Evidence map›Paper›PMID 31834183›Full record

ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2020

Sound Measurement in Patient-Specific 3D Printed Bench Models of Venous Pulsatile Tinnitus.

Keerthi Valluru, James Parkhill, Ayushi Gautam, Henrik Haraldsson, Evan Kao, Joseph Leach, Alexandra Wright, Megan Ballweber, Karl Meisel, David Saloner and 1 more

Open access · greenAbstract read
In one paragraph

Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 18 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 1 institution in 1 country.

Keerthi ValluruDepartment of Radiology and Biomedical Imaging.
James ParkhillDepartment of Radiology and Biomedical Imaging.
Ayushi GautamDepartment of Radiology and Biomedical Imaging.
Henrik HaraldssonDepartment of Radiology and Biomedical Imaging.
Evan KaoDepartment of Radiology and Biomedical Imaging.
Joseph LeachDepartment of Radiology and Biomedical Imaging.
Alexandra WrightDepartment of Radiology and Biomedical Imaging.
Megan BallweberDepartment of Radiology and Biomedical Imaging.
Karl MeiselDepartment of Neurology, University of California, San Francisco, San Francisco, California.
David SalonerDepartment of Radiology and Biomedical Imaging.
Matthew AmansDepartment of Radiology and Biomedical Imaging.
University of California, San Francisco · US

Funding

Improved durability of sinus stenting for idiopathic intracranial hypertension using advanced MR flow analysisR56HL149124 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AMANS, MATTHEW · 2019 to 2019
$555k
MR Imaging of Blood Flow in Pulsatile TinnitusR21DC016087 · NIDCD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AMANS, MATTHEW, SALONER, DAVID A · 2017 to 2018
$436k
NHLBI NIH HHS R56 HL149124NIDCD NIH HHS R21 DC016087
6 · The paper itself

Abstract

hypothesisWe hypothesize patient-specific flow models to be an adequate in vitro surrogate to allow for characterization of pulsatile tinnitus (PT) that affects three to five million Americans.

backgroundPT, rhythmic sounds without an extracorporeal source that patients appreciate, can be caused by aberrant blood flow in large cerebral veins near the cochlea. To investigate the sound production mechanism, we created 3D printed flow models based on patient-specific cerebral venous anatomies.

methodsMagnetic resonance angiography datasets from two patients with PT were used to generate patient-specific 3D printed flow models. A flow circuit connecting the patient-specific models to a pulsatile, continuous flow pump simulating cardiac cycle was created. Sound recordings were made along the surface of the models using an electronic stethoscope. Peak-to-rms amplitude, and area under the power spectral density (PSD) curve values were computed to evaluate the sound measurements. Wilcoxon rank sum test was used to statistically determine the differences in measurements between the patient-specific models.

resultsIn patient-1, the recordings (peak-to-rms) from the internal jugular vein stenosis of baseline model (4.29 ± 1.26 for 146 samples) were significantly louder (p < 0.001) than that of the altered model (3.29 ± 0.96 for 143 samples). In patient-2, the sound measured at the transverse sinus stenosis in the pre-lumbar puncture model (4.84 ± 1.11 for 148 samples) was significantly louder (p < 0.0001) than that of the post-lumbar puncture model (3.14 ± 0.87 for 135 samples).

conclusionsThe models are able to generate sounds very similar to those appreciated by patients and examiners in the cases of objective PT.

Indexed as

Models, AnatomicPrinting, Three-DimensionalSoundTinnitusFemaleHumansMiddle Aged

Identifiers

PMID31834183
PMCPMC6913802
OpenAlexW2994957672

What OpenQuestion holds

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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.