Evidence map›Paper›PMID 38285191›Full record

ArticlePediatric radiology2024

Assessment of mediastinal shift angles in congenital pulmonary airway malformation: a new fetal magnetic resonance imaging indicator of congenital lung disease.

Jun Tsukamoto, Osamu Miyazaki, Yuki Saito, Saho Irahara, Reiko Okamoto, Mikiko Miyasaka, Yoshiyuki Tsutsumi, Yushi Itoh, Haruhiko Sago, Yutaka Kanamori and 4 more

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Article in Pediatric radiology, 2024. 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
–field-weighted citation impact
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.

  1. 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

14 authors.

Jun TsukamotoDepartment of Radiology, National Center for Child Health and Development, Tokyo, Japan. jun-053-ashimo@med.uoeh-u.ac.jp.ORCID 0009-0007-7466-8483
Osamu MiyazakiDepartment of Radiology, National Center for Child Health and Development, Tokyo, Japan.ORCID 0000-0002-1793-4892
Yuki SaitoDepartment of Radiology, National Center for Child Health and Development, Tokyo, Japan.
Saho IraharaDepartment of Radiology, National Center for Child Health and Development, Tokyo, Japan.ORCID 0000-0002-7400-2776
Reiko OkamotoDepartment of Radiology, National Center for Child Health and Development, Tokyo, Japan.ORCID 0000-0001-7831-1616
Mikiko MiyasakaDepartment of Radiology, National Center for Child Health and Development, Tokyo, Japan.
Yoshiyuki TsutsumiDepartment of Radiology, National Center for Child Health and Development, Tokyo, Japan.ORCID 0000-0003-3317-3584
Yushi ItohCenter for Maternal-Fetal, Neonatal and Reproductive Medicine, National Center for Child Health and Development, Tokyo, Japan.ORCID 0000-0002-8614-1052
Haruhiko SagoCenter for Maternal-Fetal, Neonatal and Reproductive Medicine, National Center for Child Health and Development, Tokyo, Japan.ORCID 0000-0001-9387-1849
Yutaka KanamoriDivision of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, Japan.ORCID 0000-0001-7609-0426
Masashi MikamiDepartment of Data Science, Clinical Research Center, Biostatistics Unit, National Center for Child Health and Development, Tokyo, Japan.ORCID 0000-0001-7731-847X
Yoshiko HayashidaDepartment of Radiology, University of Occupational and Environmental Health School of Medicine, 1-1 Iseigaoka, Yahatanishi-Ku, Kitakyushu, Fukuoka, 807-8555, Japan.ORCID 0000-0002-1158-1715
Takatoshi AokiDepartment of Radiology, University of Occupational and Environmental Health School of Medicine, 1-1 Iseigaoka, Yahatanishi-Ku, Kitakyushu, Fukuoka, 807-8555, Japan.ORCID 0000-0002-7973-110X
Shunsuke NosakaDepartment of Radiology, National Center for Child Health and Development, Tokyo, Japan.ORCID 0000-0002-9182-2717

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe mediastinal shift angle is a new fetal magnetic resonance imaging (MRI) index that is reportedly correlated with postnatal survival in fetuses with congenital diaphragmatic hernia. However, its correlation in patients with congenital pulmonary airway malformation (CPAM) has not been assessed.

objectiveThis study aimed to establish a normal range for the right/left mediastinal shift angles, to evaluate the mediastinal shift angle in fetuses with CPAM, to compare the mediastinal shift angle with the CPAM volume ratio, and to evaluate the predictive value of the mediastinal shift angle measurements. MATERIALS AND

methodsTo establish the normal range, we measured the mediastinal shift angle bilaterally in 124 fetuses without any lung abnormality (the control group). Subsequently, the mediastinal shift angle was measured in 32 fetuses pathologically diagnosed with CPAM. Moreover, the mediastinal shift angle and CPAM volume ratio were compared using fetal MRI.

resultsThe mean values for the right/left mediastinal shift angles were 18.6°/26.3° and 39.2°/35.9° for control fetuses and fetuses with CPAM, respectively. The mediastinal shift angle and the CPAM volume ratio showed a positive statistical correlation. The area under the curve demonstrated high discriminatory accuracy for the mediastinal shift angle (0.76).

conclusionThe mediastinal shift angle has potential to replace the CPAM volume ratio for evaluating the severity of CPAM in fetal MRI.

Indexed as

Magnetic Resonance ImagingPrenatal DiagnosisCystic Adenomatoid Malformation of Lung, CongenitalFemaleHumansLungMediastinumPregnancyReference ValuesRetrospective StudiesCongenital pulmonary airway malformationFetusMagnetic resonance imagingRespiratory system

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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.