Evidence map›Paper›PMID 26494641›Full record

ArticleEuropean radiology2016

Changes and variability of proton density and T1 relaxation times in early multiple sclerosis: MRI markers of neuronal damage in the cerebral cortex.

René-Maxime Gracien, Sarah C Reitz, Stephanie Michelle Hof, Vinzenz Fleischer, Hilga Zimmermann, Amgad Droby, Helmuth Steinmetz, Frauke Zipp, Ralf Deichmann, Johannes C Klein

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Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

38 citing papers in PubMed, 77 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

René-Maxime GracienDepartment of Neurology, University Hospital, Goethe University, Frankfurt/Main, Germany. rene-maxime.gracien@kgu.de.
Sarah C ReitzDepartment of Neurology, University Hospital, Goethe University, Frankfurt/Main, Germany.
Stephanie Michelle HofDepartment of Neurology, University Hospital, Goethe University, Frankfurt/Main, Germany.
Vinzenz FleischerDepartment of Neurology, University Hospital, Gutenberg University, Mainz, Germany.
Hilga ZimmermannDepartment of Neurology, University Hospital, Gutenberg University, Mainz, Germany.
Amgad DrobyNeuroimaging Center (NIC) of the Focus Program Translational Neuroscience (FTN), University Hospital, Gutenberg University, Mainz, Germany.
Helmuth SteinmetzDepartment of Neurology, University Hospital, Goethe University, Frankfurt/Main, Germany.
Frauke ZippDepartment of Neurology, University Hospital, Gutenberg University, Mainz, Germany.
Ralf DeichmannBrain Imaging Center, University Hospital, Goethe University, Frankfurt/Main, Germany.
Johannes C KleinDepartment of Neurology, University Hospital, Goethe University, Frankfurt/Main, Germany.
Goethe University Frankfurt · DEUniversity Medical Center of the Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesProton density (PD) and T1 relaxation time are promising quantitative MRI (qMRI) markers of neuronal damage in multiple sclerosis (MS). However, it is unknown whether cortical differences of these parameters between patients and controls exist in the early stages of disease. This study investigates cortical T1 and PD in early MS stages, hypothesizing that these are altered and display a high spatial variability.

methodsQuantitative T1 and PD mapping was performed on 11 patients with clinically isolated syndrome (CIS)/early MS in remission and 11 healthy controls. The normal appearing cortical gray matter was extracted, lobar regions were identified, and mean values and standard deviations of both parameters were calculated within each region.

resultsIncreased PD was detected in MS/CIS patients in the cerebral cortex as a whole and all subregions, indicating an increase of water content. Increase of PD variability reached significance in the whole cortex and in the frontal and parietal regions. Longer T1 relaxation times and increased variability were found in the cerebral cortex in all regions studied, indicating a change of microstructural tissue composition that is spatially heterogeneous.

conclusionsThe data show spatially heterogeneous cortical involvement in early MS is reflected in T1 and PD qMRI. KEY POINTS: • Cortical involvement in early MS is reflected in T1/PD quantitative MRI. • The changes are spatially heterogeneous. • Cortical damage goes beyond increased water content.

Indexed as

AdultCerebral CortexFemaleGray MatterHumansMagnetic Resonance ImagingMaleMultiple SclerosisDemyelinating diseasesDiagnostic imagingGray matterMagnetic resonance imagingMultiple sclerosis

Identifiers

PMID26494641
OpenAlexW2211866982

What OpenQuestion holds

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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.