Evidence map›Paper›PMID 40450103›Full record

ArticleSpinal cord2025

Using diffusion tensor imaging to assess children with spinal cord injury without fracture or dislocation.

Qunya Qi, Ling Wang, Beining Yang, Yulong Jia, Yu Wang, Haotian Xin, Xianglin Guo, Weimin Zheng, Xin Chen, Qian Chen and 4 more

Abstract read
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In one paragraph

Article in Spinal cord, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

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5 · Who and what money

Authors and funding

14 authors.

Qunya QiDepartment of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Ling WangDepartment of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Beining YangDepartment of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Yulong JiaDepartment of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Yu WangDepartment of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Haotian XinDepartment of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Xianglin GuoDepartment of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Weimin ZhengDepartment of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China.
Xin ChenDepartment of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Qian ChenDepartment of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Fang LiDepartment of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Jubao DuDepartment of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Jie LuDepartment of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.ORCID 0000-0003-0425-3921
Nan ChenDepartment of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China. chenzen8057@sina.com.ORCID 0000-0002-0822-125X

Funding

National Natural Science Foundation of China (National Science Foundation of China) 81271556National Natural Science Foundation of China (National Science Foundation of China) 81871339Natural Science Foundation of Beijing Municipality (Beijing Natural Science Foundation) 7113155
6 · The paper itself

Abstract

STUDY

designCross-sectional study.

objectivesThis study investigates changes in spinal DTI metrics above lesion in children with spinal cord injury without fracture or dislocation (SCIWOFD), aiming to assess DTI's potential as a diagnostic and evaluative tool for SCIWOFD in children.

settingXuanwu Hospital, Capital Medical University, China; Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, China.

methodsThis study included 18 children with SCIWOFD and 12 typically developing (TD) children. SCIWOFD children underwent International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) assessments and MRI with axial spinal cord DTI. DTI data were processed with Diffusion Toolkit and TrackVis, with four levels above the lesion (Level 1 to Level 4). Spinal DTI metrics were extracted, and statistical analysis was performed using multiple linear regression and Pearson correlation.

resultsCompared to the TD group, the SCIWOFD group displayed significant changes in DTI metrics at four spinal cord levels. At level 1, FA decreased (p < 0.000), while MD (p < 0.000), AD (p = 0.007), and RD (p < 0.000) increased. Levels 2 and 3 showed decreased FA (level 2: p < 0.000; level 3: p = 0.001) and increased MD (level 2: p = 0.001; level 3: p = 0.029) and RD values (level 2: p < 0.000; level 3:p = 0.001). At level 4, FA decreased (p < 0.000), while RD increased (p = 0.009). At level 1 in the SCIWOFD group, MD (r = -0.534, p = 0.022) and RD (r = -0.569, p = 0.009) correlated with sensory scores.

conclusionsSpinal DTI metrics above the lesion in children with SCIWOFD exhibit gradient changes, with a statistically correlation between the DTI metrics at the rostral edge of the lesion and ISNCSCI sensory scores. DTI metrics may serve as stable, objective indicators for assessing SCIWOFD in children.

Indexed as

Diffusion Tensor ImagingSpinal Cord InjuriesAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleSpinal Cord

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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.