Evidence map›Paper›PMID 26594620›Full record

ArticleNeuroImage. Clinical2015

Measuring longitudinal myelin water fraction in new multiple sclerosis lesions.

Wendy S Vargas, Elizabeth Monohan, Sneha Pandya, Ashish Raj, Timothy Vartanian, Thanh D Nguyen, Sandra M Hurtado Rúa, Susan A Gauthier

Abstract read
In one paragraph

Article in NeuroImage. Clinical, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

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

  1. Pooled it
  2. Review
  3. Observational
  4. Repair mechanisms of the central nervous system: From axon sprouting to remyelination.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
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  16. Review
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  18. Review
  19. Impact of Lesion Location on Longitudinal Myelin Water Fraction Change in Chronic Multiple Sclerosis Lesions.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2020
    Article
  20. Article
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

8 authors.

Wendy S VargasDepartment of Neurology, Weill Cornell Medical College, New York, NY, USA.
Elizabeth MonohanDepartment of Neurology, Weill Cornell Medical College, New York, NY, USA.
Sneha PandyaDepartment of Radiology, Weill Cornell Medical College, New York, NY, USA.
Ashish RajFeil Family Brain and Mind Research Institute, Weill Cornell Medical College, New York, NY, USA ; Department of Radiology, Weill Cornell Medical College, New York, NY, USA.
Timothy VartanianDepartment of Neurology, Weill Cornell Medical College, New York, NY, USA ; Feil Family Brain and Mind Research Institute, Weill Cornell Medical College, New York, NY, USA.
Thanh D NguyenDepartment of Radiology, Weill Cornell Medical College, New York, NY, USA.
Sandra M Hurtado RúaDepartment of Mathematics, Cleveland State University, Cleveland, OH.
Susan A GauthierDepartment of Neurology, Weill Cornell Medical College, New York, NY, USA ; Feil Family Brain and Mind Research Institute, Weill Cornell Medical College, New York, NY, USA.

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
NCATS NIH HHS UL1 TR000457NCATS NIH HHS UL1 TR000457-06NCATS NIH HHS UL1 TR002384
6 · The paper itself

Abstract

objectivesInvestigating the potential of myelin repair strategies in multiple sclerosis (MS) requires an understanding of myelin dynamics during lesion evolution. The objective of this study is to longitudinally measure myelin water fraction (MWF), an MRI biomarker of myelin, in new MS lesions and to identify factors that influence their subsequent myelin content.

methodsTwenty-three MS patients were scanned with whole-brain Fast Acquisition with Spiral Trajectory and T2prep (FAST-T2) MWF mapping at baseline and median follow-up of 6 months. Eleven healthy controls (HC) confirmed the reproducibility of FAST-T2 in white matter regions of interests (ROIs) similar to a lesion size. A random-effect-model was implemented to determine the association between baseline clinical and lesion variables and the subsequent MWF.

resultsROI-based measurements in HCs were highly correlated between scans [mean r = 0.893 (.764-.967)]. In MS patients, 38 gadolinium enhancing (Gd+) and 25 new non-enhancing (Gd-) T2 hyperintense lesions (5.7 months, ±3.8) were identified. Significant improvement in MWF was seen in Gd+ lesions (0.035 ± 0.029, p < 0.001) as compared to Gd- lesions (0.006 ± 0.017, p = 0.065). In the model, a higher baseline MWF (p < 0.001) and the presence of Gd (p < 0.001) were associated with higher subsequent MWF.

conclusionsFAST T2 provides a clinically feasible method to quantify MWF in new MS lesions. The observed influence of baseline MWF, which represents a combined effect of both resolving edema and myelin change within acute lesions, suggests that the extent of initial inflammation impacts final myelin recovery.

Indexed as

AdultBrainFemaleHumansImaging, Three-DimensionalMagnetic Resonance ImagingMaleMultiple SclerosisMyelin SheathWaterWaterAcute lesionMRIMultiple sclerosisMyelinMyelin water fraction (MWF)

Identifiers

PMID26594620
PMCPMC4589846

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.