Evidence map›Paper›PMID 26268959›Full record

ArticleBrain pathology (Zurich, Switzerland)2016

Combined Ex Vivo 9.4T MRI and Quantitative Histopathological Study in Normal and Pathological Neocortical Resections in Focal Epilepsy.

Cheryl Reeves, Mohamed Tachrount, David Thomas, Zuzanna Michalak, Joan Liu, Matthew Ellis, Beate Diehl, Anna Miserocchi, Andrew W McEvoy, Sofia Eriksson and 2 more

Abstract read
In one paragraph

Article in Brain pathology (Zurich, Switzerland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
–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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Cheryl ReevesDepartment of Neuropathology, UCL, Institute of Neurology, London, UK.
Mohamed TachrountDepartment of Neuroradiology, UCL, Institute of Neurology, London, UK.
David ThomasDepartment of Brain Repair and Rehabilitation, UCL, Institute of Neurology, London, UK.
Zuzanna MichalakDepartment of Neuropathology, UCL, Institute of Neurology, London, UK.
Joan LiuDepartment of Neuropathology, UCL, Institute of Neurology, London, UK.
Matthew EllisDepartment of Neuropathology, UCL, Institute of Neurology, London, UK.
Beate DiehlDepartment of Clinical and Experimental Epilepsy, UCL, Institute of Neurology, London, UK.
Anna MiserocchiDepartment of Neurosurgery, UCL, Institute of Neurology, London, UK.
Andrew W McEvoyDepartment of Clinical and Experimental Epilepsy, UCL, Institute of Neurology, London, UK.
Sofia ErikssonDepartment of Clinical and Experimental Epilepsy, UCL, Institute of Neurology, London, UK.
Tarek YousryDepartment of Neuroradiology, UCL, Institute of Neurology, London, UK.
Maria ThomDepartment of Neuropathology, UCL, Institute of Neurology, London, UK.

Funding

Cancer Research UK 20256Medical Research Council MR/J01270X/1
6 · The paper itself

Abstract

High-resolution magnetic resonance imaging (MRI) may improve the preoperative diagnosis of focal cortical dysplasia (FCD) in epilepsy. Quantitative 9.4T MRI was carried out (T1, T2, T2* and magnetization transfer ratio) on 13 cortical resections, representing pathologically confirmed FCD (five cases) and normal cortex. Quantitative immunohistochemistry for myelination (myelin basic protein/SMI94), neuronal populations [microtubule-associated protein 2 (MAP2), neurofilament (SMI31, SMI32), synaptophysin, NeuN, calbindin], reactive glia (GFAP), microglia (CD68) and blood-brain barrier permeability (albumin) was carried out in 43 regions of interest (ROI) from normal and abnormal white matter and cortex. MRI was spatially aligned and quantitative analysis carried out on corresponding ROI. Line profile analysis (LPA) of intensity gradients through the cortex was carried out on MRI and immunostained sections. An inverse correlation was noted between myelin/SMI94 and T1, T2 (P < 0.005) and T2* (P < 0.05; Spearman's correlation) and a positive correlation between neuronal MAP2 and T1 (P < 0.005) and T2* (P < 0.05) over all ROI. Similar pathology-MRI correlations were observed for histologically unremarkable white matter ROI only. LPA showed altered gradient contours in regions of FCD, reflecting abnormal cortical lamination and myelo-architecture, including a preoperatively undetected FCD case. This study demonstrates the ability of quantitative 9.4T MRI to detect subtle differences in neuronal numbers and myelination in histologically normal appearing white matter and LPA in the evaluation of cortical dyslamination. These methods may be translatable to the in vivo detection of mild cortical malformations.

Indexed as

AdultEpilepsies, PartialFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedNeocortexWhite MatterYoung Adult9.4T MRIdysplasiafocal epilepsyquantitative neuropathology

Identifiers

PMID26268959
PMCPMC4950048

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.