Evidence map›Paper›PMID 23771486›Full record

ArticleNeurology2013

Using iron oxide nanoparticles to diagnose CNS inflammatory diseases and PCNSL.

Brian T Farrell, Bronwyn E Hamilton, Edit Dósa, Endre Rimely, Morad Nasseri, Seymur Gahramanov, Cynthia A Lacy, Eugene P Frenkel, Nancy D Doolittle, Paula M Jacobs and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Imaging the inflammatory phenotype in migraine.The journal of headache and pain · 2022
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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 2 institutions in 1 country.

Brian T FarrellDepartment of Neurosurgery, Oregon Health & Science University, Portland, OR, USA.
Bronwyn E Hamilton
Edit Dósa
Endre Rimely
Morad Nasseri
Seymur Gahramanov
Cynthia A Lacy
Eugene P Frenkel
Nancy D Doolittle
Paula M Jacobs
Edward A Neuwelt
National Cancer Institute · USThe University of Texas Southwestern Medical Center · US

Funding

Oregon Clinical and Translational Research InstituteUL1TR000128 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$28.7M
Two Compartment Models to Improve Brain Tumor TherapyR01CA137488 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI NEUWELT, EDWARD A. · 2008 to 2019
$7.3M
Opening of the Blood Brain Barrier to Antitumor AgentsR37NS044687 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI NEUWELT, EDWARD A. · 2002 to 2008
$3.5M
Opening of the blood-brain barrier to antitumor agentsR01NS044687 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI NEUWELT, EDWARD A. · 2010 to 2014
$3.1M
Nanoparticle MR Imaging of BBB Inflammation at High Tesla in CNS TumorsR01NS053468 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI NEUWELT, EDWARD A. · 2007 to 2011
$2.8M
NCATS NIH HHS UL1 TR000128NCI NIH HHS CA137488NCI NIH HHS HHSN261200800001ENINDS NIH HHS NS44687NINDS NIH HHS NS53468
6 · The paper itself

Abstract

objectiveThe study goal was to assess the benefits and potential limitations in the use of ultrasmall superparamagnetic iron oxide (USPIO) nanoparticles in the MRI diagnosis of CNS inflammatory diseases and primary CNS lymphoma.

methodsTwenty patients with presumptive or known CNS lesions underwent MRI study. Eighteen patients received both gadolinium-based contrast agents (GBCAs) and 1 of 2 USPIO contrast agents (ferumoxytol and ferumoxtran-10) 24 hours apart, which allowed direct comparative analysis. The remaining 2 patients had only USPIO-enhanced MRI because of a renal contraindication to GBCA. Conventional T1- and T2-weighted MRI were acquired before and after contrast administration in all patients, and perfusion MRI for relative cerebral blood volume (rCBV) assessment was obtained in all 9 patients receiving ferumoxytol.

resultsUSPIO-enhanced MRI showed an equal number of enhancing brain lesions in 9 of 18 patients (50%), more enhancing lesions in 2 of 18 patients (11%), and fewer enhancing lesions in 3 of 18 patients (17%) compared with GBCA-enhanced MRI. Four of 18 patients (22%) showed no MRI enhancement. Dynamic susceptibility-weighted contrast-enhanced perfusion MRI using ferumoxytol showed low rCBV (ratio <1.0) in 3 cases of demyelination or inflammation, modestly elevated rCBV in 5 cases of CNS lymphoma or lymphoproliferative disorder (range: 1.3-4.1), and no measurable disease in one case.

conclusionsThis study showed that USPIO-enhanced brain MRI can be useful in the diagnosis of CNS inflammatory disorders and lymphoma, and is also useful for patients with renal compromise at risk of nephrogenic systemic fibrosis who are unable to receive GBCA.

Indexed as

Ferric CompoundsNanoparticlesAdultAgedBrainBrain DiseasesCentral Nervous System NeoplasmsFemaleHumansInflammationLymphomaMagnetic Resonance ImagingMaleMiddle AgedFerric Compoundsferric oxide

Identifiers

PMID23771486
PMCPMC3770167
OpenAlexW1992693587

What OpenQuestion holds

Textmetadata
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.