Evidence map›Paper›PMID 25853085›Full record

ReviewQuantitative imaging in medicine and surgery2015

The potential role of novel diffusion imaging techniques in the understanding and treatment of epilepsy.

Gavin P Winston

Abstract readReview
In one paragraph

Review in Quantitative imaging in medicine and surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Neurite Damage in Patients with Migraine.Neurology international · 2024
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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

1 author at 1 institution in 1 country.

Gavin P Winston1 Epilepsy Society MRI Unit, Chesham Lane, Chalfont St Peter, Bucks SL9 0RJ, UK ; 2 Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, Queen Square, London, WC1N 3BG, UK.
Epilepsy Society · GB

Funding

Medical Research Council MR/M00841X/1
6 · The paper itself

Abstract

Epilepsy is a common neurological disorder in which magnetic resonance imaging plays a key role. Diffusion imaging based on the molecular diffusion of water has been widely used clinically and in research for patients with epilepsy. Diffusion tensor imaging (DTI), the most common model, has been used for around two decades. Several parameters can be derived from DTI that are sensitive, but non-specific, to underlying structural changes. DTI assumes a single diffusion process following a Gaussian distribution within each voxel and is thus an overly simplistic representation of tissue microstructure. Several more advanced models of diffusion are now available that may have greater utility in the understanding of the effects of epilepsy on tissue microstructure. In this review, I summarise the principles, applications in epilepsy and future potential of three such techniques. Diffusion kurtosis imaging (DKI) characterises the degree to which diffusion deviates from Gaussian behaviour and gives an idea of the underlying tissue complexity. It has been used in both focal and generalised epilepsy and seems more sensitive than DTI. Multi-compartment models separate the signal from extra- and intra-axonal compartments in each voxel. The Composite Hindered and Restricted Model of Diffusion (CHARMED) can characterise axonal density but has not yet been applied in patients with epilepsy. The Neurite Orientation Dispersion and Density Imaging (NODDI) model can determine the intracellular volume fraction (ICVF) and degree of dispersion of neurite orientation. Preliminary data suggest it may more sensitive than conventional and diffusion imaging in localising focal epilepsy.

Indexed as

diffusion imagingdiffusion kurtosis imaging (DKI)diffusion tensor imaging (DTI)Epilepsyepilepsy surgeryNeurite Orientation Dispersion and Density Imaging (NODDI)

Identifiers

PMID25853085
PMCPMC4379320
OpenAlexW1950067855

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.