Evidence map›Paper›PMID 29939236›Full record

ArticleCerebral cortex (New York, N.Y. : 1991)2018

Corpus Callosum White Matter Diffusivity Reflects Cumulative Neurological Comorbidity in Tuberous Sclerosis Complex.

Fiona M Baumer, Jurriaan M Peters, Sean Clancy, Anna K Prohl, Sanjay P Prabhu, Benoit Scherrer, Floor E Jansen, Kees P J Braun, Mustafa Sahin, Aymeric Stamm and 1 more

Abstract read
In one paragraph

Article in Cerebral cortex (New York, N.Y. : 1991), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. White matter abnormalities in tuberous sclerosis complex: a systematic review of diffusion tensor imaging studies.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
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  16. Myelin Pathology Beyond White Matter in Tuberous Sclerosis Complex (TSC) Cortical Tubers.Journal of neuropathology and experimental neurology · 2020
    Article
  17. Neuroimaging in tuberous sclerosis complex.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Review
  18. 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

11 authors.

Fiona M BaumerDepartment of Neurology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Jurriaan M PetersDepartment of Neurology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Sean ClancyComputational Radiology Laboratory, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Anna K ProhlComputational Radiology Laboratory, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Sanjay P PrabhuComputational Radiology Laboratory, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Benoit ScherrerComputational Radiology Laboratory, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Floor E JansenBrain Center Rudolf Magnus, Department of Pediatric Neurology, University Medical Center Utrecht, The Netherlands.
Kees P J BraunBrain Center Rudolf Magnus, Department of Pediatric Neurology, University Medical Center Utrecht, The Netherlands.
Mustafa SahinDepartment of Neurology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Aymeric StammComputational Radiology Laboratory, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Simon K WarfieldComputational Radiology Laboratory, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
Toward better characterization and clinical trial readiness for targeting neuropsychiatric manifestations in PTEN pathogenic variantsU54NS092090 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI M. Pilar Trelles · 2014 to 2026
$20.1M
Early Biomarkers of Autism Spectrum Disorders in infants with Tuberous SclerosisU01NS082320 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI KRUEGER, DARCY, SAHIN, MUSTAFA · 2012 to 2018
$13.3M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI POMEROY, SCOTT LOREN · 2016 to 2020
$5.2M
Spectrum Stanford Center for clinical and Translational Research and EducationKL2TR001083 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$4.9M
MRI Biomarkers of Patients with Tuberous Sclerosis Complex and AutismR01NS079788 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI WARFIELD, SIMON K · 2013 to 2017
$3.6M
Improved Quantitative Assessment of the Fetal Brain from 3D Volumetric MRIR01EB013248 · NIBIB · BOSTON CHILDREN'S HOSPITAL · PI WARFIELD, SIMON K · 2012 to 2015
$1.5M
NCATS NIH HHS KL2 TR001083NCATS NIH HHS UL1 TR001085NCATS NIH HHS UL1 TR001102NIBIB NIH HHS R01 EB013248NICHD NIH HHS U54 HD090255NINDS NIH HHS R01 NS079788NINDS NIH HHS U01 NS082320NINDS NIH HHS U54 NS092090
6 · The paper itself

Abstract

introductionNeurological manifestations in Tuberous Sclerosis Complex (TSC) are highly variable. Diffusion tensor imaging (DTI) may reflect the neurological disease burden. We analyzed the association of autism spectrum disorder (ASD), intellectual disability (ID) and epilepsy with callosal DTI metrics in subjects with and without TSC.

methods186 children underwent 3T MRI DTI: 51 with TSC (19 with concurrent ASD), 46 with non-syndromic ASD and 89 healthy controls (HC). Subgroups were based on presence of TSC, ASD, ID, and epilepsy. Density-weighted DTI metrics obtained from tractography of the corpus callosum were fitted using a 2-parameter growth model. We estimated distributions using bootstrapping and calculated half-life and asymptote of the fitted curves.

resultsTSC was associated with a lower callosal fractional anisotropy (FA) than ASD, and ASD with a lower FA than HC. ID, epilepsy and ASD diagnosis were each associated with lower FA values, demonstrating additive effects. In TSC, the largest change in FA was related to a comorbid diagnosis of ASD. Mean diffusivity (MD) showed an inverse relationship to FA. Some subgroups were too small for reliable data fitting.

conclusionsUsing a cross-disorder approach, this study demonstrates cumulative abnormality of callosal white matter diffusion with increasing neurological comorbidity.

Indexed as

AdolescentAdultAnisotropyAutism Spectrum DisorderChildChild, PreschoolCorpus CallosumDiffusion Tensor ImagingEpilepsyFemaleHumansImage Processing, Computer-AssistedInfantIntellectual DisabilityMaleTuberous Sclerosis

Identifiers

PMID29939236
PMCPMC6132277

What OpenQuestion holds

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Registered trials

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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.