Evidence map›Paper›PMID 36294986›Full record

ReviewLife (Basel, Switzerland)2022

Computed Tomography Angiography (CTA) in Selected Scenarios with Risk of Possible False-Positive or False-Negative Conclusions in Diagnosing Brain Death.

Gerhard Schwarz, Maximilian Errath, Placido Argüelles Delgado, Ulrike Wießpeiner, Henrika Voit-Augustin, Robert Grims, Friedrich Kaltenböck, Eva Maria Kober, Andreas Schöpfer, Gottfried Fuchs

Open access · goldAbstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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 1 institution in 1 country.

Gerhard SchwarzDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, A-8036 Graz, Austria.ORCID 0000-0003-2559-4098
Maximilian ErrathInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, A-8036 Graz, Austria.
Placido Argüelles DelgadoDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, A-8036 Graz, Austria.
Ulrike WießpeinerDivision of Neuroradiology, Vascular and Interventional Radiology, Department of Radiology, Medical University of Graz, A-8036 Graz, Austria.
Henrika Voit-AugustinDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, A-8036 Graz, Austria.
Robert GrimsDepartment of Dermatology, Medical University of Graz, A-8036 Graz, Austria.
Friedrich KaltenböckDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, A-8036 Graz, Austria.
Eva Maria KoberDivision of Anaesthesiology and Intensive Care Medicine, LKH Feldbach-Fürstenfeld, A-8330 Feldbach, Austria.
Andreas SchöpferDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, A-8036 Graz, Austria.
Gottfried FuchsDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, A-8036 Graz, Austria.
Medical University of Graz · AT

Funding

Novartis AG (Austria) 000000
6 · The paper itself

Abstract

It is widely accepted that brain death (BD) is a diagnosis based on clinical examination. However, false-positive and false-negative evaluation results may be serious limitations. Ancillary tests are used when there is uncertainty about the reliability of the neurologic examination. Computed tomography angiography (CTA) is an ancillary test that tends to have the lowest false-positive rates. However, there are various influencing factors that can have an unfavorable effect on the validity of the examination method. There are inconsistent protocols regarding the evaluation criteria such as scoring systems. Among the most widely used different scoring systems the 4-point CTA-scoring system has been accepted as the most reliable method. Appropriate timing and/or Doppler pre-testing could reduce the number of possible premature examinations and increase the sensitivity of CTA in diagnosing cerebral circulatory arrest (CCA). In some cases of inconclusive CTA, the whole brain computed tomography perfusion (CTP) could be a crucial adjunct. Due to the increasing significance of CTA/CTP in determining BD, the methodology (including benefits and limitations) should also be conveyed via innovative electronic training tools, such as the BRAINDEXweb teaching tool based on an expert system.

Indexed as

brain deathcerebral blood perfusioncomputed tomography angiographycomputed tomography perfusionexpert systemintensive care medicineneuroimagingtransplantation medicine

Identifiers

PMID36294986
PMCPMC9604663
OpenAlexW4303833031

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.