Evidence map›Paper›PMID 34611247›Full record

ArticleScientific reports2021

Reducing soft-tissue shrinkage artefacts caused by staining with Lugol's solution.

Y Dawood, J Hagoort, B A Siadari, J M Ruijter, Q D Gunst, N H J Lobe, G J Strijkers, B S de Bakker, M J B van den Hoff

Erratum issuedAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
–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

52 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Y DawoodObstetrics and Gynaecology, Amsterdam Reproduction and Development Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
J HagoortMedical Biology, Amsterdam UMC, University of Amsterdam, Meibergdreef 15, Amsterdam, The Netherlands.
B A SiadariMedical Biology, Amsterdam UMC, University of Amsterdam, Meibergdreef 15, Amsterdam, The Netherlands.
J M RuijterMedical Biology, Amsterdam UMC, University of Amsterdam, Meibergdreef 15, Amsterdam, The Netherlands.
Q D GunstMedical Biology, Amsterdam UMC, University of Amsterdam, Meibergdreef 15, Amsterdam, The Netherlands.
N H J LobeRadiology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
G J StrijkersBiomedical Engineering and Physics, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
B S de BakkerMedical Biology, Amsterdam UMC, University of Amsterdam, Meibergdreef 15, Amsterdam, The Netherlands.
M J B van den HoffMedical Biology, Amsterdam UMC, University of Amsterdam, Meibergdreef 15, Amsterdam, The Netherlands. m.j.vandenhoff@amsterdamumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diffusible iodine-based contrast-enhanced computed tomography (diceCT) is progressively used in clinical and morphological research to study developmental anatomy. Lugol's solution (Lugol) has gained interest as an effective contrast agent; however, usage is limited due to extensive soft-tissue shrinkage. The mechanism of Lugol-induced shrinkage and how to prevent it is largely unknown, hampering applications of Lugol in clinical or forensic cases where tissue shrinkage can lead to erroneous diagnostic conclusions. Shrinkage was suggested to be due to an osmotic imbalance between tissue and solution. Pilot experiments pointed to acidification of Lugol, but the relation of acidification and tissue shrinkage was not evaluated. In this study, we analyzed the relation between tissue shrinkage, osmolarity and acidification of the solution during staining. Changes in tissue volume were measured on 2D-segmented magnetic resonance and diceCT images using AMIRA software. Partial correlation and stepwise regression analysis showed that acidification of Lugol is the main cause of tissue shrinkage. To prevent acidification, we developed a buffered Lugol's solution (B-Lugol) and showed that stabilizing its pH almost completely prevented shrinkage without affecting staining. Changing from Lugol to B-Lugol is a major improvement for clinical and morphological research and only requires a minor adaptation of the staining protocol.

Indexed as

ArtifactsContrast MediaIodidesAnimalsConnective TissueFetusHumansHydrogen-Ion ConcentrationMiceStaining and LabelingTomography, X-Ray ComputedContrast MediaIodidesLugol's solution

Identifiers

PMID34611247
PMCPMC8492742

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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.