Evidence map›Paper›PMID 32218536›Full record

SynthesisPediatric research2020

Diagnostic and predictive value of Doppler ultrasound for evaluation of the brain circulation in preterm infants: a systematic review.

Fleur A Camfferman, Robbin de Goederen, Paul Govaert, Jeroen Dudink, Frank van Bel, Adelina Pellicer, Filip Cools, eurUS.brain group

3 registry-linked trialsOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Pediatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.8field-weighted citation impact, top 6% 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.

NCT04535375 nacompletednot on this mapstarted 2021, after this paper: background citation

Sonographic Quantification of Venous Circulation in the Preterm Brain

TypeinterventionalSponsorUniversitair Ziekenhuis BrusselRan2021 to 2024Enrolled47ConditionsPrematurity, Extreme, Cerebral Circulatory Failure, Intraventricular HemorrhageArmsDoppler Ultrasound of venous cerebral circulation
NCT06719284 narecruitingnot on this mapstarted 2025, after this paper: background citation

Crossover Study of the Cerebral Blood Flow and Cardiac Output At Different Targeted Tidal Volumes During High Frequency Oscillation with Volume Targeted Ventilation (HFO&VTV)

TypeinterventionalSponsorKing's College Hospital NHS TrustRan2025 to 2026Enrolled27ConditionsHigh Frequency Oscillation, Volume Targeted VentilationArmsHFO&VTV at targeted tidal volumes of 1.5, 2.0 and 2.5 ml/kg in random order, HFOV at the settings applied prior to the study
NCT07427342 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Comparative Analysis of Cerebral Blood Flow in Term and Preterm Neonates Using Doppler Ultrasonography

TypeobservationalSponsorAssiut UniversityRan2026 to 2027Enrolled200ConditionsCerebral Blood Flow
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
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  5. Systemic hypotension and patterns of cerebral blood perfusion in newborns.Journal of perinatology : official journal of the California Perinatal Association · 2025
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  10. Review
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  16. Observational
  17. Review
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  20. Observational
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

8 authors at 4 institutions in 3 countries.

Fleur A CamffermanDepartment of Neonatology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium. Fleur.Camfferman@uzbrussel.be.
Robbin de GoederenDutch Craniofacial Centre Rotterdam, Department of Plastic and Reconstructive Surgery, Erasmus Medical Center University, Rotterdam, The Netherlands.
Paul GovaertDepartment of Neonatology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Jeroen DudinkDepartment of Neonatology, Erasmus Medical Center University, Sophia Children's Hospital, Rotterdam, The Netherlands.
Frank van BelDepartment of Neonatology, University Medical Center Utrecht, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
Adelina PellicerDepartment of Neonatology, La Paz University Hospital, Madrid, Spain.
Filip CoolsDepartment of Neonatology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
eurUS.brain group
Vrije Universiteit Brussel · BEErasmus MC · NLHospital Universitario La Paz · ESUniversitair Ziekenhuis Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVery and extremely preterm infants frequently have brain injury-related long-term neurodevelopmental problems. Altered perfusion, for example, seen in the context of a hemodynamically significant patent ductus arteriosus (PDA), has been linked to injury of the immature brain. However, a direct relation with outcome has not been reviewed systematically.

methodsA systematic review was conducted to provide an overview of the value of different cerebral arterial blood flow parameters assessed by Doppler ultrasound, in relation to brain injury, to predict long-term neurodevelopmental outcome in preterm infants.

resultsIn total, 23 studies were included. Because of heterogeneity of studies, a meta-analysis of results was not possible. All included studies on resistance index (RI) showed significantly higher values in subjects with a hemodynamically significant PDA. However, absolute differences in RI values were small. Studies using Doppler parameters to predict brain injury and long-term neurodevelopmental outcome were inconsistent. DISCUSSION: There is no clear evidence to support the routine determination of RI or other Doppler parameters in the cerebral arteries to predict brain injury and long-term neurodevelopmental outcome in the preterm infant. However, there is evidence that elevated RI can point to the presence of a hemodynamically significant PDA.

Indexed as

Cerebrovascular CirculationBrainBrain InjuriesDuctus Arteriosus, PatentHemodynamicsHumansInfant, NewbornInfant, PrematureInfant, Premature, DiseasesNeonatologyPerfusionPredictive Value of TestsUltrasonography, Doppler

Identifiers

PMID32218536
PMCPMC7098887
OpenAlexW3013280273

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.