Evidence map›Paper›PMID 24796428›Full record

ArticleActa neurologica Scandinavica2014

Diffusional kurtosis imaging reveals a distinctive pattern of microstructural alternations in idiopathic generalized epilepsy.

C-Y Lee, A Tabesh, M V Spampinato, J A Helpern, J H Jensen, L Bonilha

Open access · bronzeAbstract read
In one paragraph

Article in Acta neurologica Scandinavica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% 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

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

  1. Pooled it
  2. Article
  3. Neurobehavioral and Clinical Comorbidities in Epilepsy: The Role of White Matter Network Disruption.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2024
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Recent Advances in Neuroimaging of Epilepsy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Effects of SYN1Human brain mapping · 2018
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. 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

6 authors at 2 institutions in 1 country.

C-Y LeeDepartment of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, USA; Center for Biomedical Imaging, Medical University of South Carolina, Charleston, SC, USA.
A Tabesh
M V Spampinato
J A Helpern
J H Jensen
L Bonilha
Medical University of South Carolina · USIn-Q-Tel · US

Funding

SOUTH CAROLINA CLINICAL & TRANSLATIONAL RESEARCH INSTITUTE (SCTR)UL1RR029882 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2009 to 2011
$10.1M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
NCATS NIH HHS UL1 TR000062NCRR NIH HHS UL1 RR029882
6 · The paper itself

Abstract

objectivesIdiopathic generalized epilepsy (IGE) arises from paroxysmal dysfunctions of the thalamo-cortical network. One of the hallmarks of IGE is the absence of visible abnormalities on routine magnetic resonance imaging (MRI). However, recent quantitative MRI studies showed cortical-subcortical structural abnormalities in IGE, but the extent of abnormalities has been inconsistent in the literature. The inconsistencies may be associated with complex microstructural abnormalities in IGE that are not completely detectable using conventional diffusion tensor imaging methods. The goal of this study was to investigate white-matter (WM) microstructural abnormalities in patients with IGE using diffusional kurtosis imaging (DKI). MATERIALS AND

methodsWe obtained DKI and volumetric T1-weighted images from 14 patients with IGE and 25 matched healthy controls. Using tract-based spatial statistics, we performed voxel-wise group comparisons in the parametric maps generated from DKI: mean diffusivity (MD), fractional anisotropy (FA), and mean kurtosis (MK), and in probabilistic maps of WM volume generated by voxel-based morphometry.

resultsWe observed that conventional microstructural measures (MD and FA) revealed WM abnormalities in thalamo-cortical projections, whereas MK disclosed a broader pattern of WM abnormalities involving thalamo-cortical and cortical-cortical projections.

conclusionsEven though IGE is traditionally considered a 'non-lesional' form of epilepsy, our results demonstrated pervasive thalamo-cortical WM microstructural abnormalities. Particularly, WM abnormalities shown by MK further extended into cortical-cortical projections. This suggests that the extent of microstructural abnormalities in thalamo-cortical projections in IGE may be better assessed through the diffusion metrics provided by DKI.

Indexed as

AdolescentAdultAge of OnsetAnisotropyChild, PreschoolDiffusion Tensor ImagingEpilepsy, GeneralizedFemaleHumansImage Interpretation, Computer-AssistedInfantMagnetic Resonance ImagingMaleMiddle AgedYoung Adultdiffusional kurtosis imagingdiffusion tensor imagingidiopathic generalized epilepsymagnetic resonance imagingtract-based spatial statisticsvoxel-based morphometry

Identifiers

PMID24796428
PMCPMC4134765
OpenAlexW2012622340

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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.