Evidence map›Paper›PMID 23836878›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2014

Hypoperfusion and T1-hypointense lesions in white matter in multiple sclerosis.

Ponnada A Narayana, Yuxiang Zhou, Khader M Hasan, Sushmita Datta, Xiaojun Sun, Jerry S Wolinsky

Abstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–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

28 citing papers in PubMed.

  1. Impaired cerebrovascular reactivity is associated with disability and cognitive performance in relapsing-remitting multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Observational
  2. Article
  3. Review
  4. Review
  5. Article
  6. Characterizing the time course of cerebrovascular reactivity in multiple sclerosis.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Determination of Brain Metabolite TJournal of magnetic resonance imaging : JMRI · 2020
    Article
  12. Article
  13. Article
  14. [European journal of nuclear medicine and molecular imaging · 2020
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. What Have We Learned from Perfusion MRI in Multiple Sclerosis?AJNR. American journal of neuroradiology · 2018
    Review
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

6 authors.

Ponnada A NarayanaDepartment of Diagnostic and Interventional Imaging, Texas, USA.
Yuxiang Zhou
Khader M Hasan
Sushmita Datta
Xiaojun Sun
Jerry S Wolinsky

Funding

Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
MR Image Analysis in MS: Identification of a SurrogateR01EB002095 · NIBIB · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI NARAYANA, PONNADA A · 2003 to 2011
$5.2M
Lesion Activity and Atrophy in Multiple Sclerosis: Analysis of Multi-center MRIR01NS078244 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI NARAYANA, PONNADA A · 2012 to 2016
$1.6M
MRS: NEUROLOGICAL DVMT &DISORDERS: LEARNING, READING, COGNITIVE, APHASIA, DYSLES10RR019186 · NCRR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI NARAYANA, PONNADA A · 2004 to 2004
$500k
NCATS NIH HHS UL1 TR000371NCRR NIH HHS S10 RR019186NCRR NIH HHS S10 RR19186NIBIB NIH HHS R01 EB002095NIBIB NIH HHS R01 EB02095NINDS NIH HHS R01 NS07824NINDS NIH HHS R01 NS078244
6 · The paper itself

Abstract

backgroundLongitudinal magnetic resonance imaging (MRI) studies show that a fraction of the multiple sclerosis (MS) T2-lesions contain T1-hypointense components that may persist to represent severe, irreversible tissue damage. It is not known why certain lesions convert to persistent T1-hypointense lesions.

objectiveWe hypothesized that the T1-hypointense lesions disproportionately distribute in the more hypoperfused areas of the brain. Here we investigated the association between hypoperfusion and T1-hypointense lesion distributions.

methodsMRI and cerebral blood flow (CBF) data were acquired on 45 multiple sclerosis (MS) patients and 20 healthy controls. CBF maps were generated using pseudo-continuous arterial spin labeling technique. The lesion probability distribution maps were superimposed on the CBF maps.

resultsTwo distinct CBF clusters were observed in the white matter (WM) both in healthy controls and MS patients. An overall reduction in CBF was observed in MS patients compared to healthy controls. The majority of the T1-hypointense lesions were concentrated almost exclusively in the WM regions with lower CBF. The T2-hyperintense lesions were more generally distributed in both higher and lower perfused WM.

conclusionThis study suggests an association between hypoperfusion and T1-hypointense lesions.

Indexed as

AdultBrainCerebrovascular CirculationDisease ProgressionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMultiple SclerosisNerve Fibers, MyelinatedYoung Adultcerebral blood flowmagnetic resonance imagingMultiple sclerosisT1-hypointense lesionsT2-hyperintense lesions

Identifiers

PMID23836878
PMCPMC3844029

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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.