Magnetic resonance imaging for predicting delayed neurologic sequelae caused by carbon monoxide poisoning: A systematic review and meta-analysis.

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  • Author(s): Feng SY;Feng SY
  • Source:
    Medicine [Medicine (Baltimore)] 2022 Nov 25; Vol. 101 (47), pp. e31981.
  • Publication Type:
    Meta-Analysis; Systematic Review; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE
    • Publication Information:
      Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
    • Subject Terms:
    • Abstract:
      Background: This study summarized and analyzed the prognostic value of magnetic resonance imaging (MRI) for delayed neurologic sequelae (DNS) caused by carbon monoxide (CO) poisoning.
      Methods: PubMed, China National Knowledge Infrastructure, and Wanfang Database were searched to identify relevant articles from their inception to October 30, 2022. The pooled sensitivity and specificity were estimated to investigate MRI for predicting DNS.
      Results: 6 studies comprising 635 participants were identified as eligible for the present analysis. The pooled sensitivity and specificity of MRI were 0.72 (95% CI: 0.62-0.81) and 0.80 (95% CI: 0.71-0.86), respectively. The findings of sensitivity analyses proved that the overall results were robust, and no publication bias was detected (P = .49).
      Conclusion: Based on current evidence, MRI may be useful in determining DNS caused by acute CO poisoning.
      Competing Interests: The authors have no funding and conflicts of interest to disclose.
      (Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.)
    • References:
      Ernst A, Zibrak JD. Carbon monoxide poisoning. N Engl J Med. 1998;339:1603–8.
      Onodera M, Tsukada Y, Suzuki T, et al. Development of delayed neurologic sequelae in acute carbon monoxide poisoning cases caused by briquette-based kotatsu: a case-control study. Medicine (Baltim). 2021;100:e25009.
      Choi S, Han S, Nah S, et al. Effect of ethanol in carbon monoxide poisoning and delayed neurologic sequelae: a prospective observational study. PLoS One. 2021;16:e0245265.
      Tian X, Guan T, Guo Y, et al. Selective susceptibility of oligodendrocytes to carbon monoxide poisoning: Implication for delayed neurologic sequelae (DNS). Front Psychiatry. 2020;11:815.
      Kuroda H, Fujihara K, Kushimoto S, et al. Novel clinical grading of delayed neurologic sequelae after carbon monoxide poisoning and factors associated with outcome. Neurotoxicology. 2015;48:35–43.
      Pepe G, Castelli M, Nazerian P, et al. Delayed neuropsychological sequelae after carbon monoxide poisoning: predictive risk factors in the Emergency Department. A retrospective study. Scand J Trauma Resusc Emerg Med. 2011;19:16.
      Ku HL, Yang KC, Lee YC, et al. Predictors of carbon monoxide poisoning-induced delayed neuropsychological sequelae. Gen Hosp Psychiatry. 2010;32:310–4.
      Annane D, Chadda K, Gajdos P, et al. Hyperbaric oxygen therapy for acute domestic carbon monoxide poisoning: two randomized controlled trials. Intensive Care Med. 2011;37:486–92.
      Weaver LK, Valentine KJ, Hopkins RO. Carbon monoxide poisoning: risk factors for cognitive sequelae and the role of hyperbaric oxygen. Am J Respir Crit Care Med. 2007;176:491–7.
      Tsuneya S, Makino Y, Chiba F, et al. Postmortem magnetic resonance imaging revealed bilateral globi pallidi lesions in a death associated with prolonged carbon monoxide poisoning: a case report. Int J Legal Med. 2021;135:921–8.
      Beppu T. The role of MR imaging in assessment of brain damage from carbon monoxide poisoning: a review of the literature. AJNR Am J Neuroradiol. 2014;35:625–31.
      Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700.
      Schueler S, Schuetz GM, Dewey M. The revised QUADAS-2 tool. Ann Intern Med. 2012;156:323.
      Jeon SB, Sohn CH, Seo DW, et al. Acute brain lesions on magnetic resonance imaging and delayed neurological sequelae in carbon monoxide poisoning. JAMA Neurol. 2018;75:436–43.
      Kim YS, Cha YS, Kim MS, et al. The usefulness of diffusion-weighted magnetic resonance imaging performed in the acute phase as an early predictor of delayed neuropsychiatric sequelae in acute carbon monoxide poisoning. Hum Exp Toxicol. 2018;37:587–95.
      Kokulu K, Mutlu H, Sert ET. Serum netrin-1 levels at presentation and delayed neurological sequelae in unintentional carbon monoxide poisoning. Clin Toxicol (Phila). 2020;58:1313–9.
      Liu YY, Liu Z, Ma Z, et al. Value of serum myelin basic protein combined with magnetic resonance spectroscopy and diffusion tensor imaging in prediction of delayed encephalopathy after acute carbon monoxide poisoning. J Clin Emerg. 2019;20:352–6.
      Suzuki Y. Risk factors for delayed encephalopathy following carbon monoxide poisoning: importance of the period of inability to walk in the acute stage. PLoS One. 2021;16:e0249395.
      Zhang YL, Wang TH, Guo SL, et al. Diffusion kurtosis imaging in predicting delayed encephalopathy after acute carbon monoxide poisoning. Chin J Med Imag Tech. 2020;36:215–9.
      Sert ET, Kokulu K, Mutlu H. Clinical predictors of delayed neurological sequelae in charcoal-burning carbon monoxide poisoning. Am J Emerg Med. 2021;48:12–7.
      Hegde AN, Mohan S, Lath N, et al. Differential diagnosis for bilateral abnormalities of the basal ganglia and thalamus. Radiographics. 2011;31:5–30.
      Wang X, Li Z, Berglass J, et al. MRI and clinical manifestations of delayed encephalopathy after carbon monoxide poisoning. Pak J Pharm Sci. 2016;29:2317–20.
      Liu WP, Xiao B, Zhang J. Study of delayed encephalopathy after acute carbon monoxide poisoning by clinical characteristic, CT and MRI features. Hunan Yi Ke Da Xue Xue Bao. 2001;26:254–6.
      Guo J, Meng J, Han T. MRI-based comparison of brain damage between acute carbon monoxide poisoning and delayed encephalopathy after acute carbon monoxide poisoning. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2014;32:533–6.
      Sener RN. Acute carbon monoxide poisoning: diffusion MR imaging findings. AJNR Am J Neuroradiol. 2003;24:1475–7.
      Wu J, Peng T, Xu Z, et al. Evaluation of changes in magnetic resonance diffusion tensor imaging after treatment of delayed encephalopathy due to carbon monoxide poisoning. J Integr Neurosci. 2019;18:475–9.
      Xu Y, Zhuang Z, Zheng H, et al. Glutamate chemical exchange saturation transfer (GluCEST) magnetic resonance imaging of rat brain with acute carbon monoxide poisoning. Front Neurol. 2022;13:865970.
    • Accession Number:
      7U1EE4V452 (Carbon Monoxide)
    • Publication Date:
      Date Created: 20221201 Date Completed: 20221202 Latest Revision: 20230103
    • Publication Date:
      20231215
    • Accession Number:
      PMC9704964
    • Accession Number:
      10.1097/MD.0000000000031981
    • Accession Number:
      36451422