Evidence map›Paper›PMID 39821587›Full record

ArticleThe ultrasound journal2025

The impact of demographics and positioning on the imaging features of the optic nerve sheath and ophthalmic vessels.

David Berhanu, Luís Abegão Pinto, Inês Carneiro, Isabel Fragata, Joana Tavares Ferreira, Lia Lucas Neto

Abstract read
In one paragraph

Article in The ultrasound journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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 synthesis or guideline pooled it.

  1. Intraindividual Optic Nerve Sheath Variation and Intracranial Pressure Changes: A Systematic Review and Meta-Analysis.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Pooled it
  2. 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

6 authors.

David BerhanuFaculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal. davidb@campus.ul.pt.ORCID http://orcid.org/0000-0003-1851-7182
Luís Abegão PintoFaculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.
Inês CarneiroServiço de Imagiologia Neurológica, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal.
Isabel FragataServiço de Neurorradiologia, Centro Hospitalar Universitário Lisboa Central, Lisbon, Portugal.
Joana Tavares FerreiraFaculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.
Lia Lucas NetoFaculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.

Funding

Fundação para a Ciência e a Tecnologia 2022.10667.BDSanta Casa da Misericórdia de Lisboa Prémio João Lobo Antunes
6 · The paper itself

Abstract

backgroundThere are significant discrepancies in the optic nerve sheath diameter (ONSD) reported in the literature. We aimed to determine the ultrasonographic imaging features of ONSD and ophthalmic vessels in a healthy population, using a standardized protocol, and to estimate the effect of demographics and positioning changes on imaging measurements.

methodsWe measured the mean values of the ONSD in supine and sitting position and the Doppler imaging parameters of the ophthalmic, central retinal and short posterior ciliary arteries. Inter-observer reliability was assessed using intraclass correlation coefficient (ICC). Linear regression models were fitted to predict the effect of demographic and clinical determinants on the imaging features.

resultsA total of 50 measurements were obtained for each observer. The mean ONSD was 5.9 mm and there was a mean reduction of 0.2 mm when assessed in sitting position (p < 0.001). Doppler analysis showed higher peak-systolic velocity and resistive index in the ophthalmic artery (35.6 cm/s vs. 12.0 cm/s; 0.78 vs. 0.70) compared to the central retinal artery (p < 0.001). Age, sex, heart rate and systolic blood pressure were significant determinants of the imaging features, with ONSD being larger in males (p < 0.001) and increasing with heart rate (p = 0.001). ICC estimates indicated 'good' inter-observer reliability of the ONSD and the ophthalmic and central retinal arteries velocities and resistance.

conclusionsOur findings suggest a significant impact of patient demographics and positioning during ultrasonography on the normal imaging features of the ONSD and ophthalmic vessels. The heterogeneity in methodology and clinical cohorts may justify previous discrepancies in the literature. These findings can assist in the interpretation of imaging features in clinical settings and in the standardization of point of care ONSD ultrasonography.

Indexed as

Central retinal arteryDopplerOphthalmic arteryOptic nerve sheathOptic nerve sheath diameterUltrasonography

Identifiers

PMID39821587
PMCPMC11739445

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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.