Evidence map›Paper›PMID 30309846›Full record

ArticleAJNR. American journal of neuroradiology2018

Cerebral Blood Flow and Marrow Diffusion Alterations in Children with Sickle Cell Anemia after Bone Marrow Transplantation and Transfusion.

M T Whitehead, A Smitthimedhin, J Webb, E S Mahdi, Z P Khademian, J L Carpenter, A Abraham

Abstract read
In one paragraph

Article 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
–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

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

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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

7 authors.

M T WhiteheadFrom the Departments of Radiology (M.T.W., A.S., E.S.M., Z.P.K.) MWhitehe@childrensnational.org.ORCID 0000-0001-5077-693X
A SmitthimedhinFrom the Departments of Radiology (M.T.W., A.S., E.S.M., Z.P.K.).ORCID 0000-0002-9716-839X
J WebbHematology (J.W., A.A.).ORCID 0000-0003-1463-4963
E S MahdiFrom the Departments of Radiology (M.T.W., A.S., E.S.M., Z.P.K.).ORCID 0000-0002-5727-4681
Z P KhademianFrom the Departments of Radiology (M.T.W., A.S., E.S.M., Z.P.K.).ORCID 0000-0002-9212-4769
J L CarpenterNeurology (J.L.C.), Children's National Medical Center, Washington, DC.ORCID 0000-0003-3426-4779
A AbrahamHematology (J.W., A.A.).ORCID 0000-0003-2019-0887

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeHematopoietic marrow hyperplasia and hyperperfusion are compensatory mechanisms in sickle cell anemia. We have observed marrow diffusion and arterial spin-labeling perfusion changes in sickle cell anemia following bone marrow transplantation. We aimed to compare arterial spin-labeling perfusion and marrow diffusion/ADC values in patients with sickle cell anemia before and after bone marrow transplantation or transfusion. MATERIALS AND

methodsWe reviewed brain MRIs from patients with sickle cell anemia obtained during 6 consecutive years at a children's hospital. Quantitative marrow diffusion values were procured from the occipital and sphenoid bones. Pseudocontinuous arterial spin-labeling perfusion values (milliliters/100 g of tissue/min) of MCA, anterior cerebral artery, and posterior cerebral artery territories were determined. Territorial CBF, whole-brain average CBF, and marrow ADC values were compared for changes before and after either bone marrow transplantation or transfusion. Bone marrow transplantation and transfusion groups were compared. Two-tailed paired and unpaired Student

resultsFifty-three examinations from 17 patients with bone marrow transplantation and 29 examinations from 9 patients with transfusion were included. ADC values significantly increased in the sphenoid and occipital marrow following bone marrow transplantation in contrast to patients with transfusion (

conclusionsImproved CBF and marrow diffusion eventuate following bone marrow transplantation in children with sickle cell anemia in contrast to transfusion therapy.

Indexed as

Bone Marrow TransplantationAdolescentAnemia, Sickle CellBone MarrowBrainCerebrovascular CirculationChildChild, PreschoolDiffusionFemaleHumansInfantMagnetic Resonance ImagingMale

Identifiers

PMID30309846
PMCPMC7655341

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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.