Evidence map›Paper›PMID 33398617›Full record

ArticleAnnals of biomedical engineering2021

Regional Brain Tissue Displacement and Strain is Elevated in Subjects with Chiari Malformation Type I Compared to Healthy Controls: A Study Using DENSE MRI.

Blaise Simplice Talla Nwotchouang, Maggie S Eppelheimer, Soroush Heidari Pahlavian, Jack W Barrow, Daniel L Barrow, Deqiang Qiu, Philip A Allen, John N Oshinski, Rouzbeh Amini, Francis Loth

Open access · greenAbstract read
In one paragraph

Article in Annals of biomedical engineering, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.5field-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.

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

14 citing papers in PubMed, 24 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

10 authors at 5 institutions in 1 country.

Blaise Simplice Talla NwotchouangConquer Chiari Research Center, Department of Biomedical Engineering, The University of Akron, Akron, OH, 44325-3903, USA. bn23@zips.uakron.edu.ORCID http://orcid.org/0000-0002-2479-0903
Maggie S EppelheimerConquer Chiari Research Center, Department of Biomedical Engineering, The University of Akron, Akron, OH, 44325-3903, USA.
Soroush Heidari PahlavianMIM Software Inc, Beachwood, Ohio, USA.
Jack W BarrowDepartment of Radiology, University of Tennessee, Knoxville, TN, USA.
Daniel L BarrowDepartment of Neurosurgery, Emory University, Atlanta, GA, USA.
Deqiang QiuRadiology & Imaging Sciences and Biomedical Engineering, Emory University School of Medicine, Atlanta, USA.
Philip A AllenConquer Chiari Research Center, Department of Psychology, The University of Akron, Akron, OH, USA.
John N OshinskiRadiology & Imaging Sciences and Biomedical Engineering, Emory University School of Medicine, Atlanta, USA.
Rouzbeh AminiDepartment of Mechanical and Industrial Engineering, Department of Bioengineering, Northeastern University, Boston, MA, USA.
Francis LothConquer Chiari Research Center, Department of Biomedical Engineering, The University of Akron, Akron, OH, 44325-3903, USA.
University of Akron · USEmory University · USNortheastern University · USRHAMM Technologies (United States) · USUniversity of Tennessee at Knoxville · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Novel MR Image Processing as an Objective Diagnostic Test for Chiari MalformationR15NS109957 · NINDS · UNIVERSITY OF AKRON · PI ALLEN, PHILIP A. · 2019 to 2019
$469k
National Center for Advancing Translational Sciences of the National Institutes of Health UL1TR002378NCATS NIH HHS UL1 TR002378NIH HHS 1R15NS109957-01A1NINDS NIH HHS R15 NS109957
6 · The paper itself

Abstract

While the degree of cerebellar tonsillar descent is considered the primary radiologic marker of Chiari malformation type I (CMI), biomechanical forces acting on the brain tissue in CMI subjects are less studied and poorly understood. In this study, regional brain tissue displacement and principal strains in 43 CMI subjects and 25 controls were quantified using a magnetic resonance imaging (MRI) methodology known as displacement encoding with stimulated echoes (DENSE). Measurements from MRI were obtained for seven different brain regions-the brainstem, cerebellum, cingulate gyrus, corpus callosum, frontal lobe, occipital lobe, and parietal lobe. Mean displacements in the cerebellum and brainstem were found to be 106 and 64% higher, respectively, for CMI subjects than controls (p < .001). Mean compression and extension strains in the cerebellum were 52 and 50% higher, respectively, in CMI subjects (p < .001). Brainstem mean extension strain was 41% higher in CMI subjects (p < .001), but no significant difference in compression strain was observed. The other brain structures revealed no significant differences between CMI and controls. These findings demonstrate that brain tissue displacement and strain in the cerebellum and brainstem might represent two new biomarkers to distinguish between CMI subjects and controls.

Indexed as

AdultArnold-Chiari MalformationBiomechanical PhenomenaBrainFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedStress, MechanicalYoung AdultBrain tissueChiari malformationCompression and extension strainDENSE MRIDisplacement

Identifiers

PMID33398617
PMCPMC8482962
OpenAlexW3118970951

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Registered trials

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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.