Evidence map›Paper›PMID 29284598›Full record

Trial reportAJNR. American journal of neuroradiology2018

Noninvasive Assessment of Intracranial Pressure Status in Idiopathic Intracranial Hypertension Using Displacement Encoding with Stimulated Echoes (DENSE) MRI: A Prospective Patient Study with Contemporaneous CSF Pressure Correlation.

A M Saindane, D Qiu, J N Oshinski, N J Newman, V Biousse, B B Bruce, J F Holbrook, B M Dale, X Zhong

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in AJNR. American journal of neuroradiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Non-invasive detection of intracranial pressure related to the optic nerve.Quantitative imaging in medicine and surgery · 2021
    Review
  6. Article
  7. 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

9 authors at 5 institutions in 2 countries.

A M SaindaneFrom the Departments of Radiology and Imaging Sciences (A.M.S., D.Q., J.N.O., J.F.H.) asainda@emory.edu.ORCID 0000-0002-2903-3995
D QiuFrom the Departments of Radiology and Imaging Sciences (A.M.S., D.Q., J.N.O., J.F.H.).ORCID 0000-0001-8375-1755
J N OshinskiFrom the Departments of Radiology and Imaging Sciences (A.M.S., D.Q., J.N.O., J.F.H.).ORCID 0000-0003-0043-7870
N J NewmanOphthalmology (N.J.N., V.B., B.B.B.), Emory University, Atlanta, Georgia.ORCID 0000-0003-4898-7839
V BiousseOphthalmology (N.J.N., V.B., B.B.B.), Emory University, Atlanta, Georgia.ORCID 0000-0002-3594-850X
B B BruceOphthalmology (N.J.N., V.B., B.B.B.), Emory University, Atlanta, Georgia.ORCID 0000-0003-3003-2962
J F HolbrookFrom the Departments of Radiology and Imaging Sciences (A.M.S., D.Q., J.N.O., J.F.H.).ORCID 0000-0001-5062-9219
B M DaleMR R&D Collaborations (B.M.D.), Siemens Healthineers, Apex, North Carolina.ORCID 0000-0003-4892-5005
X ZhongMR R&D Collaborations (X.Z.), Siemens Healthineers, Atlanta, Georgia.ORCID 0000-0001-8355-5279
Emory University · USLaboratoire d’Imagerie Biomédicale · FRSiemens Healthcare (United States) · USGeorgia Institute of Technology · USJDA Software (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIntracranial pressure is estimated invasively by using lumbar puncture with CSF opening pressure measurement. This study evaluated displacement encoding with stimulated echoes (DENSE), an MR imaging technique highly sensitive to brain motion, as a noninvasive means of assessing intracranial pressure status. MATERIALS AND

methodsNine patients with suspected elevated intracranial pressure and 9 healthy control subjects were included in this prospective study. Controls underwent DENSE MR imaging through the midsagittal brain. Patients underwent DENSE MR imaging followed immediately by lumbar puncture with opening pressure measurement, CSF removal, closing pressure measurement, and immediate repeat DENSE MR imaging. Phase-reconstructed images were processed producing displacement maps, and pontine displacement was calculated. Patient data were analyzed to determine the effects of measured pressure on pontine displacement. Patient and control data were analyzed to assess the effects of clinical status (pre-lumbar puncture, post-lumbar puncture, or control) on pontine displacement.

resultsPatients demonstrated imaging findings suggesting chronically elevated intracranial pressure, whereas healthy control volunteers demonstrated no imaging abnormalities. All patients had elevated opening pressure (median, 36.0 cm water), decreased by the removal of CSF to a median closing pressure of 17.0 cm water. Patients pre-lumbar puncture had significantly smaller pontine displacement than they did post-lumbar puncture after CSF pressure reduction (

conclusionsThis study establishes a relationship between pontine displacement from DENSE MR imaging and measured pressure obtained contemporaneously by lumbar puncture, providing a method to noninvasively assess intracranial pressure status in idiopathic intracranial hypertension.

Indexed as

AdultAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesPseudotumor CerebriSpinal Puncture

Identifiers

PMID29284598
PMCPMC7410589
OpenAlexW2776802634

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.