Evidence map›Paper›PMID 30660661›Full record

ArticleNeuroImage. Clinical2019

Graph theory analysis of DTI tractography in children with traumatic injury.

Christopher G Watson, Dana DeMaster, Linda Ewing-Cobbs

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 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

3 authors at 1 institution in 1 country.

Christopher G WatsonDept. of Pediatrics, Children's Learning Institute, University of Texas Health Science Center at Houston, United States. Electronic address: Christopher.G.Watson@uth.tmc.edu.
Dana DeMasterDept. of Pediatrics, Children's Learning Institute, University of Texas Health Science Center at Houston, United States.
Linda Ewing-CobbsDept. of Pediatrics, Children's Learning Institute, University of Texas Health Science Center at Houston, United States.
The University of Texas Health Science Center at Houston · US

Funding

Tramatic Stress After Pediatric Injury: Neurobiological InfluencesR01NS046308 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI EWING-COBBS, LINDA · 2004 to 2015
$6.0M
NINDS NIH HHS R01 NS046308
6 · The paper itself

Abstract

objectiveTo evaluate brai structural connectivity in children with traumatic injury (TI) following a motor vehicle accident using graph theory analysis of DTI tractography data.

methodsDTI scans were acquired on a 3 T Philips scanner from children aged 8-15 years approximately 2 months post-injury. The TI group consisted of children with traumatic brain injury (TBI; n = 44) or extracranial injury (EI; n = 23). Healthy control children (n = 36) were included as an age-matched comparison group. A graph theory approach was applied to DTI tractography data to investigate injury-related differences in connectivity network characteristics. Group differences in structural connectivity evidenced by graph metrics including efficiency, strength, and modularity were assessed using the multi-threshold permutation correction (MTPC) and network-based statistic (NBS) methods.

resultsAt the global network level, global efficiency and mean network strength were lower, and modularity was higher, in the TBI than in the control group. Similarly, strength was lower and modularity higher when comparing the EI to the control group. At the vertex level, nodal efficiency, vertex strength, and average shortest path length were different between all pairwise comparisons of the three groups. Both nodal efficiency and vertex strength were higher in the control than in the EI group, which in turn were higher than in the TBI group. The opposite between-group relationships were seen with path length. These between-group differences were distributed throughout the brain, in both hemispheres. NBS analysis resulted in a cluster of 22 regions and 21 edges with significantly lower connectivity in the TBI group compared to controls. This cluster predominantly involves the frontal lobe and subcortical gray matter structures in both hemispheres.

conclusionsGraph theory analysis of DTI tractography showed diffuse differences in structural brain network connectivity in children 2 months post-TI. Network differences were consistent with lower network integration and higher segregation in the injured groups compared to healthy controls. Findings suggest that inclusion of trauma-exposed comparison groups in studies of TBI outcome is warranted to better characterize the indirect effect of stress on brain networks.

Indexed as

Diffusion Tensor ImagingAdolescentBrainBrain Injuries, TraumaticBrain MappingChildFemaleFrontal LobeGray MatterHumansMaleNeural PathwaysConnectivityDiffusion tensor imagingGraph theoryPediatricTractographyTraumatic injury

Identifiers

PMID30660661
PMCPMC6412099
OpenAlexW2909865832

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.