Evidence map›Paper›PMID 30405513›Full record

ArticleFrontiers in neurology2018

Multimodal Neuroimaging Approach to Variability of Functional Connectivity in Disorders of Consciousness: A PET/MRI Pilot Study.

Carlo Cavaliere, Sivayini Kandeepan, Marco Aiello, Demetrius Ribeiro de Paula, Rocco Marchitelli, Salvatore Fiorenza, Mario Orsini, Luigi Trojano, Orsola Masotta, Keith St Lawrence and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04164680 (Relationship Between Simultaneously Acquired Resting-state Regional Cerebral Glucose Metabolism and Functional MRI in DOC), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 16% 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.

NCT04164680 completednot on this map

Relationship Between Simultaneously Acquired Resting-state Regional Cerebral Glucose Metabolism and Functional MRI in DOC: a PET/MR Hybrid Scanner Study

TypeobservationalSponsorHangzhou Normal UniversityRan2018 to 2021Enrolled24ConditionsDisorder of Consciousness, Minimally Conscious State, FDG-PET, Rs-fMRIArmsMultimodal Neuroimaging
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 25 citations in OpenAlex.

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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

15 authors at 5 institutions in 2 countries.

Carlo CavaliereIRCCS SDN, Istituto di Ricerca Diagnostica e Nucleare, Naples, Italy.
Sivayini KandeepanDepartment of Physics and Astronomy, Brain and Mind Institute, Western University, London, ON, Canada.
Marco AielloIRCCS SDN, Istituto di Ricerca Diagnostica e Nucleare, Naples, Italy.
Demetrius Ribeiro de PaulaDepartment of Physics and Astronomy, Brain and Mind Institute, Western University, London, ON, Canada.
Rocco MarchitelliIRCCS SDN, Istituto di Ricerca Diagnostica e Nucleare, Naples, Italy.
Salvatore FiorenzaNeurorehabilitation Unit and Research Laboratory for Disorder of Consciousness, Maugeri ICS, IRCCS, Telese Terme, Italy.
Mario OrsiniIRCCS SDN, Istituto di Ricerca Diagnostica e Nucleare, Naples, Italy.
Luigi TrojanoDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Orsola MasottaNeurorehabilitation Unit and Research Laboratory for Disorder of Consciousness, Maugeri ICS, IRCCS, Telese Terme, Italy.
Keith St LawrenceLawson Health Research Institute London, Medical Biophysics, University of Western Ontario, London, ON, Canada.
Vincenzo LoretoNeurorehabilitation Unit and Research Laboratory for Disorder of Consciousness, Maugeri ICS, IRCCS, Telese Terme, Italy.
Blaine Alexander ChronikDepartment of Physics and Astronomy, Brain and Mind Institute, Western University, London, ON, Canada.
Emanuele NicolaiIRCCS SDN, Istituto di Ricerca Diagnostica e Nucleare, Naples, Italy.
Andrea SodduDepartment of Physics and Astronomy, Brain and Mind Institute, Western University, London, ON, Canada.
Anna EstraneoNeurorehabilitation Unit and Research Laboratory for Disorder of Consciousness, Maugeri ICS, IRCCS, Telese Terme, Italy.
Western University · CAIstituti Clinici Scientifici Maugeri · ITSDN Istituto di Ricerca Diagnostica e Nucleare · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Behavioral assessments could not suffice to provide accurate diagnostic information in individuals with disorders of consciousness (DoC). Multimodal neuroimaging markers have been developed to support clinical assessments of these patients. Here we present findings obtained by hybrid fludeoxyglucose (FDG-)PET/MR imaging in three severely brain-injured patients, one in an unresponsive wakefulness syndrome (UWS), one in a minimally conscious state (MCS), and one patient emerged from MCS (EMCS). Repeated behavioral assessment by means of Coma Recovery Scale-Revised and neurophysiological evaluation were performed in the two weeks before and after neuroimaging acquisition, to ascertain that clinical diagnosis was stable. The three patients underwent one imaging session, during which two resting-state fMRI (rs-fMRI) blocks were run with a temporal gap of about 30 min. rs-fMRI data were analyzed with a graph theory approach applied to nine independent networks. We also analyzed the benefits of concatenating the two acquisitions for each patient or to select for each network the graph strength map with a higher ratio of fitness. Finally, as for clinical assessment, we considered the best functional connectivity pattern for each network and correlated graph strength maps to FDG uptake. Functional connectivity analysis showed several differences between the two rs-fMRI acquisitions, affecting in a different way each network and with a different variability for the three patients, as assessed by ratio of fitness. Moreover, combined PET/fMRI analysis demonstrated a higher functional/metabolic correlation for patients in EMCS and MCS compared to UWS. In conclusion, we observed for the first time, through a test-retest approach, a variability in the appearance and temporal/spatial patterns of resting-state networks in severely brain-injured patients, proposing a new method to select the most informative connectivity pattern.

Indexed as

brain connectivitydiagnosisglucose metabolismgraph theoryminimally conscious statePET/MRIresting-state fMRIunresponsive wakefulness syndrome

Identifiers

PMID30405513
PMCPMC6200912
OpenAlexW2892649175

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.