Evidence map›Paper›PMID 34004191›Full record

ArticleThe Journal of pediatrics2021

Optical Detection of Intracranial Pressure and Perfusion Changes in Neonates With Hydrocephalus.

Tracy M Flanders, Shih-Shan Lang, Tiffany S Ko, Kristen N Andersen, Jharna Jahnavi, John J Flibotte, Daniel J Licht, Gregory E Tasian, Susan T Sotardi, Arjun G Yodh and 6 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 30 citations in OpenAlex.

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  6. Optical approaches for neurocritical care: Toward non-invasive recording of cerebral physiology in acute brain injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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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

16 authors at 2 institutions in 1 country.

Tracy M FlandersDivision of Neurosurgery, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania; Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania.
Shih-Shan LangDivision of Neurosurgery, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Tiffany S KoDivision of Neurology, Department of Neurology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Kristen N AndersenDivision of Neurology, Department of Neurology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Jharna JahnaviDivision of Neurology, Department of Neurology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
John J FlibotteDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA.
Daniel J LichtDivision of Neurology, Department of Neurology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Gregory E TasianDepartment of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania; Division of Urology, Children's Hospital of Philadelphia.
Susan T SotardiDepartment of Radiology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Arjun G YodhDepartment of Physics and Astronomy, University of Pennsylvania.
Jennifer M LynchDepartment of Anesthesiology and Critical Care Medicine.
Benjamin C KennedyDivision of Neurosurgery, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Phillip B StormDivision of Neurosurgery, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Brian R WhiteDivision of Pediatric Cardiology, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Gregory G HeuerDivision of Neurosurgery, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania.
Wesley B BakerDivision of Neurology, Department of Neurology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania. Electronic address: bakerw@chop.edu.
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

Training in Molecular Therapeutics for Pediatric CardiologyT32HL007915 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI Robert J Levy, JOSEPH W ROSSANO · 1999 to 2026
$13.4M
Training and DisseminationP41EB015893 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI REDDY, RAVINDER · 2012 to 2019
$11.3M
High Spatial and Temporal Resolution MRI Mapping of Oxygen Consumption in HumansP41EB029460 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI Ravinder Reddy · 2021 to 2026
$7.6M
Diffuse Optics for Acute Stroke ManagementR01NS060653 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI YODH, ARJUN G. · 2008 to 2018
$5.5M
Neurologic Clinical Epidemiology Training ProgramT32NS061779 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI Andrea Lauren Christman Schneider, Allison Willis · 2008 to 2026
$4.6M
Diffuse Optics for Pediatric Hydrocephalus ManagementR01NS113945 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI BAKER, WESLEY · 2020 to 2024
$1.9M
Optical Functional Neuroimaging of Acute and Chronic HypoxiaK08NS117897 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI WHITE, BRIAN RICHARD · 2020 to 2024
$843k
NHLBI NIH HHS T32 HL007915NIBIB NIH HHS P41 EB015893NIBIB NIH HHS P41 EB029460NINDS NIH HHS K08 NS117897NINDS NIH HHS R01 NS060653NINDS NIH HHS R01 NS113945NINDS NIH HHS T32 NS061779
6 · The paper itself

Abstract

objectiveTo demonstrate that a novel noninvasive index of intracranial pressure (ICP) derived from diffuse optics-based techniques is associated with intracranial hypertension. STUDY

designWe compared noninvasive and invasive ICP measurements in infants with hydrocephalus. Infants born term and preterm were eligible for inclusion if clinically determined to require cerebrospinal fluid (CSF) diversion. Ventricular size was assessed preoperatively via ultrasound measurement of the fronto-occipital (FOR) and frontotemporal (FTHR) horn ratios. Invasive ICP was obtained at the time of surgical intervention with a manometer. Intracranial hypertension was defined as invasive ICP ≥15 mmHg. Diffuse optical measurements of cerebral perfusion, oxygen extraction, and noninvasive ICP were performed preoperatively, intraoperatively, and postoperatively. Optical and ultrasound measures were compared with invasive ICP measurements, and their change in values after CSF diversion were obtained.

resultsWe included 39 infants, 23 with intracranial hypertension. No group difference in ventricular size was found by FOR (P = .93) or FTHR (P = .76). Infants with intracranial hypertension had significantly higher noninvasive ICP (P = .02) and oxygen extraction fraction (OEF) (P = .01) compared with infants without intracranial hypertension. Increased cerebral blood flow (P = .005) and improved OEF (P < .001) after CSF diversion were observed only in infants with intracranial hypertension.

conclusionsNoninvasive diffuse optical measures (including a noninvasive ICP index) were associated with intracranial hypertension. The findings suggest that impaired perfusion from intracranial hypertension was independent of ventricular size. Hemodynamic evidence of the benefits of CSF diversion was seen in infants with intracranial hypertension. Noninvasive optical techniques hold promise for aiding the assessment of CSF diversion timing.

Indexed as

Cerebrospinal Fluid ShuntsCerebrovascular CirculationFeasibility StudiesFemaleHumansHydrocephalusInfant, NewbornIntracranial HypertensionIntracranial PressureMaleOptical ImagingPilot ProjectsReproducibility of ResultsSpectrum Analysisdiffuse correlation spectroscopynear-infrared spectroscopyshunt

Identifiers

PMID34004191
PMCPMC8403158
OpenAlexW3161262255

What OpenQuestion holds

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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.