Evidence map›Paper›PMID 33750319›Full record

ArticleBMC neurology2021

Early prediction of putamen imaging features in HIV-associated neurocognitive impairment syndrome.

Yu Qi, Man Xu, Wei Wang, Yuan-Yuan Wang, Jiao-Jiao Liu, Hai-Xia Ren, Ming-Ming Liu, Rui-Li Li, Hong-Jun Li

Abstract read
In one paragraph

Article in BMC neurology, 2021. 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.

  1. Pooled it
  2. Article
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  4. Endophenotypic effects of theFrontiers in aging neuroscience · 2022
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  5. Review
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

9 authors.

Yu Qi *Department of Radiology, Beijing Youan Hospital, Capital Medical University, No.8 Xi Tou Tiao Youanmen Wai, Fengtai District, Beijing, 100069, China.
Man Xu *Information and Communication Engineering Department Beijing University of Posts and Telecommunications, Beijing, China.
Wei Wang *Department of Radiology, Beijing Youan Hospital, Capital Medical University, No.8 Xi Tou Tiao Youanmen Wai, Fengtai District, Beijing, 100069, China.
Yuan-Yuan WangDepartment of Radiology, Beijing Second Hospital, Beijing, China.
Jiao-Jiao LiuDepartment of Radiology, Beijing Youan Hospital, Capital Medical University, No.8 Xi Tou Tiao Youanmen Wai, Fengtai District, Beijing, 100069, China.
Hai-Xia RenInformation and Communication Engineering Department Beijing University of Posts and Telecommunications, Beijing, China.
Ming-Ming LiuPhysical Examination Center, Cang zhou Central Hospital, Cang zhou, China.
Rui-Li LiDepartment of Radiology, Beijing Youan Hospital, Capital Medical University, No.8 Xi Tou Tiao Youanmen Wai, Fengtai District, Beijing, 100069, China. 1985lrli@sina.com.
Hong-Jun LiDepartment of Radiology, Beijing Youan Hospital, Capital Medical University, No.8 Xi Tou Tiao Youanmen Wai, Fengtai District, Beijing, 100069, China. lihongjun00113@ccmu.edu.cn.

Funding

National Natural Science Foundation of China 61936013National Natural Science Foundation of China 81771806
6 · The paper itself

Abstract

backgroundTo explore the correlation between the volume of putamen and brain cognitive impairment in patients with HIV and to predict the feasibility of early-stage HIV brain cognitive impairment through radiomics.

methodRetrospective selection of 90 patients with HIV infection, including 36 asymptomatic neurocognitive impairment (ANI) patients and 54 pre-clinical ANI patients in Beijing YouAn Hospital. All patients received comprehensive neuropsychological assessment and MRI scanning. 3D Slicer software was used to acquire volume of interest (VOI) and radiomics features. Clinical variables and volume of putamen were compared between patients with ANI and pre-clinical ANI. The Kruskal Wallis test was used to analysis multiple comparisons between groups. The relationship between cognitive scores and VOI was compared using linear regression. For radiomics, principal component analysis (PCA) was used to reduce model overfitting and calculations and then a support vector machine (SVM) was used to build a binary classification model. For model performance evaluation, we used an accuracy, sensitivity, specificity and receiver operating characteristic curve (ROC).

resultThere were no significant differences in clinical variables between ANI group and pre-clinical-ANI group (P>0.05). The volume of bilateral putamen was significantly different between AHI group and pre-clinical group (P<0.05), but there was only a trend in the left putamen between ANI-treatment group and pre-clinical treatment group(P = 0.063). Reduced cognitive scores in Verbal Fluency, Attention/Working Memory, Executive Functioning, memory and Speed of Information Processing were negatively correlated with the increased VOI (P<0.05), but the correlation was relatively low. In diagnosing the ANI from pre-clinical ANI, the mean area under the ROC curves (AUC) were 0.85 ± 0.22, the mean sensitivity and specificity were 63.12 ± 5.51 and 94.25% ± 3.08%.

conclusionThe volumes of putamen in patients with ANI may be larger than patients with pre-clinical ANI, the change of the volume of the putamen may have a certain process; there is a relationship between putamen and cognitive impairment, but the exact mechanism is unclear. Radiomics may be a useful tool for predicting early stage HAND in patients with HIV.

Indexed as

AIDS Dementia ComplexPutamenAdultBrainCognitive DysfunctionFemaleHumansMagnetic Resonance ImagingMaleNeuropsychological TestsRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesAsymptomatic neurocognitive impairmentHIVPutamenRadiomics

Identifiers

PMID33750319
PMCPMC7941706

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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.