Evidence map›Paper›PMID 37062765›Full record

ArticlePediatric radiology2023

Contrast-enhanced subharmonic aided pressure estimation for assessment of intracranial pressure in vivo.

Abby C Larson, Anush Sridharan, James K Moon, Divyansh Agarwal, Jonathan Chang, Kirk D Wallace, Flemming Forsberg, Ryne A Didier

Abstract read
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In one paragraph

Article in Pediatric radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

8 authors at 4 institutions in 1 country.

Abby C LarsonDepartment of Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Anush SridharanDepartment of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.
James K MoonDepartment of Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Divyansh AgarwalPerelmen School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Jonathan ChangDepartment of Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kirk D WallaceGE Global Research, Niskayuna, NY, USA.
Flemming ForsbergDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Ryne A DidierDepartment of Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA. didierr@chop.edu.ORCID http://orcid.org/0000-0002-4970-9905
Children's Hospital of Philadelphia · USGE Global Research (United States) · USHarvard University · USThomas Jefferson University · US

Funding

Noninvasive Subharmonic Aided Pressure Estimation of Portal HypertensionR01DK098526 · NIDDK · THOMAS JEFFERSON UNIVERSITY · PI Flemming Forsberg · 2013 to 2026
$5.1M
Noninvasive Portal Pressure Measurements in ChildrenR01DK118964 · NIDDK · THOMAS JEFFERSON UNIVERSITY · PI ANUPINDI, SUDHA, FORSBERG, FLEMMING · 2018 to 2022
$2.0M
NIDDK NIH HHS R01 DK098526NIDDK NIH HHS R01 DK118964
6 · The paper itself

Abstract

backgroundIntracranial pressure (ICP) monitoring in children currently requires invasive techniques. Subharmonic aided pressure estimation (SHAPE) uses contrast-enhanced ultrasound (CEUS) to measure intravascular and interstitial pressure, but utility in ICP measurements has yet to be explored.

objectiveThe objective of this study was to investigate SHAPE as a novel tool for noninvasive ICP measurements in fetal lambs. MATERIALS AND

methodsEighteen fetal lambs at 107-139 days gestational age (term = 145 days) underwent subdural ICP catheter placement. The brain was imaged in the coronal plane in CEUS mode optimized for SHAPE, while infusing an US contrast agent into the fetal circulation. After SHAPE calibration, saline was infused via the subdural catheter to increase ICP. Five-second SHAPE cine clips were obtained at various ICPs. Subharmonic intensity values of the whole brain and thalami were correlated with ICP values using mixed effects linear regression analyses and the strength of the relationship was evaluated by Spearman's rank-order correlation.

resultsForty-nine experiments produced 723 datapoints, including SHAPE intensity values and mean ICP measurements. There was a statistically significant inverse relationship between SHAPE intensity values and ICP measurements in the whole brain and thalami (median rho value - 0.58 and - 0.56, respectively).

conclusionSHAPE intensity values of the brain demonstrate an inverse and statistically significant correlation with in vivo ICP measurements in an animal model.

Indexed as

Contrast MediaIntracranial PressureAnimalsBrainHumansSheepUltrasonographyContrast MediaContrast-enhanced ultrasoundFetal brainIntracranial pressureSubharmonic imaging

Identifiers

PMID37062765
OpenAlexW4366083243

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.