Evidence map›Paper›PMID 30729516›Full record

Trial reportThe British journal of dermatology2019

Objective assessment of dermal fibrosis in cutaneous scarring, using optical coherence tomography, high-frequency ultrasound and immunohistomorphometry of human skin.

S Ud-Din, P Foden, K Stocking, M Mazhari, S Al-Habba, M Baguneid, D McGeorge, A Bayat

Open access · bronzeAbstract readClinical TrialComparative Study
In one paragraph

Trial report in The British journal of dermatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 36 citations in OpenAlex.

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  15. Elastic Fibres in the subcutaneous tissue: Is there a difference between superficial and muscular fascia? A cadaver study.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2022
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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

8 authors at 2 institutions in 1 country.

S Ud-DinPlastic and Reconstructive Surgery Research, Centre for Dermatology Research, Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, U.K.ORCID 0000-0002-9791-1403
P FodenMedical Statistics, University Hospital of South Manchester, Manchester, U.K.
K StockingMedical Statistics, University Hospital of South Manchester, Manchester, U.K.
M MazhariAdult Histopathology, Central Manchester University Hospitals NHS Foundation Trust, Manchester, U.K.
S Al-HabbaAdult Histopathology, Central Manchester University Hospitals NHS Foundation Trust, Manchester, U.K.
M BaguneidVascular Surgery, Manchester University NHS Foundation Trust, Manchester, U.K.
D McGeorgePlastic and Reconstructive Surgery, Grosvenor Nuffield Hospital, Chester, U.K.
A BayatPlastic and Reconstructive Surgery Research, Centre for Dermatology Research, Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, U.K.ORCID 0000-0002-4116-6491
University of Manchester · GBManchester University NHS Foundation Trust · GB

Funding

NIHR (BRC)
6 · The paper itself

Abstract

backgroundNoninvasive quantitative assessment of dermal fibrosis remains a challenge. Optical coherence tomography (OCT) and high-frequency ultrasound (HFUS) can accurately measure structural and physiological changes in skin.

objectivesTo perform quantitative analysis of cutaneous fibrosis.

methodsSixty-two healthy volunteers underwent multiple sequential skin biopsies (day 0 and 1-8 weekly thereafter), with OCT and HFUS measurements at each time point supported with immunohistomorphometry analysis.

resultsHFUS and OCT provided quantitative measurements of skin thickness, which increased from uninjured skin (1·18 and 1·2 mm, respectively) to week 1 (1·28 mm, P = 0·01; 1·27 mm, P = 0·02), and compared favourably with haematoxylin and eosin. Spearman correlation showed good agreement between techniques (P < 0·001). HFUS intensity corresponded to dermal density, with reduction from uninjured skin (42%) to week 8 (29%) (P = 0·02). The OCT attenuation coefficient linked with collagen density and was reduced at week 8 (1·43 mm, P < 0·001). Herovici analysis showed that mature collagen levels were highest in uninjured skin (72%) compared with week 8 (42%, P = 0·04). Fibronectin was greatest at week 4 (0·72 AU) and reduced at week 8 (0·56 AU); and α-smooth muscle actin increased from uninjured skin (11·5%) to week 8 (67%, P = 0·003).

conclusionsTime-matched comparison images between haematoxylin and eosin, OCT and HFUS demonstrated that epidermal and dermal structures were better distinguished by OCT. HFUS enabled deeper visualization of the dermis including the subcutaneous tissue. Choice of device was dependent on the depth of scar type, parameters to be measured and morphological detail required in order to provide better objective quantitative indices of the quality and extent of dermal fibrosis.

Indexed as

AdultBiopsyCicatrixDermisFemaleFibrosisHealthy VolunteersHumansImmunohistochemistryMaleTomography, Optical CoherenceUltrasonographyYoung Adult

Identifiers

PMID30729516
PMCPMC6852041
OpenAlexW2912348022

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.