic normal pressure hydrocephalusMD, mean diffusivityNODDI, neurite orientation dispersion and density imagingODI, orientation dispersion indexRD, radial diffusivityROI, region of interestVF, volume fractionVOI, volume of interestWMTI, white matter tract integrity

Identifiers

PMID28348958
PMCPMC5358533
OpenAlexW2594600702

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.