Evidence map›Paper›PMID 26201292›Full record

Observational studyEuropean radiology2016

Diffusion tensor imaging in patients with obstetric antiphospholipid syndrome without neuropsychiatric symptoms.

Fabricio R Pereira, Francesco Macri, Marcel P Jackowski, William J Kostis, Jean-Christophe Gris, Jean-Paul Beregi, Choukri Mekkaoui

Registry-linked trialOpen access · greenAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03600636 (Medium-term Follow-up of Patients With Obstetric Antiphospholipid Syndrome), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 24% 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.

NCT03600636 nacompletednot on this mapstarted 2018, after this paper: background citation

Medium-term Follow-up of Patients With Obstetric Antiphospholipid Syndrome: MRI Study of White Matter

TypeinterventionalSponsorCentre Hospitalier Universitaire de NīmesRan2018 to 2020Enrolled40ConditionsAntiphospholipid SyndromeArmsDiffusion tensor imaging MRI
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Neurologic Manifestations of Catastrophic Antiphospholipid Syndrome.Current neurology and neuroscience reports · 2022
    Review
  3. 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

7 authors at 4 institutions in 3 countries.

Fabricio R PereiraDepartment of Radiology, University Hospital Center of Nîmes and Research Team EA 2415, Nîmes, France.
Francesco MacriDepartment of Radiology, University Hospital Center of Nîmes and Research Team EA 2415, Nîmes, France.
Marcel P JackowskiDepartment of Computer Science, Institute of Mathematics and Statistics, University of São Paulo, São Paulo, Brazil.
William J KostisMassachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Jean-Christophe GrisFaculty of Medicine, Montpellier University, Montpellier, France.
Jean-Paul BeregiDepartment of Radiology, University Hospital Center of Nîmes and Research Team EA 2415, Nîmes, France.
Choukri MekkaouiDepartment of Radiology, University Hospital Center of Nîmes and Research Team EA 2415, Nîmes, France. mekkaoui@nmr.mgh.harvard.edu.
Université de Montpellier · FRUniversité de Nîmes · FRMassachusetts General Hospital · USUniversidade de São Paulo · BR

Funding

Tracking Cardiac Remodeling in Humans Using In Vivo Diffusion Tensor MRIR56HL125590 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MEKKAOUI, CHOUKRI · 2015 to 2015
$435k
NHLBI NIH HHS R56 HL125590
6 · The paper itself

Abstract

objectivesTo evaluate white matter (WM) integrity in neurologically asymptomatic antiphospholipid syndrome (APS) using diffusion tensor imaging (DTI) in women with no thrombotic history but with pregnancy loss.

methodsImaging was performed with a 3 T scanner using structural MRI (T1-weighted, fluid attenuation inversion recovery [FLAIR]) and DTI sequences in 66 women with APS and a control group of 17 women. Women with APS were further categorized as positive for lupus anticoagulant (LA) and/or aβ2GPI-G antibodies (LA/aβ2GPI-G-positive, N = 29) or negative (LA/aβ2GPI-G-negative, N = 37) for both. Tract-based spatial statistics of standard DTI-based indices were compared among groups.

resultsWomen with APS had significantly lower fractional anisotropy (p < 0.05) associated with higher mean diffusivity and radial diffusivity compared to the control group. There was a stronger association of abnormal DTI features among women positive for LA and/or aβ2GPI-IgG antibodies than those who were negative.

conclusionsDTI appears sensitive to subtle WM changes in women with APS with no thrombotic history but with pregnancy loss, compatible with alterations in axonal structure and in the myelin sheath. The preferential association of abnormal DTI features with the two most pathogenic aPLAbs reinforces the pathophysiological relevance of our findings. KEY POINTS: • APS women exhibited lower FA and higher MD and RD than controls. • WM impairments are more severe in patients with positive LA or aβ2GPI-IgG. • An association exists between abnormal DTI features and LA or aβ2GPI-IgG positivity. • Diffusion tensor imaging detects microstructural white matter abnormalities in APS women.

Indexed as

Abortion, SpontaneousAdultAnisotropyAntiphospholipid SyndromeBrain DiseasesCase-Control StudiesDiffusion Tensor ImagingFemaleHumansMiddle AgedPregnancyWhite MatterAntiphospholipid syndromeDiffusion tensor imagingMagnetic resonance imagingPregnancyWhite matter

Identifiers

PMID26201292
OpenAlexW1007175850

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.