Evidence map›Paper›PMID 28835340›Full record

ArticleJournal of biomechanics2017

Quantification of bladder wall biomechanics during urodynamics: A methodologic investigation using ultrasound.

Anna S Nagle, Adam P Klausner, Jary Varghese, Rachel J Bernardo, Andrew F Colhoun, Robert W Barbee, Laura R Carucci, John E Speich

Abstract read
In one paragraph

Article in Journal of biomechanics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 34 citations in OpenAlex.

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  20. New Diagnostics for Male Lower Urinary Tract Symptoms.Current bladder dysfunction reports · 2019
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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 at 1 institution in 1 country.

Anna S NagleDepartment of Mechanical & Nuclear Engineering, Virginia Commonwealth University School of Engineering, Richmond, VA, United States.
Adam P KlausnerDepartment of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, VA, United States.
Jary VargheseDepartment of Radiology, Virginia Commonwealth University School of Medicine, Richmond, VA, United States.
Rachel J BernardoDepartment of Biomedical Engineering, Virginia Commonwealth University School of Engineering, Richmond, VA, United States.
Andrew F ColhounDepartment of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, VA, United States.
Robert W BarbeeDepartment of Emergency Medicine & Physiology/Biophysics, Virginia Commonwealth University School of Medicine, Richmond, VA, United States.
Laura R CarucciDepartment of Radiology, Virginia Commonwealth University School of Medicine, Richmond, VA, United States.
John E SpeichDepartment of Mechanical & Nuclear Engineering, Virginia Commonwealth University School of Engineering, Richmond, VA, United States. Electronic address: jespeich@vcu.edu.
Virginia Commonwealth University · US

Funding

The Detrusor Tension Sensor: A Model for Novel Cystometrics in Overactive BladderR01DK101719 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI KLAUSNER, ADAM PHILIP, SPEICH, JOHN E · 2015 to 2023
$2.4M
NIDDK NIH HHS R01 DK101719
6 · The paper itself

Abstract

Overactive bladder is often characterized by biomechanical changes in the bladder wall, but there is no established method to measure these changes in vivo. The goal of this study was to develop a novel method to determine detrusor wall biomechanical parameters during urodynamics through the incorporation of transabdominal ultrasound imaging. Individuals with overactive bladder (OAB) underwent ultrasound imaging during filling. The fill rate was 10% of the cystometric capacity per minute as determined by an initial fill. Transabdominal ultrasound images were captured in the midsagittal and transverse planes at 1min intervals. Using image data and Pves, detrusor wall tension, stress, and compliance were calculated. From each cross-sectional image, luminal and wall areas along with inner perimeters were measured. In the sagittal and transverse planes, wall tension was calculated as Pves∗luminal area, wall stress as tension/wall area, and strain as the change in perimeter normalized to the perimeter at 10% capacity. Elastic modulus was calculated as stress/strain in the medial-lateral and cranial-caudal directions. Patient-reported fullness sensation was continuously recorded. Data from five individuals with OAB showed that detrusor wall tension, volume, and strain had the highest correlations to continuous bladder sensation of all quantities measured. This study demonstrates how detrusor wall tension, stress, strain, and elastic modulus can be quantified by adding ultrasound imaging to standard urodynamics. This technique may be useful in diagnosing and better understanding the biomechanics involved in OAB and other bladder disorders.

Indexed as

AdultBiomechanical PhenomenaComplianceCross-Sectional StudiesFemaleHumansMaleMiddle AgedMuscle, SmoothUltrasonographyUrinary BladderUrinary Bladder, OveractiveUrodynamics2D transabdominal ultrasoundBladder wall geometryDetrusor overactivityDetrusor wall biomechanicsUrinary urgency

Identifiers

PMID28835340
PMCPMC5584641
OpenAlexW2743143205

What OpenQuestion holds

Textmetadata
LicenceTDM
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.