Evidence map›Paper›PMID 26267665›Full record

ArticlePloS one2015

Regional Distribution and Evolution of Gray Matter Damage in Different Populations of Multiple Sclerosis Patients.

Massimiliano Calabrese, Richard Reynolds, Roberta Magliozzi, Marco Castellaro, Aldo Morra, Antonio Scalfari, Gabriele Farina, Chiara Romualdi, Alberto Gajofatto, Marco Pitteri and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

35 citing papers in PubMed, 63 citations in OpenAlex.

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  14. Translational value of choroid plexus imaging for tracking neuroinflammation in mice and humans.Proceedings of the National Academy of Sciences of the United States of America · 2021
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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

12 authors at 5 institutions in 2 countries.

Massimiliano CalabreseNeurology Section, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy; Neuroimaging Unit, Euganea Medica, Padova, Italy.
Richard ReynoldsDivision of Brain Sciences, Faculty of Medicine, Imperial College London, Hammersmith Hospital, London, United Kingdom.
Roberta MagliozziDivision of Brain Sciences, Faculty of Medicine, Imperial College London, Hammersmith Hospital, London, United Kingdom; Department of Cell Biology and Neuroscience, Istituto Superiore di Sanità, Rome, Italy.
Marco CastellaroDepartment of Information Engineering, University of Padova, Padova, Italy.
Aldo MorraNeuroimaging Unit, Euganea Medica, Padova, Italy.
Antonio ScalfariDepartment of Medicine, Division of Brain Sciences, Centre for Neuroscience, Wolfson Neuroscience Laboratories, Imperial College London, London, United Kingdom.
Gabriele FarinaNeurology Section, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, University of Sassari, Sassari, Italy.
Chiara RomualdiDepartment of Biology, University of Padova, Padova, Italy.
Alberto GajofattoNeurology Section, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy.
Marco PitteriNeurology Section, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy.
Maria Donata BenedettiNeurology Section, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy.
Salvatore MonacoNeurology Section, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy.
University of Verona · ITHammersmith Hospital · GBIstituto Neurologico Mediterraneo · ITUniversity of Padua · ITImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBoth gray-matter (GM) atrophy and lesions occur from the earliest stages of Multiple Sclerosis (MS) and are one of the major determinants of long-term clinical outcomes. Nevertheless, the relationship between focal and diffuse GM damage has not been clarified yet. Here we investigate the regional distribution and temporal evolution of cortical thinning and how it is influenced by the local appearance of new GM lesions at different stages of the disease in different populations of MS patients.

methodsWe studied twenty MS patients with clinically isolated syndrome (CIS), 27 with early relapsing-remitting MS (RRMS, disease duration <5 years), 29 with late RRMS (disease duration ≥ 5 years) and 20 with secondary-progressive MS (SPMS). The distribution and evolution of regional cortical thickness and GM lesions were assessed during 5-year follow-up.

resultsThe results showed that new lesions appeared more frequently in hippocampus and parahippocampal gyri (9.1%), insula (8.9%), cingulate cortex (8.3%), superior frontal gyrus (8.1%), and cerebellum (6.5%). The aforementioned regions showed the greatest reduction in thickness/volume, although (several) differences were observed across subgroups. The correlation between the appearance of new cortical lesions and cortical thinning was stronger in CIS (r2 = 50.0, p<0.001) and in early RRMS (r2 = 52.3, p<0.001), compared to late RRMS (r2 = 25.5, p<0.001) and SPMS (r2 = 6.3, p = 0.133).

conclusionsWe conclude that GM atrophy and lesions appear to be different signatures of cortical disease in MS having in common overlapping spatio-temporal distribution patterns. However, the correlation between focal and diffuse damage is only moderate and more evident in the early phase of the disease.

Indexed as

AdolescentAdultAtrophyBrainCerebellumCerebral CortexFemaleGray MatterGyrus CinguliHippocampusHumansMagnetic Resonance ImagingMaleMiddle AgedMultiple SclerosisParahippocampal Gyrus

Identifiers

PMID26267665
PMCPMC4534410
OpenAlexW2255339790

What OpenQuestion holds

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LicenceCC BY
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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.