Evidence map›Paper›PMID 34967156›Full record

ArticleBrain and behavior2022

Altered brain activity in end-stage knee osteoarthritis revealed by resting-state functional magnetic resonance imaging.

Bing-Xin Kang, Jie Ma, Jun Shen, Hui Xu, Hai-Qi Wang, Chi Zhao, Jun Xie, Sheng Zhong, Chen-Xin Gao, Xi-Rui Xu and 4 more

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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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

14 authors at 2 institutions in 1 country.

Bing-Xin KangThe First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.
Jie MaSchool of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Jun ShenGuanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Hui XuHenan University of Chinese Medicine, Zhengzhou, China.
Hai-Qi WangGuanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Chi ZhaoGuanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Jun XieGuanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Sheng ZhongGuanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Chen-Xin GaoGuanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Xi-Rui XuGuanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Xin-Yu AGuanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Xiao-Li GuGuanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Lianbo XiaoGuanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.ORCID 0000-0001-9305-0776
Jianguang XuSchool of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China.ORCID 0000-0003-0601-3403
Shanghai University of Traditional Chinese Medicine · CNFirst Affiliated Hospital of Henan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionKnee osteoarthritis (KOA) is characterized by a degenerative change of knee cartilage and secondary bone hyperplasia, resulting in pain, stiffness, and abnormal walking gait. Long-term chronic pain causes considerable cortical plasticity alternations in patients. However, the brain structural and functional alterations associated with the pathological changes in knee joints of end-stage KOA patients remain unclear. This study aimed to analyze the structural and functional connectivity alterations in end-stage KOA to comprehensively understand the main brain-associated mechanisms underlying its development and progression.

methodsIn this study, 37 patients with KOA and 37 demographically matched healthy controls (HCs) were enrolled. Alternations in gray matter (GM) volume in patients with KOA were determined using voxel-based morphometry. The region with the largest GM volume alteration was selected as the region of interest to calculate the voxel-wise resting-state functional connectivity (rs-FC) in the two groups. Pearson's correlation coefficient was used to analyze the correlation between clinical measures and GM volume alternations in patients with KOA.

resultsCompared with HCs, patients with KOAs exhibited significantly decreased GM volumes in the left middle temporal gyrus (left-MTG) and the left inferior temporal gyrus. Results of the voxel-wise rs-FC analysis revealed that compared with HCs, patients with KOA had decreased left-MTG rs-FC to the right dorsolateral superior frontal gyrus, left middle frontal gyrus, and left medial superior frontal gyrus. GM volume in the left-MTG was negatively correlated with the Western Ontario and McMaster Universities Arthritis Index in patients with KOA (r = -0.393, p = .016).

conclusionStructural remodeling and functional connectivity alterations may be one of the central brain mechanisms associated with end-stage KOA.

Indexed as

Osteoarthritis, KneeBrainBrain MappingGray MatterHumansMagnetic Resonance Imagingbrain activityfunctional connectivityknee osteoarthritisresting-state functional magnetic resonance imagingvoxel-based morphometry

Identifiers

PMID34967156
PMCPMC8785636
OpenAlexW4200070114

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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.