Evidence map›Paper›PMID 33980860›Full record

ArticleNature communications2021

Functional and diffusion MRI reveal the neurophysiological basis of neonates' noxious-stimulus evoked brain activity.

Luke Baxter, Fiona Moultrie, Sean Fitzgibbon, Marianne Aspbury, Roshni Mansfield, Matteo Bastiani, Richard Rogers, Saad Jbabdi, Eugene Duff, Rebeccah Slater

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Clinical rating scales for assessing pain in newborn infants.The Cochrane database of systematic reviews · 2025
    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

10 authors at 3 institutions in 1 country.

Luke BaxterDepartment of Paediatrics, University of Oxford, Oxford, UK.ORCID 0000-0001-9548-7162
Fiona MoultrieDepartment of Paediatrics, University of Oxford, Oxford, UK.
Sean FitzgibbonFMRIB, Wellcome Centre for Integrative Neuroimaging, University of Oxford, Oxford, UK.
Marianne AspburyDepartment of Paediatrics, University of Oxford, Oxford, UK.ORCID 0000-0002-4476-3005
Roshni MansfieldDepartment of Paediatrics, University of Oxford, Oxford, UK.
Matteo BastianiFMRIB, Wellcome Centre for Integrative Neuroimaging, University of Oxford, Oxford, UK.
Richard RogersNuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford, UK.
Saad JbabdiFMRIB, Wellcome Centre for Integrative Neuroimaging, University of Oxford, Oxford, UK.
Eugene Duff *Department of Paediatrics, University of Oxford, Oxford, UK.ORCID 0000-0001-8795-5472
Rebeccah Slater *Department of Paediatrics, University of Oxford, Oxford, UK. rebeccah.slater@paediatrics.ox.ac.uk.ORCID 0000-0003-1595-4846
University of Oxford · GBJohn Radcliffe Hospital · GBUniversity of Nottingham · GB

Funding

Medical Research Council MR/L009013/1Wellcome TrustWellcome Trust 203139/Z/16/ZWellcome Trust 207457/Z/17/Z
6 · The paper itself

Abstract

Understanding the neurophysiology underlying neonatal responses to noxious stimulation is central to improving early life pain management. In this neonatal multimodal MRI study, we use resting-state and diffusion MRI to investigate inter-individual variability in noxious-stimulus evoked brain activity. We observe that cerebral haemodynamic responses to experimental noxious stimulation can be predicted from separately acquired resting-state brain activity (n = 18). Applying this prediction model to independent Developing Human Connectome Project data (n = 215), we identify negative associations between predicted noxious-stimulus evoked responses and white matter mean diffusivity. These associations are subsequently confirmed in the original noxious stimulation paradigm dataset, validating the prediction model. Here, we observe that noxious-stimulus evoked brain activity in healthy neonates is coupled to resting-state activity and white matter microstructure, that neural features can be used to predict responses to noxious stimulation, and that the dHCP dataset could be utilised for future exploratory research of early life pain system neurophysiology.

Indexed as

BrainConnectomeDiffusion Magnetic Resonance ImagingFemaleHumansInfant, NewbornMagnetic Resonance ImagingMaleModels, NeurologicalNerve NetNeurovascular CouplingNociceptionPainRestWhite Matter

Identifiers

PMID33980860
PMCPMC8115252
OpenAlexW3156655996

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.