Evidence map›Paper›PMID 26338813›Full record

ArticleJournal of neurology2015

Detailed volumetric analysis of the hypothalamus in behavioral variant frontotemporal dementia.

Martina Bocchetta, Elizabeth Gordon, Emily Manning, Josephine Barnes, David M Cash, Miklos Espak, David L Thomas, Marc Modat, Martin N Rossor, Jason D Warren and 3 more

Abstract read
In one paragraph

Article in Journal of neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 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

51 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Changes in body composition in genetic C9orf72 carriers: The role of the hypothalamus and thalamus.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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

13 authors.

Martina BocchettaDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK.
Elizabeth GordonDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK.
Emily ManningDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK.
Josephine BarnesDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK.
David M CashDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK.
Miklos EspakDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK.
David L ThomasDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK.
Marc ModatDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK.
Martin N RossorDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK.
Jason D WarrenDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK.
Sebastien OurselinDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK.
Giovanni B FrisoniLaboratory of Alzheimer's Neuroimaging and Epidemiology, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Jonathan D RohrerDementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, 8-11 Queen Square, London, WC1N 3BG, UK. j.rohrer@ucl.ac.uk.

Funding

Alzheimer's Society 193Medical Research Council MR/J009482/1Medical Research Council MR/J01107X/1Medical Research Council MR/M008525/1Medical Research Council MR/M023664/1Wellcome Trust 091673Wellcome Trust 091673/Z/10/Z
6 · The paper itself

Abstract

Abnormal eating behaviors are frequently reported in behavioral variant frontotemporal dementia (bvFTD). The hypothalamus is the regulatory center for feeding and satiety but its involvement in bvFTD has not been fully clarified, partly due to its difficult identification on MR images. We measured hypothalamic volume in 18 patients with bvFTD (including 9 MAPT and 6 C9orf72 mutation carriers) and 18 cognitively normal controls using a novel optimized multimodal segmentation protocol, combining 3D T1 and T2-weighted 3T MRIs (intrarater intraclass correlation coefficients ≥0.93). The whole hypothalamus was subsequently segmented into five subunits: the anterior (superior and inferior), tuberal (superior and inferior), and posterior regions. The presence of abnormal eating behavior was assessed with the revised version of the Cambridge Behavioural Inventory (CBI-R). The bvFTD group showed a 17% lower hypothalamic volume compared with controls (p < 0.001): mean 783 (standard deviation 113) versus 944 (73) mm(3) (corrected for total intracranial volume). In the hypothalamic subunit analysis, the superior parts of the anterior and tuberal regions and the posterior region were significantly smaller in the bvFTD group compared with controls. There was a trend for a smaller hypothalamic volume, particularly in the superior tuberal region, in those with severe eating disturbance scores on the CBI-R. Differences were seen between the two genetic subgroups with significantly smaller volumes in the MAPT but not the C9orf72 group compared with controls. In summary, bvFTD patients had lower hypothalamic volumes compared with controls. Different genetic mutations may have a differential impact on the hypothalamus.

Indexed as

AdultAgedFeeding and Eating DisordersFemaleFrontotemporal DementiaHumansHypothalamusMagnetic Resonance ImagingMaleMiddle AgedEating disordersFrontotemporal dementiaHypothalamusVolumetric MRI

Identifiers

PMID26338813
PMCPMC4655011

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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.