Evidence map›Paper›PMID 30970374›Full record

ArticleFetal diagnosis and therapy2019

Feasibility of Postmortem Imaging Assessment of Brain: Liver Volume Ratios with Pathological Validation.

Susan C Shelmerdine, Kimberly L Chung, John C Hutchinson, Claire Elliott, Neil J Sebire, Owen J Arthurs

Open access · hybridAbstract readValidation Study
In one paragraph

Article in Fetal diagnosis and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 2 institutions in 2 countries.

Susan C ShelmerdineDepartment of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom, susan.shelmerdine@gosh.nhs.uk.
Kimberly L ChungDepartment of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
John C HutchinsonDepartment of Histopathology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Claire ElliottDepartment of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Neil J SebireDepartment of Histopathology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Owen J ArthursDepartment of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Great Ormond Street Hospital · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GB

Funding

Department of Health 14/168/02Department of Health CDF-2017-10-037Department of Health ICA-CDRF-2017-03-053Department of Health NIHR-CS-012-002Medical Research Council MR/R002118/1
6 · The paper itself

Abstract

introductionOrgan volumes at postmortem magnetic resonance imaging (PMMR) should reflect autopsy organ weights, and thus brain:liver volume ratios on imaging could be a surrogate for weight volume ratios at autopsy to indicate fetal growth restriction (FGR). This study aims to determine whether imaging-based organ volume ratios can replace autopsy organ weight ratios. Materials and Meth ods: An unselected cohort of perinatal deaths underwent PMMR prior to autopsy. Semiautomated brain and liver volumes were compared to autopsy organ weights and ratios. Ratios were compared using Bland-Altman plots, and intra- and interobserver variability was assessed.

resultsA total 49 fetuses (25 male, 51%) at 17-42 weeks gestation were -assessed. There was a reasonable correlation between autopsy-derived brain:liver weight ratios (AB:LwR) and imaging-derived brain:liver volume ratios (IB:LvR; r = 0.8). The mean difference between AB:LwR and IB:LvR was +0.7 (95% limits of agreement range -1.5 to +2.9). In a small subset where FGR was present, the optimal IB:LvR ≥5.5 gave 83.3% sensitivity and 86.0% specificity for diagnosis. There was acceptable agreement within readers (mean difference in IB:LvRs 0.77 ± 2.21) and between readers -0.36 ± 0.68.

conclusionIB:LvR provides a surrogate evaluation of AB:LwRs, and may be used as a marker of FGR where autopsy is declined.

Indexed as

Magnetic Resonance ImagingAutopsyBrainCause of DeathFeasibility StudiesFemaleFetal DeathFetal Growth RetardationGestational AgeHumansLiverMaleOrgan SizePostmortem ChangesPredictive Value of TestsReproducibility of ResultsBrainFetal growth restrictionLiver ratioMagnetic resonance imagingOrgan volumesPostmortemRadiology

Identifiers

PMID30970374
PMCPMC6979430
OpenAlexW2938567326

What OpenQuestion holds

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LicenceCC BY
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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.