Evidence map›Paper›PMID 30919395›Full record

ArticleAmerican journal of perinatology2020

Neonatal Functional and Structural Connectivity Are Associated with Cerebral Palsy at Two Years of Age.

Stephanie L Merhar, Elveda Gozdas, Jean A Tkach, Nehal A Parikh, Beth M Kline-Fath, Lili He, Weihong Yuan, Mekibib Altaye, James L Leach, Scott K Holland

Open access · greenAbstract read
In one paragraph

Article in American journal of perinatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Neuroimaging in the term newborn with neonatal encephalopathy.Seminars in fetal & neonatal medicine · 2021
    Review
  7. Article
  8. Article
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

10 authors at 4 institutions in 1 country.

Stephanie L MerharDivision of Neonatology, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Elveda GozdasPsychiatry and Behavioral Sciences, Stanford University, Stanford, California.
Jean A TkachImaging Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Nehal A ParikhDivision of Neonatology, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Beth M Kline-FathDepartment of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Lili HeDivision of Neonatology, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Weihong YuanDepartment of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Mekibib AltayeDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
James L LeachDepartment of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Scott K HollandMedpace Imaging Core Laboratory, Medpace Inc., Cincinnati, Ohio.
Cincinnati Children's Hospital Medical Center · USMedpace (United States) · USStanford University · USUniversity of Cincinnati · US

Funding

KL2 Training ProgramKL2TR001426 · NCATS · UNIVERSITY OF CINCINNATI · PI ZELLER, MARGARET H · 2015 to 2024
$6.8M
NCATS NIH HHS KL2 TR001426Thrasher Research Fund 9190
6 · The paper itself

Abstract

objectiveThe accuracy of structural magnetic resonance imaging (MRI) to predict later cerebral palsy (CP) in newborns with perinatal brain injury is variable. Diffusion tensor imaging (DTI) and task-based functional MRI (fMRI) show promise as predictive tools. We hypothesized that infants who later developed CP would have reduced structural and functional connectivity as compared with those without CP. STUDY

designWe performed DTI and fMRI using a passive motor task at 40 to 48 weeks' postmenstrual age in 12 infants with perinatal brain injury. CP was diagnosed at age 2 using a standardized examination.

resultsFive infants had CP at 2 years of age, and seven did not have CP. Tract-based spatial statistics showed a widespread reduction of fractional anisotropy (FA) in almost all white matter tracts in the CP group. Using the median FA value in the corticospinal tracts as a cutoff, FA was 100% sensitive and 86% specific to predict CP compared with a sensitivity of 60 to 80% and a specificity of 71% for structural MRI. During fMRI, the CP group had reduced functional connectivity from the right supplemental motor area as compared with the non-CP group.

conclusionDTI and fMRI obtained soon after birth are potential biomarkers to predict CP in newborns with perinatal brain injury.

Indexed as

BrainBrain InjuriesCerebral Intraventricular HemorrhageCerebral PalsyChild, PreschoolDiffusion Tensor ImagingFemaleHumansHypoxia-Ischemia, BrainInfant, NewbornLeukomalacia, PeriventricularMagnetic Resonance ImagingMaleStroke

Identifiers

PMID30919395
PMCPMC8103821
OpenAlexW2935205525

What OpenQuestion holds

Textmetadata
LicenceTDM
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.