Evidence map›Paper›PMID 39854387›Full record

SynthesisPloS one2025

White matter lesions and DTI metrics related to various types of dysfunction in cerebral palsy: A meta-analysis and systematic review.

Yu Jiang, Gang Liu, Bowen Deng, Xiaoye Li, Jingpei Ren, Yi Zhao, Chuanyu Hu, Lin Xu, Feng Gao, Xiaohong Mu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Alcohol-induced structural and cellular brain alterations: molecular and histopathological mechanisms.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    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

10 authors.

Yu JiangDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Gang LiuDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Bowen DengDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Xiaoye LiDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Jingpei RenDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Yi ZhaoDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Chuanyu HuDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Lin XuDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Feng GaoDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Xiaohong MuDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0002-0075-2320

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessing various types of dysfunction in cerebral palsy is a key factor in the treatment and rehabilitation of patients. The objective of this study was to use meta-analysis and systematic review to identify the specific white matter lesions and DTI metrics strongly associated with various types of dysfunction in cerebral palsy.

methodsWe conducted a literature search of PubMed, Embase, Cochrane Library and Web of Science databases to identify trials published that had evaluated the correlation between DTI metrics in sensorimotor pathways and function scores in cerebral palsy. Correlation coefficient (r) values were extracted for each study, and the extent of r was quantitatively explored. The remaining part of the study was analyzed qualitatively.

results46 studies involving 1458 children with cerebral palsy, were included. 19 articles for Meta-analysis and 27 articles were descriptively analyzed. DTI metrics such as FA、MD in both sensory and motor pathways significantly correlated with various function ratings. In overall motor dysfunction, compared with the CST and PTR, FA of the PLIC correlated more strongly with GMFCS, and showed no significant heterogeneity (r = -1.28, confidence interval [CI]-1.70 to -0.87,I2 = 38.2%,P = 0.233). In upper limb dysfunction, compared with the AHA and MA2, FA of the CST correlated more strongly with BBT, and showed no significant heterogeneity (r = -0.56, confidence interval [CI]-0.78 to -0.34,I2 = 0.0%,P = 0.511). Lower limb dysfunction and other dysfunctions we used qualitative analysis. The qualitative analysis offered a concise overview of each investigation.

conclusionsThis study basically identifies the specific white matter lesions corresponding to overall motor dysfunction, upper limb and lower limb motor deficits and other dysfunctions in patients with cerebral palsy, as well as the associated DTI metrics.

Indexed as

Cerebral PalsyDiffusion Tensor ImagingWhite MatterChildHumans

Identifiers

PMID39854387
PMCPMC11760009

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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.