Evidence map›Paper›PMID 33816693›Full record

ArticleAmerican journal of clinical and experimental urology2021

Bladder wall micromotion measured by non-invasive ultrasound: initial results in women with and without overactive bladder.

Anna S Nagle, Zachary E Cullingsworth, Rui Li, Laura R Carucci, Adam P Klausner, John E Speich

Open access · greenAbstract read
In one paragraph

Article in American journal of clinical and experimental urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Anna S NagleDepartment of Mechanical & Nuclear Engineering, Virginia Commonwealth University College of Engineering Richmond, VA, USA.
Zachary E CullingsworthDepartment of Mechanical & Nuclear Engineering, Virginia Commonwealth University College of Engineering Richmond, VA, USA.
Rui LiDepartment of Mechanical & Nuclear Engineering, Virginia Commonwealth University College of Engineering Richmond, VA, USA.
Laura R CarucciDepartment of Radiology, Virginia Commonwealth University School of Medicine Richmond, VA, USA.
Adam P KlausnerDepartment of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine Richmond, VA, USA.
John E SpeichDepartment of Mechanical & Nuclear Engineering, Virginia Commonwealth University College of Engineering Richmond, VA, USA.
Virginia Commonwealth University · US

Funding

The Detrusor Tension Sensor: A Model for Novel Cystometrics in Overactive BladderR01DK101719 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI KLAUSNER, ADAM PHILIP, SPEICH, JOHN E · 2015 to 2023
$2.4M
NIDDK NIH HHS R01 DK101719
6 · The paper itself

Abstract

objectiveRhythmic contractions of the bladder wall during filling result from the synchronization of bladder wall micromotion and are often observed in the urodynamic tracings of individuals with urinary overactive bladder (OAB). This study's objective was to develop a novel, non-invasive method to measure bladder wall micromotion and to conduct an initial study to test the hypothesis that elevated micromotion is associated with OAB.

methodsThis prospective study enrolled women with OAB and asymptomatic volunteers as measured by the ICIQ-OAB survey. After filling the bladder to 40% cystometric capacity, 85 second cine-loops were obtained using a GE Voluson E8 ultrasound system with an 8 MHz curved, abdominal probe. A custom correlation-based texture tracking MATLAB algorithm was used to measure changes in the bladder wall thickness over time and correlate with changes in vesical pressure. Significant bladder wall micromotion was defined as changes in wall thickness with amplitudes higher than 0.1 mm in the frequency range of 1.75-6 cycles/minute as calculated from Fast Fourier Transform (FFT) analysis. The micromotion algorithm was tested on 30 women including 17 with OAB and 13 asymptomatic volunteers.

resultsMicromotion was identified in 41% of subjects with OAB and 0% of asymptomatic volunteers, indicating a significant association of micromotion with OAB (Fisher's exact test, P=0.010). Micromotion was also found to have a significant association with a clinical diagnosis of detrusor overactivity (Fisher's exact test, P=0.031). Frequencies with elevated micromotion correlated with frequencies of vesical pressure fluctuations.

conclusionsThe feasibility of a non-invasive method to measure bladder wall micromotion was demonstrated using transabdominal anatomical motion mode (M-mode) ultrasound. Presence of micromotion was significantly associated with OAB and with urodynamic-identified rhythm.

Indexed as

detrusor overactivitydiagnostic imagingfast Fourier transform analysisimage analysislower urinary tract symptomsnon-invasiveoveractive bladdertexture trackingUltrasonographyurodynamics

Identifiers

PMID33816693
PMCPMC8012835
OpenAlexW3149714573

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.