Evidence map›Paper›PMID 28450434›Full record

Observational studyAJNR. American journal of neuroradiology2017

Characterization of Extensive Microstructural Variations Associated with Punctate White Matter Lesions in Preterm Neonates.

X Li, J Gao, M Wang, J Zheng, Y Li, E S Hui, M Wan, J Yang

Abstract readObservational Study
In one paragraph

Observational study in AJNR. American journal of neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Observational
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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

8 authors.

X LiFrom the Department of Radiology (X.L., J.G., M. Wang, Y.L., J.Y.).ORCID http://orcid.org/0000-0001-7690-9155
J GaoFrom the Department of Radiology (X.L., J.G., M. Wang, Y.L., J.Y.).ORCID http://orcid.org/0000-0002-0218-5438
M WangFrom the Department of Radiology (X.L., J.G., M. Wang, Y.L., J.Y.).ORCID http://orcid.org/0000-0002-0852-8753
J ZhengClinical Research Center (J.Z.), the First Affiliated Hospital, Xi'an, Shaanxi, China.ORCID http://orcid.org/0000-0003-4958-2091
Y LiFrom the Department of Radiology (X.L., J.G., M. Wang, Y.L., J.Y.).ORCID http://orcid.org/0000-0002-8361-1987
E S HuiDepartment of Diagnostic Radiology (E.S.H.), University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0002-1761-0169
M WanDepartment of Biomedical Engineering (X.L., M. Wan, J.Y.), the Key Laboratory of Biomedical Information Engineering of the Ministry of Education, School of Life Science and Technology, Xi'an Jiaotong University, Xi'an, China.ORCID http://orcid.org/0000-0002-6704-1216
J YangFrom the Department of Radiology (X.L., J.G., M. Wang, Y.L., J.Y.) cjr.yangjian@vip.163.com.ORCID http://orcid.org/0000-0003-4250-1391

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePunctate white matter lesions are common in preterm neonates. Neurodevelopmental outcomes of the neonates are related to the degree of extension. This study aimed to characterize the extent of microstructural variations for different punctate white matter lesion grades. MATERIALS AND

methodsPreterm neonates with punctate white matter lesions were divided into 3 grades (from mild to severe: grades I-III). DTI-derived fractional anisotropy, axial diffusivity, and radial diffusivity between patients with punctate white matter lesions and controls were compared with Tract-Based Spatial Statistics and tract-quantification methods.

resultsThirty-three preterm neonates with punctate white matter lesions and 33 matched controls were enrolled. There were 15, 9, and 9 patients, respectively, in grades I, II, and III. Punctate white matter lesions were mainly located in white matter adjacent to the lateral ventricles, especially regions lateral to the trigone, posterior horns, and centrum semiovale and/or corona radiata. Extensive microstructural changes were observed in neonates with grade III punctate white matter lesions, while no significant changes in DTI metrics were found for grades I and II. A pattern of increased axial diffusivity, increased radial diffusivity, and reduced/unchanged fractional anisotropy was found in regions adjacent to punctate white matter lesion sites seen on T1WI and T2WI. Unchanged axial diffusivity, increased radial diffusivity, and reduced/unchanged fractional anisotropy were observed in regions distant from punctate white matter lesion sites.

conclusionsWhite matter microstructural variations were different across punctate white matter lesion grades. Extensive change patterns varied according to the distance to the lesion sites in neonates with severe punctate white matter lesions. These findings may help in determining the outcomes of punctate white matter lesions and selecting treatment strategies.

Indexed as

Infant, PrematureAnisotropyCerebral VentriclesCorpus CallosumCross-Sectional StudiesDiffusion Tensor ImagingFemaleHumansInfant, NewbornMalePyramidal TractsWhite Matter

Identifiers

PMID28450434
PMCPMC7960104

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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.