Evidence map›Paper›PMID 30474711›Full record

ArticlePediatric radiology2019

Functional magnetic resonance urography in infants: feasibility of a feed-and-sleep technique.

Ilias Tsiflikas, Florian Obermayr, Sebastian Werner, Matthias Teufel, Jörg Fuchs, Jürgen F Schäfer

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Article in Pediatric radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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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, 1 synthesis or guideline pooled it.

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4 · The record

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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.

Ilias TsiflikasDepartment of Diagnostic and Interventional Radiology, University Hospital Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany. ilias.tsiflikas@med.uni-tuebingen.de.
Florian ObermayrDepartment of Pediatric Surgery and Pediatric Urology, University Children's Hospital Tübingen, Tübingen, Germany.
Sebastian WernerDepartment of Diagnostic and Interventional Radiology, University Hospital Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Matthias TeufelDepartment of Diagnostic and Interventional Radiology, University Hospital Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Jörg FuchsDepartment of Pediatric Surgery and Pediatric Urology, University Children's Hospital Tübingen, Tübingen, Germany.
Jürgen F SchäferDepartment of Diagnostic and Interventional Radiology, University Hospital Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFunctional magnetic resonance (MR) urography has been well established in the diagnostic workup of congenital anomalies of kidneys and urinary tract, though long acquisition time requires sedation or general anesthesia in infants.

objectiveTo evaluate the success rate of an optimized functional MR urography protocol in infants carried out in natural sleep. MATERIALS AND

methodsWe retrospectively evaluated all functional MR urographies performed under general anesthesia or during natural sleep in infants younger than 1 year between 2010 and 2017 and rated image quality in both cohorts using a 3-point Likert scale. We tested the analyzability of functional sequences using a free available software. We also calculated examination time. Finally, we compared examinations in natural sleep and those with general anesthesia using independent t-test for continuous data and Mann-Whitney U test for categorical data.

resultsFunctional MR urography could be performed successfully during natural sleep in 38 of 42 (90%) infants younger than 10 months. Four examinations were aborted before contrast medium was administrated. In the same period, 19 functional MR urographies were performed successfully under general anesthesia. Although image quality was significantly better in this group (P<0.0001), image quality was at least diagnostic in all finished examinations in natural sleep, and the functional analyzability was given in all completed examinations. There was a significant saving in examination time during natural sleep (P<0.001).

conclusionFunctional MR urography can be successfully performed in natural sleep in infants younger than 10 months.

Indexed as

SleepAnesthesia, GeneralContrast MediaFemaleHumansImage Interpretation, Computer-AssistedInfantMagnetic Resonance ImagingMaleRetrospective StudiesUrogenital AbnormalitiesContrast MediaChildrenCongenital anomaliesDuplex kidneyFeed and sleepFunctional magnetic resonance urographyKidneyUrinary tract

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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.