Evidence map›Paper›PMID 30073389›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2019

Diffusion tensor imaging (DTI) and Tractography of the spinal cord in pediatric population with spinal lipomas: preliminary study.

Pierre Antherieu, R Levy, T De Saint Denis, L Lohkamp, G Paternoster, F Di Rocco, N Boddaert, M Zerah

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In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 24% 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, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Radical resection of lumbosacral lipomas in children: the Great Ormond Street Hospital experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
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  6. Review
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Pierre AntherieuDepartment of Neurosurgery, University Medical Center, Avenue Albert Raimond 42270 Saint Priest en Jarez, Saint Etienne, France. pierreantherieu@wanadoo.fr.ORCID 0000-0003-0386-7489
R LevyDepartment of Pediatric Radiology, Necker -Enfants Malades's Medical Center, Paris, France.
T De Saint DenisDepartment of Pediatric Neurosurgery, Necker -Enfants Malades's Medical Center, Paris, France.
L LohkampDepartment of Pediatric Neurosurgery, University Medical Center, Lyon, France.
G PaternosterDepartment of Pediatric Neurosurgery, Necker -Enfants Malades's Medical Center, Paris, France.
F Di RoccoDepartment of Pediatric Neurosurgery, University Medical Center, Lyon, France.
N BoddaertDepartment of Pediatric Radiology, Necker -Enfants Malades's Medical Center, Paris, France.
M ZerahDepartment of Pediatric Neurosurgery, Necker -Enfants Malades's Medical Center, Paris, France.
Institut Necker Enfants Malades · FRInstitute Cancer De La Loire Lucien Neuwirth · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDiffusion tensor imaging (DTI) allows studying the micro and macro architecture. One of the major challenges in dysraphism is to know the morphologic organization of the spinal cord. In a preliminary work, spinal lipoma was chosen for analyzing the micro-architecture parameters and fiber morphology of the spinal cord by DTI with tractography.

methodsTwelve patients (0-8 years) related to spinal lipomas treated between May 2017 and March 2018 were included. Tractography reconstruction of the conus medullaris of 12 patients were obtained using the MedINRIA software. The diffusion parameters have been calculated by Osirix DTImap plugin.

resultsWe found a significant difference in the FA (p = 0.024) between two age groups (< 24 months old and > 24 months old). However, no significant differences in the mean values of FA, RD, and MD between the level of the lipoma and the level above were noted. The tractography obtained in each case was coherent with morphologic sequences and reproducible. The conus medullaris was deformed and shifted. Destruction or disorganization of fibers and any passing inside the lipomas was not observed.

conclusionsTractography of the conus medullaris in a very young pediatric population (0-8 years old) with a spinal lipoma is possible, reproductive, and allows visualization of the spinal cord within the dysraphism. Analysis of the FA shows that the presence of a lipoma seems to have an effect on the myelination of the conus medullaris. It is during the probable myelination phase that the majority of symptoms appear. Is the myelination per se the cause?

Indexed as

AgingChildChild, PreschoolDiffusion Tensor ImagingFemaleHumansImage Processing, Computer-AssistedInfantLipomaMaleMyelin SheathNerve FibersNeurosurgical ProceduresReproducibility of ResultsSpinal CordSpinal Cord NeoplasmsConus medullarisDiffusion tensor imagingFiber tractographySpinal dysraphismSpinal lipomas

Identifiers

PMID30073389
OpenAlexW2886606833

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.