Evidence map›Paper›PMID 40207700›Full record

ArticleJournal of neuroimaging : official journal of the American Society of Neuroimaging

Phosphotungstic Acid Staining to Visualize the Vagus Nerve Perineurium Using Micro-CT.

Aniruddha R Upadhye, Eleana Cintron, Jichu Zhang, Jennifer Coleman, Chaitanya Kolluru, Michael W Jenkins, David Wilson, Nicole A Pelot, Andrew J Shoffstall

Abstract read
In one paragraph

Article in Journal of neuroimaging : official journal of the American Society of Neuroimaging. 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. Article
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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

9 authors.

Aniruddha R UpadhyeDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Eleana CintronDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Jichu ZhangDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Jennifer ColemanDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Chaitanya KolluruDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Michael W JenkinsDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
David WilsonDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Nicole A PelotDepartment of Biomedical Engineering, Duke University, Durham, North Carolina, USA.
Andrew J ShoffstallDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-0881-2180

Funding

RECONSTRUCTING VAGAL ANATOMY75N98022C00018 · OD · CASE WESTERN RESERVE UNIVERSITY · PI SHOFFSTALL, ANDREW · 2022 to 2024
$15.8M
Modeling Activation and Block of Autonomic Nerves for Analysis and DesignOT2OD025340 · OD · DUKE UNIVERSITY · PI GRILL, WARREN M. · 2017 to 2021
$5.9M
3D Microscopy with Ultraviolet Surface Excitation (3D-MUSE)R01EB028635 · NIBIB · CASE WESTERN RESERVE UNIVERSITY · PI LEVENSON, RICHARD M., WILSON, DAVID LYNN · 2019 to 2023
$2.7M
BLRD VA IS1 BX004384NIBIB NIH HHS R01 EB028635NIH HHS 75N98022C00018NIH HHS OT2 OD025340NINDS NIH HHS 75N98022C000018ODCDC CDC HHS OT2 OD025340US Department of Veterans Affairs 1IS1BX004384)
6 · The paper itself

Abstract

background and purposePeripheral nerve stimulation is approved by the US Food and Drug Administration for treating various disorders, but it is often limited by side effects, highlighting the need for a clear understanding of fascicular and fiber organization to design selective therapies. Micro-CT imaging of contrast-stained nerves enables the visualization of tissue microstructures, such as the fascicular perineurium and vasculature. In this work, we evaluated phosphotungstic acid (PTA) as a contrast agent and assessed its compatibility with downstream histology.

methodsHuman vagus nerve samples were collected from three embalmed cadavers and subjected to three different staining methods, followed by micro-CT imaging: Lugol's iodine, osmium tetroxide, and PTA. Contrast ratios of adjacent tissue microstructures (perineurium, interfascicular epineurium, and fascicle) were quantified for each stain and compared. We further developed a pipeline to optimize micro-CT scan acquisition parameters based on objective metrics for sharpness, noise, and pixel saturation. The PTA-stained samples underwent subsequent histological processing and staining with hematoxylin and eosin, Masson's trichrome, and immunohistochemistry and were assessed for tissue degradation.

resultsPTA enhanced the visualization of perineurium, providing high contrast ratios compared to iodine and osmium tetroxide. Optimized scanning parameters for PTA-stained nerves (55 kV and 109 µA) effectively balanced noise and sharpness. While we found that PTA is generally nondestructive for downstream histology, higher concentrations and longer exposure could alter the optical density of nuclei and affect stain differentiation in special stains.

conclusionPTA serves as a valuable micro-CT contrast agent for nerve imaging, effective in visualizing the perineurium with minimal impact on histological integrity.

Indexed as

Phosphotungstic AcidVagus NerveX-Ray MicrotomographyCadaverContrast MediaHumansMaleStaining and LabelingContrast MediaPhosphotungstic Acidneuroanatomyperipheral nervesphosphotungstic acidvagus nerveX‐ray microtomography

Identifiers

PMID40207700
PMCPMC11984074

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LicenceCC BY-NC
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Registered trials

None linked

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.