Evidence map›Paper›PMID 34403759›Full record

ArticleMagnetic resonance imaging2021

Noninvasive diffusion MRI to determine the severity of peripheral nerve injury.

Isaac V Manzanera Esteve, Angel F Farinas, Alonda C Pollins, Marlieke E Nussenbaum, Nancy L Cardwell, Hakmook Kahn, Mark D Does, Richard D Dortch, Wesley P Thayer

Open access · greenAbstract read
In one paragraph

Article in Magnetic resonance imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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  5. Review
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  7. Advances in diagnosis and management of distal sensory polyneuropathies.Journal of neurology, neurosurgery, and psychiatry · 2023
    Review
  8. Article
  9. Article
  10. Magnetic resonance tractography of the brachial plexus: step-by-step.Quantitative imaging in medicine and surgery · 2022
    Article
  11. Article
  12. Article
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 at 1 institution in 1 country.

Isaac V Manzanera EsteveVanderbilt University Medical Center, Department Radiology and Radiological Sciences, Nashville, TN, United States of America; Vanderbilt University Medical Center, Institute of Imaging Science, Nashville, TN, United States of America. Electronic address: Isaac.v.manzanera.esteve@vumc.org.
Angel F FarinasVanderbilt University Medical Center, Department of Plastic Surgery, Nashville, TN, United States of America.
Alonda C PollinsVanderbilt University Medical Center, Department of Plastic Surgery, Nashville, TN, United States of America.
Marlieke E NussenbaumVanderbilt University Medical Center, Department of Plastic Surgery, Nashville, TN, United States of America.
Nancy L CardwellVanderbilt University Medical Center, Department of Plastic Surgery, Nashville, TN, United States of America.
Hakmook KahnVanderbilt University Medical Center, Department of Biostatistics, Nashville, TN, USA.
Mark D DoesVanderbilt University Medical Center, Department Radiology and Radiological Sciences, Nashville, TN, United States of America; Vanderbilt University Medical Center, Institute of Imaging Science, Nashville, TN, United States of America; Vanderbilt University, Department of Biomedical Engineering, Nashville, TN, United States of America.
Richard D DortchVanderbilt University Medical Center, Department Radiology and Radiological Sciences, Nashville, TN, United States of America; Vanderbilt University Medical Center, Institute of Imaging Science, Nashville, TN, United States of America; Vanderbilt University, Department of Biomedical Engineering, Nashville, TN, United States of America; Barrow Neurological Institute, Division of Neuroimaging Research, Phoenix, AZ, United States of America.
Wesley P ThayerVanderbilt University Medical Center, Department of Plastic Surgery, Nashville, TN, United States of America; Vanderbilt University, Department of Biomedical Engineering, Nashville, TN, United States of America.
Vanderbilt University Medical Center · US

Funding

Postdoctoral Training in Biomedical MRI and MRST32EB001628 · NIBIB · VANDERBILT UNIVERSITY MEDICAL CENTER · PI John C Gore · 2003 to 2026
$7.0M
Quantitative Assessment of Peripheral Nerve Injury and Repair via Multi-Parametric MRIR01NS097821 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DORTCH, RICHARD · 2016 to 2020
$1.7M
NIBIB NIH HHS T32 EB001628NINDS NIH HHS R01 NS097821
6 · The paper itself

Abstract

objectivePrimary repair of peripheral nerves is recommended following transection; however, patient management following repair is challenged by a lack of biomarkers to nerve regeneration. Previous studies have demonstrated that diffusion magnetic resonance imaging (MRI) may provide viable biomarkers of nerve regeneration in injury models; though, these methods have not been systematically evaluated in graded partial transections and repairs.

methodsEx vivo diffusion MRI was performed in fixed rat sciatic nerve samples 4 or 12 weeks following partial nerve transection and repair (25% cut = 12, 50% cut = 12 and 75% cut = 11), crush injuries (n = 12), and sham surgeries (n = 9). Behavioral testing and histologic evaluation were performed in the same animals and nerve samples for comparison.

resultsDiffusion tractography provided visual characterizations of nerve damage and recovery consistent with the expected degree of injury within each cohort. In addition, quantitative indices from diffusion MRI correlated with both histological and behavioral evaluations, the latter of indicated full recovery for sham and crush nerves and limited recovery in all partially transected/repaired nerves. Nerve recovery between 4 and 12 weeks was statistically significant in partial transections 50% and 75% depth cuts (p = 0.043 and p = 0.022) but not for 25% transections.

interpretationOur findings suggest that DTI can i) distinguish different degrees of partial nerve transection following surgical repair and ii) map spatially heterogeneous nerve recovery (e.g., due to collateral sprouting) from 4 to 12 weeks in partially transected nerves.

Indexed as

Peripheral Nerve InjuriesAnimalsDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingHumansNerve RegenerationRatsSciatic NerveDTINerve injuryNerve regenerationQuantitative MRITraumaWater diffusion

Identifiers

PMID34403759
PMCPMC8488970
OpenAlexW3194511728

What OpenQuestion holds

Textmetadata
LicenceTDM
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.