Evidence map›Paper›PMID 40272704›Full record

ArticleJournal of endocrinological investigation2025

Effects of diabetic ketoacidosis, islet cell function, and age of onset on pancreas size, morphology, and exocrine function in children with type 1 diabetes: an abdominal MRI study.

Zheng Cai, Shaoqing Chen, Mingxin Chen, Shuang Meng, Yixuan Hu, Mei Huang, Jiawen Song, Xiaoyan Huang, Zhihan Yan, Kun Liu

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of endocrinological investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Zheng Cai *Department of Radiology, The Second Affiliated Hospital, Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Shaoqing Chen *Department of Radiology, The Second Affiliated Hospital, Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Mingxin ChenDepartment of Radiology, The Third Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Shuang MengDepartment of Radiology, The Second Affiliated Hospital, Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yixuan HuDepartment of Radiology, The Second Affiliated Hospital, Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Mei HuangDepartment of Radiology, The Second Affiliated Hospital, Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jiawen SongDepartment of Radiology, The Second Affiliated Hospital, Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xiaoyan HuangDepartment of Radiology, The Second Affiliated Hospital, Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Zhihan YanDepartment of Radiology, The Second Affiliated Hospital, Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China. yanzhihanwz@163.com.
Kun LiuDepartment of Radiology, The Second Affiliated Hospital, Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China. liukun040954@163.com.ORCID http://orcid.org/0000-0003-3153-9810

Funding

National Science Foundation 82071902Natural Science Foundation of Zhejiang Province LY18H070003Natural Science Foundation of Zhejiang Province LY19H180003Wenzhou Municipal Science and Technology Bureau Y20220066
6 · The paper itself

Abstract

objectiveTo investigate pancreatic MRI parameters changes in children with T1D and to assess the effects of DKA, islet cell function, and onset age on the pancreas size, morphology, and exocrine function.

methods176 children with newly diagnosed T1D and 100 age- and sex-matched controls were enrolled in this retrospective study. Clinical metrics and pancreatic MRI parameters were collected and compared, and correlation analyses were performed to explore the relationships.

resultsPancreas volume, pancreas volume index (PVI), pancreas body and tail diameters, pancreas surface area, pancreas tail-to-spleen signal ratio, and pancreatic border irregularity score were lower, and pancreas surface area-to-volume ratio was higher in the T1D group than in the control group. T1D-DKA subgroup had a lower pancreas tail-to-spleen signal ratio and pancreatic border irregularity score than T1D-diabetic ketosis (T1D-DK) subgroup. Subgroup with an onset age under 10 years had a lower pancreas volume, pancreas head, body, and tail diameters, and pancreas surface area than subgroup with an onset age of 10 years or older. Several pancreatic MRI indices correlated with C-peptide levels in the T1D group, T1D-DK subgroup, and T1D-DKA subgroup but not in the T1D-alone subgroup. The integrated assessment of pancreatic size, morphology, and MR signal characteristics more effectively distinguishes the pancreas of T1D children from that of controls when compared to evaluating these factors individually.

conclusionT1D affects the size, morphology and exocrine function of the pancreas in children, which is associated with DKA, islet cell function and onset age.

Indexed as

Diabetes Mellitus, Type 1Diabetic KetoacidosisIslets of LangerhansMagnetic Resonance ImagingPancreasAdolescentAge of OnsetCase-Control StudiesChildChild, PreschoolFemaleHumansMaleOrgan SizeRetrospective StudiesChildrenDiabetic ketoacidosisMRIPancreasType 1 diabetes

Identifiers

PMID40272704

What Socratic holds

Textmetadata
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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 Socratic graph.