Evidence map›Paper›PMID 28970705›Full record

ArticleJournal of clinical and experimental hepatology2017

Characterization of Cerebral Edema in Acute-on-Chronic Liver Failure.

Tarana Gupta, Radha K Dhiman, Chirag K Ahuja, Swastik Agrawal, Madhu Chopra, Naveen Kalra, Ajay Duseja, Sunil Taneja, Niranjan Khandelwal, Yogesh Chawla

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
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

10 authors at 1 institution in 1 country.

Tarana GuptaDepartment of Hepatology, PGIMER, Chandigarh, India.
Radha K DhimanDepartment of Hepatology, PGIMER, Chandigarh, India.
Chirag K AhujaDepartment of Radiodiagnosis and Imaging, PGIMER, Chandigarh, India.
Swastik AgrawalDepartment of Hepatology, PGIMER, Chandigarh, India.
Madhu ChopraDepartment of Hepatology, PGIMER, Chandigarh, India.
Naveen KalraDepartment of Radiodiagnosis and Imaging, PGIMER, Chandigarh, India.
Ajay DusejaDepartment of Hepatology, PGIMER, Chandigarh, India.
Sunil TanejaDepartment of Hepatology, PGIMER, Chandigarh, India.
Niranjan KhandelwalDepartment of Radiodiagnosis and Imaging, PGIMER, Chandigarh, India.
Yogesh ChawlaDepartment of Hepatology, PGIMER, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe nature of cerebral edema in acute-on-chronic liver failure (ACLF) is not well studied. We aimed to characterize cerebral edema in ACLF using magnetization transfer ratio (MTR) and diffusion tensor imaging (DTI).

methodsForty-six patients with cirrhosis and acute decompensation were included. Patients were divided into groups A (no cerebral failure,

resultsMean diffusivity (MD) values, an MRI marker of water content, progressively increased from controls to no-ACLF to ACLF grade 1, 2 and 3 in group A in frontal white matter (FWM) and basal ganglia (

conclusionCerebral edema increases with severity of ACLF. Correlation between MD values and IL-6 levels suggests pathogenic role of inflammation in cerebral edema. Patients with grade 3 ACLF have cerebral edema irrespective of presence of clinically evident cerebral failure. MELD score and cerebral edema have prognostic significance in ACLF.

Indexed as

ACLF, acute-on-chronic liver failureacute-on-chronic liver failureAIH, autoimmune hepatitisALIC, anterior limb of internal capsuleAPASL, Asian pacific association for study of liver diseasesAUROC, area under receiver operating characteristicBBB, blood–brain barrierBG, basal gangliaCANONIC, chronic liver failure (CLIF) acute-on-chronic liver failure in cirrhosiscerebral edemaCI, confidence intervalCLIF-SOFA, chronic liver failure-sequential organ failure assessmentCTP, Child–Turcott–Pughdiffusion tensor imagingDTI, diffusion tensor imagingFA, fractional anisotropyFLAIR, fluid attenuation inversion recoveryFWM, frontal white matterHBV, hepatitis B virusHE, hepatic encephalopathyIC, internal capsuleIL-1 beta, interleukin 1 betaIL-6, interleukin 6magnetic resonance imagingMD, mean diffusivityMELD, model for end-stage liver diseaseMRI, magnetic resonance imagingMTR, magnetization transfer ratioPLIC, posterior limb of internal capsulePWM, parietal white matterROI, regions of interestSIRS, systemic inflammatory response syndromeT1W, T1 weightedT2W, T2 weightedTE, echo-timeTNF-alpha, tumor necrosis factor-alphaTR, repetition time

Identifiers

PMID28970705
PMCPMC5620367
OpenAlexW2212281245

What OpenQuestion holds

Textmetadata
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.