Evidence map›Paper›PMID 35401270›Full record

ArticleFrontiers in psychiatry2022

Longitudinal Single Photon Emission Computed Tomography Neuroimaging as an Indication of Improvement in Psychiatric Disorders in a Community Psychiatric Practice.

John F Thornton, Howard Schneider, Philip F Cohen, Simon DeBruin, John Michael Uszler, Yin-Hui Siow, Mary K McLean, Muriel J van Lierop, Dan G Pavel, Theodore A Henderson

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. 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

10 authors at 5 institutions in 2 countries.

John F ThorntonRossiter-Thornton Associates, Toronto, ON, Canada.
Howard SchneiderInternational Society of Applied Neuroimaging, Denver, CO, United States.
Philip F CohenInternational Society of Applied Neuroimaging, Denver, CO, United States.
Simon DeBruinGood Lion Imaging LLC, Columbia, MD, United States.
John Michael UszlerInternational Society of Applied Neuroimaging, Denver, CO, United States.
Yin-Hui SiowInternational Society of Applied Neuroimaging, Denver, CO, United States.
Mary K McLeanInternational Society of Applied Neuroimaging, Denver, CO, United States.
Muriel J van LieropInternational Society of Applied Neuroimaging, Denver, CO, United States.
Dan G PavelInternational Society of Applied Neuroimaging, Denver, CO, United States.
Theodore A HendersonInternational Society of Applied Neuroimaging, Denver, CO, United States.
International Association for Psychoanalytic Self Psychology · USLions Gate Hospital · CAPathfinder International · USSynaptic Research (United States) · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the community, there is a need to more objectively evaluate the response of common chronic psychiatric disorders to treatment. Brain single photon emission computed tomography (SPECT) indirectly measures cerebral functional activity by uptake of a radiotracer, which follows regional cerebral blood flow. Brain 3D Thresholded SPECT scans are thresholded three dimensional images derived from brain SPECT data. A retrospective community study of longitudinal (before and after treatment) brain 3D Thresholded SPECT scans of 73 patients with all-cause psychiatric disorders (most frequent diagnostic clusters: attention-deficit hyperactivity disorder, post-mild traumatic brain injury, affective disorders, psychotic disorders, post-viral chronic syndromes), shows these baseline SPECT scans predict improvement (non-worsening to large improvement) in clinical functioning with a sensitivity of 94% (95% confidence interval 86-98%) and a specificity of 67% (95% confidence interval 21-94%). In contrast, contemporaneous analysis by the same radiologist of conventional 2D reading of the same before and after treatment brain SPECT scan data of the same 73 patients, predicted improvement (non-worsening to large improvement) in clinical functioning with a sensitivity of only 26% (95% confidence interval 17-37%) although with a specificity of 100% (95% confidence interval 44-100%). These data suggest 3D Thresholded SPECT scans can provide the clinician with a more objective measure for verifying improvement in psychiatric disorders seen in the community, consistent with prior studies of SPECT as a measure of neurobiological change. Furthermore, these data suggest 3D Thresholded SPECT scans may have clinical application in guiding treatment and potentially improving outcomes.

Indexed as

attention-deficit hyperactivity disorderbiomarkercommunity psychiatryneuroimagingpost-viral syndromeSPECTtraumatic brain injury

Identifiers

PMID35401270
PMCPMC8990854
OpenAlexW4226427352

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.