Evidence map›Paper›PMID 23715746›Full record

ArticleNeuroradiology2013

Brain size and white matter content of cerebrospinal tracts determine the upper cervical cord area: evidence from structural brain MRI.

Christina Engl, Paul Schmidt, Milan Arsic, Christine C Boucard, Viola Biberacher, Michael Röttinger, Thorleif Etgen, Sabine Nunnemann, Nikolaos Koutsouleris, Maximilian Reiser and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 16% 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

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Charting Cervical Spinal Cord Morphometry Across the Lifespan.bioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. MRI Measurement of Upper Cervical Spinal Cord Cross-Sectional Area in Children.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2020
    Article
  11. Article
  12. Intersubject Variability and Normalization Strategies for Spinal Cord Total Cross-Sectional and Gray Matter Areas.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2020
    Article
  13. Review
  14. Spinal Cord Gray Matter Atrophy in Amyotrophic Lateral Sclerosis.AJNR. American journal of neuroradiology · 2018
    Article
  15. Article
  16. Article
  17. Spinal cord atrophy in early Huntington's disease.Annals of clinical and translational neurology · 2014
    Article
  18. Biological variation in cervical spinal cord MRI morphometry in healthy individuals and people with multiple sclerosis.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    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

12 authors at 3 institutions in 1 country.

Christina EnglDepartment of Neurology, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, Munich, Germany.
Paul SchmidtDepartment of Neurology, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, Munich, Germany.
Milan ArsicDepartment of Neurology, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, Munich, Germany.
Christine C BoucardDepartment of Neurology, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, Munich, Germany.
Viola BiberacherDepartment of Neurology, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, Munich, Germany.
Michael RöttingerDepartment of Radiology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
Thorleif EtgenDepartment of Neurology, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, Munich, Germany.
Sabine NunnemannDepartment of Neurology, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, Munich, Germany.
Nikolaos KoutsoulerisDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilians-Universität München, Munich, Germany.
Maximilian ReiserDepartment of Radiology, Ludwig-Maximilians-Universität, Munich, Germany.
Eva M MeisenzahlDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilians-Universität München, Munich, Germany.
Mark MühlauDepartment of Neurology, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, Munich, Germany. muehlau@lrz.tum.de.
Technical University of Munich · DELudwig-Maximilians-Universität München · DEKlinikum rechts der Isar · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMeasurement of the upper cervical cord area (UCCA) from brain MRI may be an effective way to quantify spinal cord involvement in neurological disorders such as multiple sclerosis. However, knowledge on the determinants of UCCA in healthy controls (HCs) is limited.

methodsIn two cohorts of 133 and 285 HCs, we studied the influence of different demographic, body-related, and brain-related parameters on UCCA by simple and partial correlation analyses as well as by voxel-based morphometry (VBM) across both cerebral gray matter (GM) and white matter (WM).

resultsFirst, we confirmed the known but moderate effect of age on UCCA in the older cohort. Second, we studied the correlation of UCCA with sex, body height, and total intracranial volume (TIV). TIV was the only variable that correlated significantly with UCCA after correction for the other variables. Third, we studied the correlation of UCCA with brain-related parameters. Brain volume correlated stronger with UCCA than TIV. Both volumes of the brain tissue compartments GM and WM correlated with UCCA significantly. WM volume explained variance of UCCA after correction for GM volume, whilst the opposite was not observed. Correspondingly, VBM did not yield any brain region, whose GM content correlated significantly with UCCA, whilst cerebral WM content of cerebrospinal tracts strongly correlated with UCCA. This latter effect increased along a craniocaudal gradient.

conclusionUCCA is mainly determined by brain volume as well as by WM content of cerebrospinal tracts.

Indexed as

AdolescentAdultAgedAged, 80 and overAgingBrainCervical VertebraeCohort StudiesEvidence-Based MedicineFemaleGermanyHumansImaging, Three-DimensionalMagnetic Resonance ImagingMaleMiddle Aged

Identifiers

PMID23715746
OpenAlexW2021783258

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.