Evidence map›Paper›PMID 30223849›Full record

ArticleJournal of translational medicine2018

The role of diffusion tensor imaging as an objective tool for the assessment of motor function recovery after paraplegia in a naturally-occurring large animal model of spinal cord injury.

Adriano Wang-Leandro, Marc K Hobert, Sabine Kramer, Karl Rohn, Veronika M Stein, Andrea Tipold

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Diagnostic Imaging in Intervertebral Disc Disease.Frontiers in veterinary science · 2020
    Review
  5. Review
  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

6 authors at 2 institutions in 2 countries.

Adriano Wang-LeandroDepartment of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Hannover, Lower Saxony, Germany. awang@vetclinics.uzh.ch.ORCID 0000-0003-2991-5696
Marc K HobertDepartment of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Hannover, Lower Saxony, Germany.
Sabine KramerDepartment of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Hannover, Lower Saxony, Germany.
Karl RohnInstitute of Biometry, Epidemiology, and Information Processing, University of Veterinary Medicine Hannover, Hannover, Lower Saxony, Germany.
Veronika M SteinDepartment of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Hannover, Lower Saxony, Germany.
Andrea TipoldDepartment of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Hannover, Lower Saxony, Germany.
University of Veterinary Medicine Hannover, Foundation · DEUniversity of Bern · CH

Funding

Deutsche Forschungsgemeinschaft FOR 1103Deutsche Forschungsgemeinschaft project TI 309/4-2
6 · The paper itself

Abstract

backgroundTraumatic spinal cord injury (SCI) results in sensory and motor function impairment and may cause a substantial social and economic burden. For the implementation of novel treatment strategies, parallel development of objective tools evaluating spinal cord (SC) integrity during motor function recovery (MFR) is needed. Diffusion tensor imaging (DTI) enables in vivo microstructural assessment of SCI.

methodsIn the current study, temporal evolvement of DTI metrics during MFR were examined; therefore, values of fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were measured in a population of 17 paraplegic dogs with naturally-occurring acute SCI showing MFR within 4 weeks after surgical decompression and compared to 6 control dogs. MRI scans were performed preoperatively and 12 weeks after MFR was observed. DTI metrics were obtained at the lesion epicentre and one SC segment cranially and caudally. Variance analyses were performed to compare values between evaluated localizations in affected dogs and controls and between time points. Correlations between DTI metrics and clinical scores at follow-up examinations were assessed.

resultsBefore surgery, FA values at epicentres were higher than caudally (p = 0.0014) and control values (p = 0.0097); ADC values were lower in the epicentre compared to control values (p = 0.0035) and perilesional (p = 0.0448 cranially and p = 0.0433 caudally). In follow-up examinations, no significant differences could be found between DTI values from dogs showing MFR and control dogs. Lower ADC values at epicentres correlated with neurological deficits at follow-up examinations (r = - 0.705; p = 0.0023).

conclusionsFindings suggest that a tendency to the return of DTI values to the physiological situation after surgical decompression accompanies MFR after SCI in paraplegic dogs. DTI may represent a useful and objective clinical tool for follow-up studies examining in vivo SC recovery in treatment studies.

Indexed as

Diffusion Tensor ImagingRecovery of FunctionAnimalsAnisotropyDecompression, SurgicalDiffusionDisease Models, AnimalDogsFemaleMaleParaplegiaSpinal Cord InjuriesCanineDTIFollow-up studiesHemilaminectomyIntervertebral disc herniationIVDHMRISCITranslational medicine

Identifiers

PMID30223849
PMCPMC6142343
OpenAlexW2889805271

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.