Evidence map›Paper›PMID 31816125›Full record

SynthesisNeurourology and urodynamics2020

Regions of the brain activated in bladder filling vs rectal distention in healthy adults: A meta-analysis of neuroimaging studies.

Priyanka Kadam Halani, Uduak U Andy, Hengyi Rao, Lily A Arya

Open access · greenAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Neurourology and urodynamics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Visceral and emotional responses to direct electrical stimulations of the cortex.Annals of clinical and translational neurology · 2023
    Article
  7. Article
  8. Review
  9. Article
  10. 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

4 authors at 1 institution in 1 country.

Priyanka Kadam HalaniDivision of Urogynecology, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-7461-8960
Uduak U AndyDivision of Urogynecology, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania.
Hengyi RaoCenter for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania.
Lily A AryaDivision of Urogynecology, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-8838-3138
University of Pennsylvania · US

Funding

Neural basis for differential vulnerability to sleep deprivationR01HL102119 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI RAO, HENGYI · 2010 to 2014
$2.3M
Diet and fecal incontinence in older womenR03AG053277 · NIA · UNIVERSITY OF PENNSYLVANIA · PI ANDY, UDUAK UMOH · 2016 to 2017
$242k
NHLBI NIH HHS R01 HL102119NHLBI NIH HHS R01-HL102119NIA NIH HHS R03 AG053277
6 · The paper itself

Abstract

aimsAdults with pelvic floor disorders commonly present with overlapping bladder and bowel symptoms; however, the relationship between urinary and defecatory dysfunction is not well understood. Our aim was to compare and determine if overlapping brain regions are activated during bladder filling and rectal distention in healthy adults.

methodsWe conducted separate Pubmed searches for neuroimaging studies investigating the effects of rectal distention and bladder filling on brain activation in healthy subjects. Coordinates of activated regions were extracted with cluster-level threshold P < .05 and compared using the activation likelihood estimate approach. Results from the various studies were pooled and a contrast analysis was performed to identify any common areas of activation between bladder filling and rectal distension.

resultsWe identified 96 foci of activation from 14 neuroimaging studies on bladder filling and 182 foci from 17 studies on rectal distension in healthy adults. Regions activated during bladder filling included right insula, right and left thalamus, and right periaqueductal grey. Regions activated during rectal distention included right and left insula, right and left thalamus, left postcentral gyrus, and right inferior parietal lobule. Contrast analysis revealed common activation of the right insula with both rectal distention and bladder filling.

conclusionBladder filling and rectal distention activate several separate areas of the brain involved in sensory processing in healthy adults. The common activation of the insula, the region responsible for interoception, in these two conditions may offer an explanation for the coexistence of bladder and defecatory symptoms in pelvic floor disorders.

Indexed as

AdultBrainBrain MappingDefecationHealthy VolunteersHumansMagnetic Resonance ImagingNeuroimagingRectumUrinary BladderUrodynamicsbladder fillinginsulainteroceptionneuroimagingpelvic floor disordersrectal distention

Identifiers

PMID31816125
PMCPMC9389642
OpenAlexW2995256251

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.