Evidence map›Paper›PMID 31071157›Full record

Trial reportPloS one2019

Reduced brain microstructural asymmetry in patients with childhood leukemia treated with chemotherapy compared with healthy controls.

Junyu Guo, Yuanyuan Han, Yimei Li, Wilburn E Reddick

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. The association of environmental factors with neurocognitive outcomes in survivors of childhood acute lymphoblastic leukemia (ALL).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  5. Article
  6. Article
  7. Review
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 2 institutions in 1 country.

Junyu GuoDepartment of Radiology, UT Southwestern Medical Center, Dallas, TX, United States of America.ORCID 0000-0002-1173-9666
Yuanyuan HanDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, United States of America.
Yimei LiDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, United States of America.
Wilburn E ReddickDepartment of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN, United States of America.ORCID 0000-0002-1054-1201
St. Jude Children's Research Hospital · USSouthwestern Medical Center · US

Funding

Quantitative MR measure of MTX neurotoxicity in childrenR01CA090246 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI REDDICK, WILBURN E. · 2002 to 2015
$3.5M
NCI NIH HHS R01 CA090246
6 · The paper itself

Abstract

Microstructural asymmetry of the brain can provide more direct causal explanations of functional lateralization than can macrostructural asymmetry. We performed a cross-sectional diffusion imaging study of 314 patients treated for childhood acute lymphoblastic leukemia (ALL) at a single institution and 92 healthy controls. An asymmetry index based on diffusion metrics was computed to quantify brain microstructural asymmetry. The effects of age and the asymmetry metrics of the two cohorts were examined with t-tests and linear models. We discovered two new types of microstructural asymmetry. Myelin-related asymmetry in controls was prominent in the back brain (89% right), whereas axon-related asymmetry occurred in the front brain (67% left) and back brain (88% right). These asymmetries indicate that white matter is more mature and more myelinated in the left back brain, potentially explaining the leftward lateralization of language and visual functions. The asymmetries increase throughout childhood and adolescence (P = 0.04) but were significantly less in patients treated for ALL (P<0.01), especially in younger patients. Our results indicate that atypical brain development may appear long before patients treated with chemotherapy become symptomatic.

Indexed as

AdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsBrainCase-Control StudiesChildChild, PreschoolCross-Sectional StudiesDiffusion Tensor ImagingFemaleHumansImage Processing, Computer-AssistedInfantMalePrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosis

Identifiers

PMID31071157
PMCPMC6508708
OpenAlexW2943991720

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.