Evidence map›Paper›PMID 37982833›Full record

ArticleEuropean radiology2024

Long-term pulmonary outcome of children with congenital diaphragmatic hernia: functional lung MRI using matrix-pencil decomposition enables side-specific assessment of lung function.

Carmen Streibel, C Corin Willers, Grzegorz Bauman, Orso Pusterla, Oliver Bieri, Marion Curdy, Matthias Horn, Carmen Casaulta, Steffen Berger, Gabriela Marta Dekany and 3 more

Open access · hybridAbstract read
In one paragraph

Article in European radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  5. Review
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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 3 institutions in 1 country.

Carmen StreibelDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. carmen.streibel@insel.ch.ORCID http://orcid.org/0000-0002-4781-3418
C Corin WillersGraduate School for Health Sciences, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0003-1140-9437
Grzegorz BaumanDepartment of Radiology, Division of Radiological Physics, University of Basel Hospital, Basel, Switzerland.ORCID http://orcid.org/0000-0001-6972-0776
Orso PusterlaDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Oliver BieriDepartment of Radiology, Division of Radiological Physics, University of Basel Hospital, Basel, Switzerland.ORCID http://orcid.org/0000-0002-6755-5495
Marion CurdyDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0002-6034-9103
Matthias HornDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Carmen CasaultaDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0003-4754-1608
Steffen BergerDepartment of Paediatric Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.ORCID http://orcid.org/0000-0002-9310-3548
Gabriela Marta DekanyDepartment of Paediatric Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.ORCID http://orcid.org/0000-0002-9862-1125
Elisabeth KieningerDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0003-1741-5221
Andreas Bartenstein *Department of Paediatric Surgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Philipp Latzin *Division of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. philipp.latzin@insel.ch.ORCID http://orcid.org/0000-0002-5239-1571
University of Bern · CHUniversity Hospital of Bern · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIn patients with congenital diaphragmatic hernia (CDH) the exact functional outcome of the affected lung side is still unknown, mainly due to the lack of spatially resolved diagnostic tools. Functional matrix-pencil decomposition (MP-) lung MRI fills this gap as it measures side-specific ventilation and perfusion. We aimed to assess the overall and side-specific pulmonary long-term outcomes of patients with CDH using lung function tests and MP-MRI.

methodsThirteen school-aged children with CDH (seven with small and six with large defect-sized CDH, defined as > 50% of the chest wall circumference being devoid of diaphragm tissue) and thirteen healthy matched controls underwent spirometry, multiple-breath washout, and MP-MRI. The main outcomes were forced expiratory volume in 1 second (FEV

resultsPatients with a large CDH showed significantly reduced overall lung function compared to healthy controls (mean difference [95%-CI

conclusionsData indicate impaired overall lung function with particular limitation of the ipsilateral side in patients with a large CDH. MP-MRI is a promising tool to provide valuable side-specific functional information in the follow-up of patients with CDH. CLINICAL RELEVANCE STATEMENT: In patients with congenital diaphragmatic hernia, easily applicable MP-MRI allows specific examination of the lung side affected by the hernia and provides valuable information on ventilation and perfusion with implications for clinical practice, making it a promising tool for routine follow-up. KEY POINTS: • Functional matrix pencil decomposition (MP) MRI data from a small sample indicate reduced ipsilateral pulmonary ventilation and perfusion in children with large congenital diaphragmatic hernia (CDH). • Easily applicable pencil decomposition MRI provides valuable side-specific diagnostic information on lung ventilation and perfusion. This is a clear advantage over conventional lung function tests, helping to comprehensively follow up patients with congenital diaphragmatic hernia and monitor therapy effects.

Indexed as

Hernias, Diaphragmatic, CongenitalLungMagnetic Resonance ImagingRespiratory Function TestsAdolescentCase-Control StudiesChildFemaleHumansMaleSpirometryChildrenCongenital diaphragmatic herniasFunctional magnetic resonance imagingLungPulmonary function test

Identifiers

PMID37982833
PMCPMC11166819
OpenAlexW4388833060

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LicenceCC BY
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Registered trials

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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.