Evidence map›Paper›PMID 38717915›Full record

ArticleThe Journal of urology2024

Structural Changes in Brain White Matter Tracts Associated With Overactive Bladder Revealed by Diffusion Tensor Magnetic Resonance Imaging: Findings From a Symptoms of Lower Urinary Tract Dysfunction Research Network Cross-Sectional Case-Control Study.

H Henry Lai, Jerrel Rutlin, Abigail R Smith, Margaret E Helmuth, James A Hokanson, Claire C Yang, J Quentin Clemens, Vincent A Magnotta, C Emi Bretschneider, Kimberly Kenton and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02485808 (Symptoms of Lower Urinary Tract Dysfunction Research Network), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT02485808 completednot on this map

Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) Phenotyping Study Protocol

TypeobservationalSponsorArbor Research Collaborative for HealthRan2015 to 2018Enrolled1,879ConditionsLower Urinary Tract SymptomsArmsNone-observational, Magnetic Resonance Imaging (MRI), Multimodal Automated Sensory Testing System, Auditory Sensitivity Test
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
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  8. Observational
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

H Henry LaiDivision of Urologic Surgery, Departments of Surgery and Anesthesiology, Washington University School of Medicine, St Louis, Missouri.
Jerrel RutlinDepartments of Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri.
Abigail R SmithArbor Research Collaborative for Health, Ann Arbor, Michigan.
Margaret E HelmuthArbor Research Collaborative for Health, Ann Arbor, Michigan.
James A HokansonDepartment of Biomedical Engineering, Medical College of Wisconsin, Milwaukee, Wisconsin.
Claire C YangDepartment of Urology, University of Washington, Seattle, Washington.
J Quentin ClemensDepartment of Urology, University of Michigan, Ann Arbor, Michigan.
Vincent A MagnottaDepartment of Radiology, University of Iowa, Iowa City, Iowa.
C Emi BretschneiderDepartment of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois.
Kimberly KentonDepartment of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois.
John O L DeLanceyDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.
Karen JohnDepartment of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois.
Ziya KirkaliNational Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland.
Joshua S ShimonyDepartments of Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri.

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Continuation of the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) Data Coordinating CenterU24DK099879 · NIDDK · ARBOR RESEARCH COLLABORATIVE FOR HEALTH · PI GRAFF, JOHN JOSEPH · 2019 to 2025
$6.9M
Phenotype of urinary symptoms and relationships with genotype, sleep and obesityU01DK097779 · NIDDK · UNIVERSITY OF CHICAGO · PI GRIFFITH, JAMES WILLIAM, KENTON, KIMBERLY SUE · 2012 to 2025
$5.7M
Advancing the Measurement and Classification of Lower Urinary Tract DysfunctionU01DK097780 · NIDDK · DUKE UNIVERSITY · PI AMUNDSEN, CINDY, JELOVSEK, JOHN ERIC · 2012 to 2025
$5.3M
University of Iowa LURN Research SiteU01DK097772 · NIDDK · UNIVERSITY OF IOWA · PI BRADLEY, CATHERINE S, KREDER, KARL J · 2012 to 2025
$5.0M
Expansion of Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN)U01DK099879 · NIDDK · ARBOR RESEARCH COLLABORATIVE FOR HEALTH · PI MERION, ROBERT M · 2013 to 2018
$4.6M
University of Washington LURN Research SiteU01DK100011 · NIDDK · UNIVERSITY OF WASHINGTON · PI YANG, CLAIRE C · 2013 to 2025
$4.5M
University of Michigan LURN Research SiteU01DK099932 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CLEMENS, J. QUENTIN · 2013 to 2023
$4.4M
Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) Second Phase StudyU01DK100017 · NIDDK · WASHINGTON UNIVERSITY · PI LAI, HING HUNG HENRY · 2013 to 2025
$3.9M
NCATS NIH HHS UL1 TR001422NIDDK NIH HHS U01 DK097772NIDDK NIH HHS U01 DK097779NIDDK NIH HHS U01 DK097780NIDDK NIH HHS U01 DK099879NIDDK NIH HHS U01 DK099932NIDDK NIH HHS U01 DK100011NIDDK NIH HHS U01 DK100017NIDDK NIH HHS U24 DK099879
6 · The paper itself

Abstract

purposeOur objective was to investigate structural changes in brain white matter tracts using diffusion tensor imaging (DTI) in patients with overactive bladder (OAB). MATERIALS AND

methodsTreatment-seeking OAB patients and matched controls enrolled in the cross-sectional case-control LURN (Symptoms of Lower Urinary Tract Dysfunction Research Network) Neuroimaging Study received a brain DTI scan. Microstructural integrity of brain white matter was assessed using fractional anisotropy (FA) and mean diffusivity. OAB and urgency urinary incontinence (UUI) symptoms were assessed using the OAB Questionnaire Short-Form and International Consultation on Incontinence Questionnaire-Urinary Incontinence. The Lower Urinary Tract Symptoms Tool UUI questions and responses were correlated with FA values.

resultsAmong 221 participants with evaluable DTI data, 146 had OAB (66 urinary urgency-only without UUI, 80 with UUI); 75 were controls. Compared with controls, participants with OAB showed decreased FA and increased mean diffusivity, representing greater microstructural abnormalities of brain white matter tracts among OAB participants. These abnormalities occurred in the corpus callosum, bilateral anterior thalamic radiation and superior longitudinal fasciculus tracts, and bilateral insula and parahippocampal region. Among participants with OAB, higher OAB Questionnaire Short-Form scores were associated with decreased FA in the left inferior fronto-occipital fasciculus,

conclusionsAbnormalities in microstructural integrity in specific brain white matter tracts were more frequent in OAB patients. More severe OAB symptoms were correlated with greater degree of microstructural abnormalities in brain white matter tracts in patients with OAB.

trial registrationClinicalTrials.gov: NCT02485808.

Indexed as

Diffusion Tensor ImagingUrinary Bladder, OveractiveWhite MatterAdultAgedCase-Control StudiesCross-Sectional StudiesFemaleHumansLower Urinary Tract SymptomsMaleMiddle Agedbrain MRIdiffusion tensor imagingoveractive bladderurgency urinary incontinence

Identifiers

PMID38717915
PMCPMC11233244

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Registered trials

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.