Evidence map›Paper›PMID 21743997›Full record

ArticleNeuroradiology2012

Diffusion-weighted imaging in acute demyelinating myelopathy.

Chiara Zecca, Carlo Cereda, Stephan Wetzel, Silvia Tschuor, Claudio Staedler, Francesco Santini, Navarajah Nadarajah, Claudio L Bassetti, Claudio Gobbi

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In one paragraph

Article in Neuroradiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Reliability and validity of multi-shot DWI in diagnosis of cervical spondylotic myelopathy: a study based on 3-T MRI.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020
    Article
  4. Article
  5. Are Periventricular Lesions Specific for Multiple Sclerosis?Journal of neurology & neurophysiology · 2013
    Article
  6. Acute demyelinating lesions with restricted diffusion in multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2012
    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

9 authors.

Chiara ZeccaServizio di Neurologia e Neuroradiologia, Neurocenter of Southern Switzerland, Ospedale Regionale di Lugano, via Tesserete 46, 6903, Lugano, Switzerland. chiara.zecca@eoc.ch
Carlo Cereda
Stephan Wetzel
Silvia Tschuor
Claudio Staedler
Francesco Santini
Navarajah Nadarajah
Claudio L Bassetti
Claudio Gobbi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiffusion-weighted imaging (DWI) has become a reference MRI technique for the evaluation of neurological disorders. Few publications have investigated the application of DWI for inflammatory demyelinating lesions. The purpose of the study was to describe diffusion-weighted imaging characteristics of acute, spinal demyelinating lesions.

methodsSix consecutive patients (two males, four females; aged 28-64 years) with acute spinal cord demyelinating lesions were studied in a prospective case series design from June 2009 to October 2010. We performed magnetic resonance imaging studies from 2 to 14 days from symptom onset on the patients with relapsing remitting multiple sclerosis (n = 3) or clinically isolated syndrome (n = 3). Main outcome measures were diffusion-weighted imaging and apparent diffusion coefficient pattern (ADC) of acute spinal cord demyelinating lesions.

resultsAll spinal lesions showed a restricted diffusion pattern (DWI+/ADC-) with a 24% median ADC signal decrease. A good correlation between clinical presentation and lesion site was observed.

conclusionAcute demyelinating spinal cord lesions show a uniform restricted diffusion pattern. Clinicians and neuro-radiologists should be aware that this pattern is not necessarily confirmatory for an ischaemic aetiology.

Indexed as

Acute DiseaseAdultDemyelinating DiseasesDiffusion Magnetic Resonance ImagingFemaleHumansMaleMiddle AgedReproducibility of ResultsSensitivity and SpecificitySpinal CordSpinal Cord Diseases

Identifiers

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Registered trials

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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.