Evidence map›Paper›PMID 32507962›Full record

ArticlePediatric radiology2020

Abdominal lymph node size in children at computed tomography.

Suzanne Spijkers, Judith M Staats, Annemieke S Littooij, Rutger A J Nievelstein

Abstract read
In one paragraph

Article in Pediatric radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

4 authors.

Suzanne SpijkersDepartment of Radiology and Nuclear Medicine, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht University, Heidelberglaan 100, 3584, CX, Utrecht, The Netherlands. suzannespijkers@outlook.com.ORCID 0000-0002-9632-7002
Judith M StaatsDepartment of Radiology and Nuclear Medicine, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht University, Heidelberglaan 100, 3584, CX, Utrecht, The Netherlands.
Annemieke S LittooijDepartment of Radiology and Nuclear Medicine, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht University, Heidelberglaan 100, 3584, CX, Utrecht, The Netherlands.
Rutger A J NievelsteinDepartment of Radiology and Nuclear Medicine, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht University, Heidelberglaan 100, 3584, CX, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLymph node enlargement is commonly used to indicate abnormality.

objectiveTo evaluate the normal size and prevalence of abdominal lymph nodes in children at CT. MATERIALS AND

methodsIn this retrospective study, we included a total of 152 children ages 1-17 years who underwent abdominal CT examination after high-energy trauma. We measured abdominal lymph nodes in five lymph node stations (inguinal, iliac, para-aortic, hepatic and mesenteric). For the largest lymph node in each level, we measured long- and short-axis diameters in both the axial and coronal planes. We then calculated distribution parameters, correlation coefficients between lymph node size and age, and reference intervals.

resultsThe prevalence of detectable lymph nodes was high for the inguinal (100%), iliac (98%), para-aortic (97%) and mesenteric (99%) stations and lower for the hepatic station (32%). Lymph node size showed small to medium significant correlations (ranging from 0.21 to 0.50) with age. When applying the Lugano criteria and RECIST (Response Criteria in Solid Tumors), 29 children (19%) would have had one or more enlarged abdominal lymph nodes.

conclusionThe results of this study provide normative data of abdominal lymph node size in children. The current adult guidelines for enlarged lymph nodes seem adequate for most children with the exception of young adolescents, in which larger lymph nodes were relatively common, particularly in the inguinal region.

Indexed as

Tomography, X-Ray ComputedAbdominal InjuriesAdolescentChildChild, PreschoolFemaleHumansInfantInfant, NewbornLymph NodesMaleOrgan SizeReference ValuesRetrospective StudiesAbdomenChildComputed tomographyLymphadenopathyLymph nodesReference values

Identifiers

PMID32507962
PMCPMC7399684

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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.