Evidence map›Paper›PMID 22898935›Full record

ArticleEuropean radiology2013

Clinical application of multi-contrast 7-T MR imaging in multiple sclerosis: increased lesion detection compared to 3 T confined to grey matter.

Wolter L de Graaf, Iris D Kilsdonk, Alexandra Lopez-Soriano, Jaco J M Zwanenburg, Fredy Visser, Chris H Polman, Jonas A Castelijns, Jeroen J G Geurts, Petra J W Pouwels, Peter R Luijten and 2 more

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in European radiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03653585 (Cortical Lesions in the Primary Sensorimotor Hand Area and Their Impact on Dexterity in Multiple Sclerosis), which is not on this map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 4% 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.

NCT03653585 completednot on this mapstarted 2018, after this paper: background citation

Cortical Lesions in the Primary Sensorimotor Hand Area and Their Impact on Dexterity in Multiple Sclerosis: a 7T MRI Study

TypeobservationalSponsorDanish Research Centre for Magnetic ResonanceRan2018 to 2020Enrolled80ConditionsMultiple Sclerosis, Multiple Sclerosis, Relapsing-Remitting, Multiple Sclerosis, Secondary Progressive
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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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

12 authors at 3 institutions in 2 countries.

Wolter L de GraafDepartment of Radiology, VU University Medical Center, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands.
Iris D Kilsdonk
Alexandra Lopez-Soriano
Jaco J M Zwanenburg
Fredy Visser
Chris H Polman
Jonas A Castelijns
Jeroen J G Geurts
Petra J W Pouwels
Peter R Luijten
Frederik Barkhof
Mike P Wattjes
Amsterdam UMC Location VUmc · NLUniversity Medical Center Utrecht · NLPhilips (Finland) · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSeven-Tesla MRI demonstrated new pathological features of multiple sclerosis (MS) using T2-weighted sequences. However, a clinical MRI protocol at 7 T has never been investigated. We evaluated the clinical value of 7-T MRI by investigating the sensitivity of lesion detection compared with 3 T.

methodsThirty-eight MS patients and eight healthy controls underwent multi-contrast MRI using 3D T1-weighted (3D-T1w), 2D dual-echo T2-weighted (2D-T2w) and 3D fluid-attenuated inversion recovery (3D-FLAIR) at 3 and 7 T. Images were analysed for focal lesions, which were counted and categorised according to anatomical location. The study was approved by the institutional review board.

resultsLesion-wise analysis showed increased lesion counts in cortical grey matter (GM) at 7 T of 91, 75 and 238 % for 3D-T1w, 2D-T2w and FLAIR sequences, respectively. Patient-wise analysis confirmed this for 2D-T2w and FLAIR (P < 0.023 and P < 0.001). Seven-Tesla white matter (WM) lesion detection was not increased; 3D-FLAIR even detected significantly more WM lesions at 3 T.

conclusionsUsing a clinical multi-contrast MRI protocol, increased lesion detection was observed in cortical GM but not in WM. Given the clinical relevance of GM abnormalities, this may have consequences for clinical outcome measures, prognostic classification and future diagnostic criteria incorporating GM abnormalities.

Indexed as

Contrast MediaImaging, Three-DimensionalAdultAgedCase-Control StudiesCerebral CortexEcho-Planar ImagingFemaleHumansImage EnhancementImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedMultiple SclerosisProspective StudiesContrast Media

Identifiers

PMID22898935
OpenAlexW1998438961

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.