Evidence map›Paper›PMID 29095850›Full record

ArticlePloS one2017

Lesions in deep gray nuclei after severe traumatic brain injury predict neurologic outcome.

Frédéric Clarençon, Éric Bardinet, Jacques Martinerie, Vincent Pelbarg, Nicolas Menjot de Champfleur, Rajiv Gupta, Eléonore Tollard, Gustavo Soto-Ares, Danielle Ibarrola, Emmanuelle Schmitt and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05479032 (Amantadine for Neuroenhancement in Acute Patients Study - A Prospective Pilot Proof of Concept Phase IIb Study in Intensive and Intermediate Care Unit Patients), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 27% 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.

NCT05479032 phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

Amantadine for Neuroenhancement in Acute Patients Study - A Prospective Pilot Proof of Concept Phase IIb Study in Intensive and Intermediate Care Unit Patients

TypeinterventionalSponsorUniversity Hospital TuebingenRan2023 to 2024Enrolled50ConditionsDisorder of ConsciousnessArmsAmantadine
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Imaging biomarkers of vascular and axonal injury are spatially distinct in chronic traumatic brain injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  5. Article
  6. 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

17 authors at 9 institutions in 2 countries.

Frédéric ClarençonDepartment of Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France.ORCID http://orcid.org/0000-0002-6442-8239
Éric BardinetInstitut du Cerveau et de la Moelle épinière-ICM. CNRS UMR 7225.
Jacques MartinerieInstitut du Cerveau et de la Moelle épinière-ICM. CNRS UMR 7225.
Vincent PelbargBioinformatics and Biostatistics Plateform, IHU-A-ICM, Brain and Spine Institute (ICM), Paris, France.
Nicolas Menjot de ChampfleurDepartment of Neuroradiology, Guy de Chauliac University Hospital, Montpellier, France.
Rajiv GuptaDepartment of Neuroradiology, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Eléonore TollardDepartment of Neuroradiology, Rouen University Hospital, Rouen, France.
Gustavo Soto-AresDepartment of Neuroradiology, Roger Salengro Hospital, Lille, France.
Danielle IbarrolaCERMEP, Pierre Wertheimer Neurological & Neurosurgical Hospital, Bron, France.
Emmanuelle SchmittDepartment of Neuroradiology, Nancy University Hospital, Nancy, France.
Thomas TourdiasDepartment of Neuroradiology, Bordeaux University Hospital, Bordeaux, France.
Vincent DegosParis VI University, Pierre et Marie Curie, Paris, France.
Jérome YelnikINSERM U679, Pitié-Salpêtrière Hospital, Paris VI University, Paris. France.
Didier DormontDepartment of Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France.
Louis PuybassetParis VI University, Pierre et Marie Curie, Paris, France.
Damien GalanaudDepartment of Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France.
Neuro Imaging for Coma Emergence and Recovery (NICER) consortium
Sorbonne Université · FRInstitut du Cerveau · FRCentre Hospitalier Régional et Universitaire de Nancy · FRHôpital Gui de Chauliac · FRHôpital Pierre Wertheimer · FRHôpital Roger Salengro · FRInserm · FRMassachusetts General Hospital · USUniversité de Rouen Normandie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluates the correlation between injuries to deep gray matter nuclei, as quantitated by lesions in these nuclei on MR T2 Fast Spin Echo (T2 FSE) images, with 6-month neurological outcome after severe traumatic brain injury (TBI). MATERIALS AND

methodsNinety-five patients (80 males, mean age = 36.7y) with severe TBI were prospectively enrolled. All patients underwent a MR scan within the 45 days after the trauma that included a T2 FSE acquisition. A 3D deformable atlas of the deep gray matter was registered to this sequence; deep gray matter lesions (DGML) were evaluated using a semi-quantitative classification scheme. The 6-month outcome was dichotomized into unfavorable (death, vegetative or minimally conscious state) or favorable (minimal or no neurologic deficit) outcome.

resultsSixty-six percent of the patients (63/95) had both satisfactory registration of the 3D atlas on T2 FSE and available clinical follow-up. Patients without DGML had an 89% chance (P = 0.0016) of favorable outcome while those with bilateral DGML had an 80% risk of unfavorable outcome (P = 0.00008). Multivariate analysis based on DGML accurately classified patients with unfavorable neurological outcome in 90.5% of the cases.

conclusionLesions in deep gray matter nuclei may predict long-term outcome after severe TBI with high sensitivity and specificity.

Indexed as

Outcome Assessment, Health CareAdultBrain Injuries, TraumaticFemaleGray MatterHumansMale

Identifiers

PMID29095850
PMCPMC5667824
OpenAlexW2766610345

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Registered trials

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.