Evidence map›Paper›PMID 35981761›Full record

ArticleAJNR. American journal of neuroradiology2022

Effect of Normal Breathing on the Movement of CSF in the Spinal Subarachnoid Space.

C Gutiérrez-Montes, W Coenen, M Vidorreta, S Sincomb, C Martínez-Bazán, A L Sánchez, V Haughton

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.4field-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

22 citing papers in PubMed, 27 citations in OpenAlex.

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  19. A perspective: neuraxial therapeutics in pain management: now and future.Frontiers in pain research (Lausanne, Switzerland) · 2024
    Article
  20. Review
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

7 authors at 6 institutions in 2 countries.

C Gutiérrez-MontesFrom the Department of Mechanical and Mining Engineering (C.G.-M.), University of Jaén, Jaén, Andalucía, Spain.ORCID 0000-0003-1123-2002
W CoenenGrupo de Mecánica de Fluidos, Departamento de Ingeniería Térmica y de Fluidos (W.C.), Universidad Carlos III de Madrid, Madrid, Spain wcoenen@ing.uc3m.es.ORCID 0000-0002-2693-6574
M VidorretaSiemens Healthineers (M.V.), Madrid, Spain.ORCID 0000-0002-4272-3691
S SincombDepartment of Mechanical and Aerospace Engineering (S.S., A.L.S.), University of California San Diego, San Diego, California.ORCID 0000-0003-1782-0825
C Martínez-BazánDepartment of Structural Mechanics and Hydraulic Engineering (C.M.-B.), University of Granada, Granada, Spain.ORCID 0000-0003-2023-4691
A L SánchezDepartment of Mechanical and Aerospace Engineering (S.S., A.L.S.), University of California San Diego, San Diego, California.ORCID 0000-0003-1349-9843
V HaughtonDepartment of Radiology (V.H.), School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin.ORCID 0000-0001-5618-4628
University of San Diego · USMadrid Health Service · ESUniversidad Carlos III de Madrid · ESUniversidad de Granada · ESUniversidad de Jaén · ESUniversity of Wisconsin–Madison · US

Funding

Development of Patient-Specific Mathematical Models for the Transport of Solute Molecules in the Cerebrospinal Fluid (CSF) Along the Spinal CanalR01NS120343 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SANCHEZ, ANTONIO LUIS · 2020 to 2024
$2.3M
NINDS NIH HHS R01 NS120343
6 · The paper itself

Abstract

background and purposeForced respirations reportedly have an effect on CSF movement in the spinal canal. We studied respiratory-related CSF motion during normal respiration. MATERIALS AND

methodsSix healthy subjects breathed at their normal rate with a visual guide to ensure an unchanging rhythm. Respiratory-gated phase-contrast MR flow images were acquired at 5 selected axial planes along the spine. At each spinal level, we computed the flow rate voxelwise in the spinal canal, together with the associated stroke volume. From these data, we computed the periodic volume changes of spinal segments. A phantom was used to quantify the effect of respiration-related magnetic susceptibility changes on the velocity data measured.

resultsAt each level, CSF moved cephalad during inhalation and caudad during expiration. While the general pattern of fluid movement was the same in the 6 subjects, the flow rates, stroke volumes, and spine segment volume changes varied among subjects. Peak flow rates ranged from 0.60 to 1.59 mL/s in the cervical region, 0.46 to 3.17 mL/s in the thoracic region, and 0.75 to 3.64 mL/s in the lumbar region. The differences in flow rates along the canal yielded cyclic volume variations of spine segments that were largest in the lumbar spine, ranging from 0.76 to 3.07 mL among subjects. In the phantom study, flow velocities oscillated periodically during the respiratory cycle by up to 0.02 cm/s or 0.5%.

conclusionsRespiratory-gated measurements of the CSF motion in the spinal canal showed cyclic oscillatory movements of spinal fluid correlated to the breathing pattern.

Indexed as

Magnetic Resonance ImagingSpinal CanalCerebrospinal FluidHumansRespirationSpinal CordSubarachnoid Space

Identifiers

PMID35981761
PMCPMC9451622
OpenAlexW4293749001

What OpenQuestion holds

Textmetadata
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.