Evidence map›Paper›PMID 39534515›Full record

ArticleClinical neurophysiology practice2024

Decreased diaphragm moving distance measured by ultrasound speckle tracking reflects poor prognosis in amyotrophic lateral sclerosis.

Shunsuke Watanabe, Kenji Sekiguchi, Hirotomo Suehiro, Masaaki Yoshikawa, Yoshikatsu Noda, Naohisa Kamiyama, Riki Matsumoto

Registry-linked trialAbstract read
In one paragraph

Article in Clinical neurophysiology practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06996665 (Diaphragmatic Physiology Similarity Index May Titrate HFNC Flow Setting), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

NCT06996665 narecruitingnot on this mapstarted 2025, after this paper: background citation

Diaphragmatic Physiology Similarity Index May Titrate HFNC Flow Setting: A Prospective Observational Study

TypeinterventionalSponsorSir Run Run Shaw HospitalRan2025 to 2026Enrolled100ConditionsRespiratory FailureArmsHigh-flow adjustment sequence
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Ultrasound innovations in diaphragm assessment: an integrative review of expanding clinical applications.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
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

7 authors.

Shunsuke WatanabeDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.
Kenji SekiguchiDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.
Hirotomo SuehiroDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.
Masaaki YoshikawaDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.
Yoshikatsu NodaDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.
Naohisa KamiyamaGE Healthcare Japan, Ultrasound Division, Tokyo, Japan.
Riki MatsumotoDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Decreased cephalocaudal diaphragm movement may indicate respiratory dysfunction in amyotrophic lateral sclerosis (ALS). We aimed to evaluate diaphragm function in ALS using ultrasound speckle tracking, an image-analysis technology that follows similar pixel patterns. Methods: We developed an offline application that tracks pixel patterns of recorded ultrasound video images using speckle-tracking methods. Ultrasonography of the diaphragm movement during spontaneous quiet respiration was performed on 19 ALS patients and 21 controls to measure the diaphragm moving distance (DMD) in the cephalocaudal direction during a single respiration. We compared respiratory function measures and analyzed the relationship between the clinical profiles and DMD. Results: DMD was significantly lower in ALS patients than in the control group (0.6 ± 1.4 mm vs 2.2 ± 2.2 mm, Conclusions: Diaphragm ultrasound speckle tracking enabled the detection of diaphragm dysfunction in ALS. Significance: Diaphragm ultrasound speckle tracking may be useful for predicting prognosis.

Indexed as

Amyotrophic lateral sclerosisDiaphragmSpeckle trackingUltrasound

Identifiers

PMID39534515
PMCPMC11554585

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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.