Evidence map›Paper›PMID 41093339›Full record

ArticleBMJ open2025

Systematic protocol to identify 'clinical controls' for paediatric neuroimaging research from clinically acquired brain MRIs.

Dabriel Zimmerman, Ayan S Mandal, Benjamin Jung, Matthew J Buczek, Jenna M Schabdach, Shivaram Karandikar, Eren Kafadar, Margaret Gardner, Maryam Daniali, Laura Mercedes and 13 more

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Charting Brain Structure in 22q11.2 Deletion Syndrome with Clinical Neuroimaging.medRxiv : the preprint server for health sciences · 2026
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Dabriel ZimmermanThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-8848-5449
Ayan S MandalThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Benjamin JungThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Matthew J BuczekThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Jenna M SchabdachThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Shivaram KarandikarThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0009-0003-0649-9260
Eren KafadarThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Margaret GardnerThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Maryam DanialiThe Children's Hospital of Philadelphia Department of Biomedical and Health Informatics, Philadelphia, Pennsylvania, USA.
Laura MercedesThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0009-0002-7219-4628
Sepp KohlerThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Leila Abdel-QaderThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Raquel E GurThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
David R RoalfThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Theodore D SatterthwaiteUniversity of Pennsylvania Department of Psychiatry, Philadelphia, Pennsylvania, USA.
Remo WilliamsThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Viveknarayanan PadmanabhanLifespan Brain Institute (LiBI) of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, Pennsylvania, USA.
Jakob SeidlitzThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Lauren K WhiteThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA.
Susan SotardiThe Children's Hospital of Philadelphia Department of Radiology, Philadelphia, Pennsylvania, USA.
J Eric SchmittThe Children's Hospital of Philadelphia Department of Radiology, Philadelphia, Pennsylvania, USA.
Arastoo VossoughThe Children's Hospital of Philadelphia Department of Radiology, Philadelphia, Pennsylvania, USA.
Aaron Alexander-BlochThe Children's Hospital of Philadelphia Department of Child and Adolescent Psychiatry and Behavioral Sciences, Philadelphia, Pennsylvania, USA aaron.alexander-bloch@pennmedicine.upenn.edu.

Funding

Reproducible imaging-based brain growth charts for psychiatryR01MH120482 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MILHAM, MICHAEL PETER, SATTERTHWAITE, THEODORE · 2019 to 2023
$3.5M
Radiomics for Clinically-Acquired Brain MRIs of Youth with Neurodevelopmental DisordersR01MH134896 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI Aaron Felix Alexander-Bloch · 2024 to 2026
$2.3M
Brain charts of sex as a biological variable for precision structural neuroimaging of the psychosis spectrumF31MH136691 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Margaret Gardner · 2025 to 2026
$100k
NIMH NIH HHS F31 MH136691NIMH NIH HHS R01 MH120482NIMH NIH HHS R01 MH134896
6 · The paper itself

Abstract

introductionProgress at the intersection of artificial intelligence and paediatric neuroimaging necessitates large, heterogeneous datasets to generate robust and generalisable models. Retrospective analysis of clinical brain MRI scans offers a promising avenue to augment prospective research datasets, leveraging the extensive repositories of scans routinely acquired by hospital systems in the course of clinical care. Here, we present a systematic protocol for identifying 'scans with limited imaging pathology' through machine-assisted manual review of radiology reports. METHODS AND ANALYSIS: The protocol employs a standardised grading scheme developed with expert neuroradiologists and implemented by non-clinician graders. Categorising scans based on the presence or absence of significant pathology and image quality concerns facilitates the repurposing of clinical brain MRI data for brain research. Such an approach has the potential to harness vast clinical imaging archives-exemplified by over 250 000 brain MRIs at the Children's Hospital of Philadelphia-to address demographic biases in research participation, to increase sample size and to improve replicability in neurodevelopmental imaging research. Ultimately, this protocol aims to enable scalable, reliable identification of clinical control brain MRIs, supporting large-scale, generalisable neuroimaging studies of typical brain development and neurogenetic conditions. ETHICS AND DISSEMINATION: Studies using datasets generated from this protocol will be disseminated in peer-reviewed journals and at academic conferences.

Indexed as

BrainMagnetic Resonance ImagingNeuroimagingChildHumansResearch DesignRetrospective StudiesChild & adolescent psychiatryElectronic Health RecordsHealth informaticsMagnetic Resonance ImagingMethodsRetrospective Studies

Identifiers

PMID41093339
PMCPMC12542538

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.