Evidence map›Paper›PMID 31036426›Full record

ArticlePediatric neurology2019

Structural Magnetic Resonance Imaging-Based Brain Morphology Study in Infants and Toddlers With Down Syndrome: The Effect of Comorbidities.

Tadashi Shiohama, Jacob Levman, Nicole Baumer, Emi Takahashi

Open access · greenAbstract read
In one paragraph

Article in Pediatric neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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, 1 synthesis or guideline pooled it, 26 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

4 authors at 3 institutions in 3 countries.

Tadashi ShiohamaDivision of Newborn Medicine, Department of Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Pediatrics, Chiba University Hospital, Chiba-shi, Chiba, Japan. Electronic address: asuha_hare@yahoo.co.jp.
Jacob LevmanDivision of Newborn Medicine, Department of Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Mathematics, Statistics and Computer Science, St. Francis Xavier University, Antigonish, Nova Scotia, Canada.
Nicole BaumerDown Syndrome Program, Developmental Medicine Center, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Emi TakahashiDivision of Newborn Medicine, Department of Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Harvard University · USChiba University Hospital · JPSt. Francis Xavier University · CA

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Development of Brain Connectivity in Human Fetus, Newborn, and Toddler AgesR01HD078561 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI TAKAHASHI (OKI), EMI · 2014 to 2018
$1.7M
MRI-based biomarkers for regional brain abnormalities in autism spectrum disorder: From newborns to young adultsR21MH118739 · NIMH · BOSTON CHILDREN'S HOSPITAL · PI TAKAHASHI (OKI), EMI · 2018 to 2019
$487k
Brain Development in Down Syndrome during Fetal, Newborn, and Infant StagesR21HD098606 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI TAKAHASHI (OKI), EMI · 2019 to 2020
$484k
Development of Brain Connectivity in the Human FetusR21HD069001 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI TAKAHASHI (OKI), EMI · 2012 to 2013
$467k
Assessment of white matter connectivity in Alexander diseaseR03NS101372 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI TAKAHASHI (OKI), EMI · 2018 to 2019
$177k
NCATS NIH HHS UL1 TR001102NICHD NIH HHS R01 HD078561NICHD NIH HHS R21 HD069001NICHD NIH HHS R21 HD098606NIMH NIH HHS R21 MH118739NINDS NIH HHS R03 NS101372
6 · The paper itself

Abstract

backgroundDown syndrome (DS) is the most prevalent chromosomal disorder characterized by intellectual disability, multiple organ anomalies, generalized muscular hypotonia, and characteristic physical features. The presence of DS-associated medical comorbidities has contributed to brain morphologic changes. The aim of this study was to evaluate brain morphologic characteristics during infant and toddler ages in patients with DS using structural brain magnetic resonance imaging.

methodsStructural brain T1-weighted magnetic resonance images from participants with DS with complete chromosome 21 trisomy (n = 20; 1.6 ± 0.6 [mean ± standard deviation] years old) were analyzed using FreeSurfer. The measurements were compared with those of 60 gender- and age-matched neurotypical controls by Cohen's d statistic and unpaired t test with false discovery rate correction for multiple comparisons and analyzed using a univariate general linear model with the following DS-associated medical comorbidities: congenital cardiac disease, infantile spasms, and hypothyroidism.

resultsWe identified 27 candidate measurements with large effect sizes (absolute d > 0.8) and statistically significant differences (P < 6.9 × 10

conclusionThese results suggest that cerebellar gray matter and brainstem may represent the primary regions affected by the presence of an additional copy of chromosome 21.

Indexed as

BrainBrain StemChild, PreschoolCohort StudiesComorbidityDown SyndromeElectronic Health RecordsFemaleGray MatterHumansInfantMagnetic Resonance ImagingMaleBrain morphologyBrainstemCerebellumEpilepsyHypothyroidism

Identifiers

PMID31036426
PMCPMC6755072
OpenAlexW2923678875

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.