Evidence map›Paper›PMID 37014408›Full record

ArticleEuropean radiology2023

Dynamic evolution of brain structural patterns in liver transplantation recipients: a longitudinal study based on 3D convolutional neuronal network model.

Yue Cheng, Xiao-Dong Zhang, Cheng Chen, Ling-Fei He, Fang-Fei Li, Zi-Ning Lu, Wei-Qi Man, Yu-Jiao Zhao, Zhi-Xing Chang, Ying Wu and 3 more

Abstract read
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In one paragraph

Article in European radiology, 2023. 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
0.7field-weighted citation impact, top 33% 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.

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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

13 authors at 6 institutions in 1 country.

Yue Cheng *Department of Radiology, Tianjin First Central Hospital, Tianjin, China.
Xiao-Dong Zhang *Department of Radiology, Tianjin First Central Hospital, Tianjin, China.
Cheng ChenCollege of Intelligence and Computing, Tianjin Key Laboratory of Cognitive Computing and Application, Tianjin University, Tianjin, China.
Ling-Fei HeCollege of Intelligence and Computing, Tianjin Key Laboratory of Cognitive Computing and Application, Tianjin University, Tianjin, China.
Fang-Fei LiDepartment of Radiology, Tianjin First Central Hospital, Tianjin, China.
Zi-Ning LuDepartment of Radiology, Tianjin First Central Hospital, Tianjin, China.
Wei-Qi ManDepartment of Radiology, Tianjin First Central Hospital, Tianjin, China.
Yu-Jiao ZhaoDepartment of Radiology, Tianjin First Central Hospital, Tianjin, China.
Zhi-Xing ChangSchool of Medicine, Nankai University, Tianjin, China.
Ying WuSchool of Statistics and Data Science, Key Laboratory for Medical Data Analysis and Statistical Research of Tianjin, Nankai University, Tianjin, China.
Wen ShenDepartment of Radiology, Tianjin First Central Hospital, Tianjin, China.
Ling-Zhong FanBrainnetome Center, Institute of Automation, Chinese Academy of Sciences, Beijing, China.
Jun-Hai XuCollege of Intelligence and Computing, Tianjin Key Laboratory of Cognitive Computing and Application, Tianjin University, Tianjin, China. jhxu@tju.edu.cn.
Tianjin Medical University · CNInstitute of Automation · CNNankai University · CNChinese Academy of Sciences · CNTianjin First Center Hospital · CNTianjin University · CN

Funding

National Natural Science Foundation of China No. 62176181National Natural Science Foundation of China No. 81601482National Natural Science Foundation of China No. 81701679Natural Science Foundation of Tianjin City No. 21JCQNJC01640Natural Science Foundation of Tianjin City No. 21JCYBJC01290
6 · The paper itself

Abstract

objectivesTo evaluate the dynamic evolution process of overall brain health in liver transplantation (LT) recipients, we employed a deep learning-based neuroanatomic biomarker to measure longitudinal changes of brain structural patterns before and 1, 3, and 6 months after surgery.

methodsBecause of the ability to capture patterns across all voxels from a brain scan, the brain age prediction method was adopted. We constructed a 3D-CNN model through T1-weighted MRI of 3609 healthy individuals from 8 public datasets and further applied it to a local dataset of 60 LT recipients and 134 controls. The predicted age difference (PAD) was calculated to estimate brain changes before and after LT, and the network occlusion sensitivity analysis was used to determine the importance of each network in age prediction.

resultsThe PAD of patients with cirrhosis increased markedly at baseline (+ 5.74 years) and continued to increase within one month after LT (+ 9.18 years). After that, the brain age began to decrease gradually, but it was still higher than the chronological age. The PAD values of the OHE subgroup were higher than those of the no-OHE, and the discrepancy was more obvious at 1-month post-LT. High-level cognition-related networks were more important in predicting the brain age of patients with cirrhosis at baseline, while the importance of primary sensory networks increased temporarily within 6-month post-LT.

conclusionsThe brain structural patterns of LT recipients showed inverted U-shaped dynamic change in the early stage after transplantation, and the change in primary sensory networks may be the main contributor. KEY POINTS: • The recipients' brain structural pattern showed an inverted U-shaped dynamic change after LT. • The patients' brain aging aggravated within 1 month after surgery, and the subset of patients with a history of OHE was particularly affected. • The change of primary sensory networks is the main contributor to the change in brain structural patterns.

Indexed as

Hepatic EncephalopathyLiver TransplantationBrainFibrosisHumansLiver CirrhosisLongitudinal StudiesCognitionDeep learningHepatic encephalopathyLiver transplantation

Identifiers

PMID37014408
OpenAlexW4362523963

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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.