Evidence map›Paper›PMID 37952367›Full record

ArticlePlacenta2023

Non-invasive mapping of human placenta microenvironments throughout pregnancy with diffusion-relaxation MRI.

Paddy J Slator, Daniel Cromb, Laurence H Jackson, Alison Ho, Serena J Counsell, Lisa Story, Lucy C Chappell, Mary Rutherford, Joseph V Hajnal, Jana Hutter and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Placenta, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. 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

11 authors at 2 institutions in 1 country.

Paddy J SlatorCardiff University Brain Research Imaging Centre, School of Psychology, Maindy Road, Cardiff, CF24 4HQ, UK; School of Computer Science and Informatics, Cardiff University, Cardiff, UK; Centre for Medical Image Computing and Department of Computer Science, University College London, London, UK. Electronic address: slatorp@cardiff.ac.uk.
Daniel CrombCentre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Laurence H JacksonCentre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK; Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Alison HoDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.
Serena J CounsellCentre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Lisa StoryDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.
Lucy C ChappellDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.
Mary RutherfordCentre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Joseph V HajnalCentre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK; Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Jana HutterCentre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK; Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Daniel C AlexanderCentre for Medical Image Computing and Department of Computer Science, University College London, London, UK.
King's College London · GBUniversity College London · GB

Funding

Structure and function of the placenta from implantation to delivery: a next generation MRI approachU01HD087202 · NICHD · KING'S COLLEGE LONDON · PI ALEXANDER, DANIEL, ALJABAR, PAUL · 2015 to 2015
$3.2M
Medical Research Council MR/T018119/1NICHD NIH HHS U01 HD087202Wellcome Trust
6 · The paper itself

Abstract

introductionIn-vivo measurements of placental structure and function have the potential to improve prediction, diagnosis, and treatment planning for a wide range of pregnancy complications, such as fetal growth restriction and pre-eclampsia, and hence inform clinical decision making, ultimately improving patient outcomes. MRI is emerging as a technique with increased sensitivity to placental structure and function compared to the current clinical standard, ultrasound.

methodsWe demonstrate and evaluate a combined diffusion-relaxation MRI acquisition and analysis pipeline on a sizable cohort of 78 normal pregnancies with gestational ages ranging from 15 + 5 to 38 + 4 weeks. Our acquisition comprises a combined T2*-diffusion MRI acquisition sequence - which is simultaneously sensitive to oxygenation, microstructure and microcirculation. We analyse our scans with a data-driven unsupervised machine learning technique, InSpect, that parsimoniously identifies distinct components in the data.

resultsWe identify and map seven potential placental microenvironments and reveal detailed insights into multiple microstructural and microcirculatory features of the placenta, and assess their trends across gestation. DISCUSSION: By demonstrating direct observation of micro-scale placental structure and function, and revealing clear trends across pregnancy, our work contributes towards the development of robust imaging biomarkers for pregnancy complications and the ultimate goal of a normative model of placental development.

Indexed as

Diffusion Magnetic Resonance ImagingPlacentaFemaleFetal Growth RetardationHumansMagnetic Resonance ImagingMicrocirculationPlacentationPregnancyDiffusion MRIDiffusion-relaxation MRIPlacentaUnsupervised learning

Identifiers

PMID37952367
PMCPMC7619552
OpenAlexW4388458817

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.