Evidence map›Paper›PMID 31633042›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2019

Morphological and elemental mapping of gallstones using synchrotron microtomography and synchrotron X-ray fluorescence spectroscopy.

Mohana Bakthavatchalam, Jayanthi Venkataraman, Ramya J Ramana, Mayank Jain, Balwant Singh, Arul K Thanigai, Vaithiswaran Velyoudam, Saravanan Manickam Neethirajan, Manoj K Tiwari, Ashish K Agarwal and 1 more

Open access · goldAbstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 13 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

11 authors at 4 institutions in 1 country.

Mohana BakthavatchalamCrystal Growth Centre Anna University Chennai India.
Jayanthi VenkataramanInstitute of GI Sciences, Gleneagles Global Hospitals and Health City Chennai India.
Ramya J RamanaCrystal Growth Centre Anna University Chennai India.
Mayank JainInstitute of GI Sciences, Gleneagles Global Hospitals and Health City Chennai India.ORCID https://orcid.org/0000-0003-1176-5167
Balwant SinghIndus 2 Raja Ramanna Centre for Advance Technology Indore India.
Arul K ThanigaiDepartment of Physics, Energy and Biophotonics Lab AMET Chennai India.
Vaithiswaran VelyoudamInstitute of GI Sciences, Gleneagles Global Hospitals and Health City Chennai India.
Saravanan Manickam NeethirajanInstitute of GI Sciences, Gleneagles Global Hospitals and Health City Chennai India.
Manoj K TiwariIndus 2 Raja Ramanna Centre for Advance Technology Indore India.
Ashish K AgarwalIndus 2 Raja Ramanna Centre for Advance Technology Indore India.
Narayana S KalkuraCrystal Growth Centre Anna University Chennai India.
Global Hospitals · INAnna University, Chennai · INRaja Ramanna Centre for Advanced Technology · INAMET University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimRegional differences in gallstone (GS) composition are well documented in the Indian subcontinent. The reasons for the same are unknown. Etiopathogenesis of GS remains elusive despite advances in instrumentation. This was an in-depth analysis of the chemical, structural, and elemental composition of GS with special reference to synchroton studies.

methodsWe used high-end sensitive analytical complementary microscopic and spectroscopic methods techniques, such as X-ray diffraction, scanning electron microscopy, Fourier transform infrared, synchrotron X-ray fluorescence spectroscopy (SR-XRF), and 2D and 3D synchrotron microtomography (SR-μCT), to study the ultra structure and trace element composition of three major types of GS (cholesterol, mixed, and pigment). SR-XRF quantified the trace elements in GS.

resultsThe cholesterol GS (monohydrate and anhydrate) were crystalline, with high calcium content. The pigment GS were amorphous, featureless, black, and fragile, with high calcium bilirubinate and carbonate salts. They had the highest concentration of iron (average 31.50 ppm) and copper (average 92.73 ppm), with bacterial inclusion. The mixed stones had features of both cholesterol and pigment GS with intermediate levels of copper (average 20.8 ppm) and iron (average 17.78 ppm).

conclusionSR-μCT has, for the first time, provided cross-sectional computed imaging delineating the framework of GS and mineral distribution. It provided excellent mapping of cholesterol GS. SR-XRF confirmed that pigment GS had high concentrations of copper and iron with bacterial inclusions, the latter possibly serving as a nidus to the formation of these stones.

Indexed as

cholesterolelementalgallstonesmicrotomographypigmentsynchroton

Identifiers

PMID31633042
PMCPMC6788379
OpenAlexW2931531564

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LicenceCC BY
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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.