Evidence map›Paper›PMID 19281850›Full record

ArticleNeuroImage2009

3 T MRI relaxometry detects T2 prolongation in the cerebral normal-appearing white matter in multiple sclerosis.

Mohit Neema, Daniel Goldberg-Zimring, Zachary D Guss, Brian C Healy, Charles R G Guttmann, Maria K Houtchens, Howard L Weiner, Mark A Horsfield, David B Hackney, David C Alsop and 1 more

Open access · greenAbstract read
In one paragraph

Article in NeuroImage, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
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

35 citing papers in PubMed, 80 citations in OpenAlex.

  1. Trial
  2. Simultaneous TMagnetic resonance in medicine · 2026
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  6. REUSED: A deep neural network method for rapid whole-brain high-resolution myelin water fraction mapping from extremely under-sampled MRI.Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society · 2023
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  7. Article
  8. Correcting for imaging gradients-related bias of TMagnetic resonance in medicine · 2022
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  10. Review
  11. 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

11 authors at 4 institutions in 2 countries.

Mohit NeemaDepartment of Neurology, Brigham and Women's Hospital, Laboratory for Neuroimaging Research, Partners MS Center, Harvard Medical School, Boston, MA 02445, USA. mneema@bwh.harvard.edu
Daniel Goldberg-Zimring
Zachary D Guss
Brian C Healy
Charles R G Guttmann
Maria K Houtchens
Howard L Weiner
Mark A Horsfield
David B Hackney
David C Alsop
Rohit Bakshi
Brigham and Women's Hospital · USHarvard University · USBeth Israel Deaconess Medical Center · USUniversity of Leicester · GB

Funding

Gray vs. white matter brain atrophy in multiple sclerosisR01NS055083 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI BAKSHI, ROHIT · 2007 to 2010
$1.5M
MRI T2 shortening ('blackT2') in multiple sclerosisK23NS042379 · NINDS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI BAKSHI, ROHIT · 2001 to 2003
$375k
NINDS NIH HHS K23 NS042379NINDS NIH HHS K23 NS42379-01NINDS NIH HHS R01 NS055083NINDS NIH HHS R01 NS055083-01
6 · The paper itself

Abstract

MRI at 3 T has increased sensitivity in detecting overt multiple sclerosis (MS) brain lesions; a growing body of data suggests clinically relevant damage occurs in the normal-appearing white matter (NAWM). We tested a novel pulse sequence to determine whether 3 T MRI spin-spin relaxometry detected damage in NAWM of MS patients (n=13) vs. age-matched normal controls [(NL) (n=11)]. Baseline characteristics of the MS group were: age (mean+/-SD) 42.5+/-5.4 (range 33-51 years), disease duration 9.0+/-6.4 (range 1-22 years), Expanded Disability Status Scale score 2.5+/-1.7 (range 1-6.5). Brain MRI measures, obtained at 3 T, included global and regional NAWM transverse relaxation rate [R2 (=1/T2)], derived from 3D fast spin-echo T2 prepared images, and global white matter volume fraction derived from SPGR images. The regional NAWM areas investigated were the frontal lobe, parietal lobe, and the genu and splenium of the corpus callosum. Mean NAWM R2 was lower (indicating T2 prolongation) in MS than NL in the whole brain (p=0.00047), frontal NAWM (p=0.00015), parietal NAWM (p=0.0069) and callosal genu (p=0.0019). Similarly, R2 histogram peak position was lower in NAWM in MS than NL in the whole brain (p=0.019). However, the normalized WM volume fractions were similar in both MS and NL (p>0.1). This pilot study suggests that a novel 3D fast spin-echo pulse sequence at 3 T, used to derive R2 relaxation maps, can detect tissue damage in the global and regional cerebral NAWM of MS patients that is missed by conventional lesion and atrophy measures. Such findings may represent demyelination, inflammation, glial proliferation and axonal loss.

Indexed as

AlgorithmsAdolescentAdultFemaleHumansImage EnhancementImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedMultiple SclerosisNerve Fibers, MyelinatedReference ValuesReproducibility of ResultsSensitivity and SpecificityYoung Adult

Identifiers

PMID19281850
PMCPMC2974316
OpenAlexW2027576059

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.