Evidence map›Paper›PMID 32842070›Full record

Observational studyJournal of computer assisted tomography

Head Ultrasound Resistive Indices Are Associated With Brain Injury on Diffusion Tensor Imaging Magnetic Resonance Imaging in Neonates With Hypoxic-Ischemic Encephalopathy.

Elizabeth J Snyder, Jamie Perin, Raul Chavez-Valdez, Frances J Northington, Jennifer K Lee, Aylin Tekes

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of computer assisted tomography. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07763145 (Effect of Citicoline on Neurological Severity Score and Cerebral Doppler Resistive Index in Neonatal Hypoxic Ischemic Encephalopathy), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.3field-weighted citation impact, top 8% 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.

NCT07763145 nanot yet recruitingnot on this map

Effect of Citicoline on Neurological Severity Score and Cerebral Doppler Resistive Index in Neonatal Hypoxic Ischemic Encephalopathy: A Randomized Control Trial

TypeinterventionalSponsorKhyber Girls Medical CollegeRan2026 to 2026Enrolled86ConditionsHypoxic Ischaemic Encephalopathy (HIE)ArmsCiticoline, Standard medical treatment
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Systemic hypotension and patterns of cerebral blood perfusion in newborns.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  3. Article
  4. Observational
  5. Review
  6. Value of cranial ultrasound at initiation of therapeutic hypothermia for neonatal encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  7. 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

6 authors at 2 institutions in 1 country.

Elizabeth J SnyderFrom the Department of Radiology, Johns Hopkins Hospital, Baltimore, MD.
Jamie PerinDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Raul Chavez-ValdezDepartment of Pediatrics, Division of Neonatology, JHU, Baltimore, MD; and Neurosciences Intensive Care Nursery, Johns Hopkins Hospital, Baltimore, MD.
Frances J NorthingtonDepartment of Pediatrics, Division of Neonatology, JHU, Baltimore, MD; and Neurosciences Intensive Care Nursery, Johns Hopkins Hospital, Baltimore, MD.
Jennifer K LeeDepartment of Anesthesiology and Critical Care Medicine, Division of Pediatric Anesthesiology, Johns Hopkins Hospital, Baltimore, MD.
Aylin TekesDepartment of Radiology, Division of Pediatric Radiology and Pediatric Neuroradiology, Johns Hopkins Hospital, Baltimore, MD.
Johns Hopkins Hospital · USJohns Hopkins University · US

Funding

Adult Biomarkers in Neonatal Brain Injury and DevelopmentR01HD086058 · NICHD · JOHNS HOPKINS UNIVERSITY · PI EVERETT, ALLEN D, NORTHINGTON, FRANCES J · 2016 to 2020
$3.1M
Proteasome activation to protect the white matter in neonatal hypoxic-ischemic encephalopathy.R01NS113921 · NINDS · JOHNS HOPKINS UNIVERSITY · PI LEE, JENNIFER KIM, MARTIN, LEE J · 2020 to 2023
$2.2M
Brain Microstructural MRI in a Piglet Model of Hypoxia-IschemiaR01NS107417 · NINDS · JOHNS HOPKINS UNIVERSITY · PI LEE, JENNIFER KIM · 2018 to 2022
$1.8M
Mechanisms of Hypothermic Neuroprotection in NeonatesR01HD070996 · NICHD · JOHNS HOPKINS UNIVERSITY · PI NORTHINGTON, FRANCES J · 2012 to 2016
$1.7M
Injury of Hippocampal Interneurons following Neonatal Hypoxia-Ischemia and Therapeutic HypothermiaK08NS096115 · NINDS · JOHNS HOPKINS UNIVERSITY · PI CHAVEZ-VALDEZ, RAUL · 2017 to 2021
$1.2M
Early Life Brain Injury and Neurodegenerative Disorders of AgingR21AG061643 · NIA · JOHNS HOPKINS UNIVERSITY · PI NORTHINGTON, FRANCES J · 2019 to 2020
$459k
NIA NIH HHS R21 AG061643NICHD NIH HHS R01 HD070996NICHD NIH HHS R01 HD086058NINDS NIH HHS K08 NS096115NINDS NIH HHS R01 NS107417NINDS NIH HHS R01 NS113921
6 · The paper itself

Abstract

backgroundNeonatal hypoxic-ischemic encephalopathy (HIE) is associated with dysfunctional cerebral autoregulation. Resistive index (RI) measured in the anterior cerebral artery on transfontanellar head ultrasound is a noninvasive measure of blood flow and may indicate autoregulation dysfunction. We tested whether RI was associated with brain injury on diffusion tensor imaging magnetic resonance imaging (MRI). MATERIALS AND

methodsSeventy-five neonates who underwent therapeutic hypothermia for HIE were enrolled. Resistive index values were obtained from head ultrasound performed at the end of therapeutic hypothermia. Apparent diffusion coefficient scalars were measured on MRIs performed before day of life 10.

resultsLower RI was associated with lower apparent diffusion coefficient in the centrum semiovale, basal ganglia, thalamus, and posterior limb of the internal capsule. Combining RI and Apgar scores improved the ability to distinguish injury severity on MRI relative to either metric alone.

conclusionsLow RI correlated with worse brain injury on diffusion tensor imaging and may serve as an early marker of brain injury in cooled HIE neonates.

Indexed as

Brain InjuriesDiffusion Tensor ImagingFemaleHeadHumansHypoxia-Ischemia, BrainInfant, NewbornMalePulsatile Flow

Identifiers

PMID32842070
PMCPMC7849191
OpenAlexW3080487655

What OpenQuestion holds

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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.