Evidence map›Paper›PMID 26607576›Full record

ArticleEuropean radiology2016

The signal intensity ratio of the optic nerve to ipsilateral frontal white matter is of value in the diagnosis of acute optic neuritis.

Maki Onodera, Naoya Yama, Masato Hashimoto, Takaharu Shonai, Kazunori Aratani, Hiroyuki Takashima, Ken-Ichi Kamo, Hiroshi Nagahama, Hiroshi Ohguro, Masamitsu Hatakenaka

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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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

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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

8 citing papers in PubMed.

  1. Optic Nerve T2 Signal Intensity and Caliber Reflect Clinical Severity in Genetic Optic Atrophy.Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society · 2025
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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.

Maki OnoderaDepartment of Diagnostic Radiology, School of Medicine, Sapporo Medical University, South 1 West 17, Chuo-Ku, Sapporo City, 060-8556, Japan.
Naoya YamaDepartment of Diagnostic Radiology, School of Medicine, Sapporo Medical University, South 1 West 17, Chuo-Ku, Sapporo City, 060-8556, Japan. nyama@sapmed.ac.jp.
Masato HashimotoDepartment of Ophthalmology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Takaharu ShonaiDepartment of Diagnostic Radiology, School of Medicine, Sapporo Medical University, South 1 West 17, Chuo-Ku, Sapporo City, 060-8556, Japan.
Kazunori ArataniDepartment of Diagnostic Radiology, School of Medicine, Sapporo Medical University, South 1 West 17, Chuo-Ku, Sapporo City, 060-8556, Japan.
Hiroyuki TakashimaDivision of Radiology and Nuclear Medicine, Sapporo Medical University Hospital, Sapporo, Japan.
Ken-Ichi KamoLiberal Arts and Sciences, Center for Medical Education, Sapporo Medical University, Sapporo, Japan.
Hiroshi NagahamaDivision of Radiology and Nuclear Medicine, Sapporo Medical University Hospital, Sapporo, Japan.
Hiroshi OhguroDepartment of Ophthalmology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Masamitsu HatakenakaDepartment of Diagnostic Radiology, School of Medicine, Sapporo Medical University, South 1 West 17, Chuo-Ku, Sapporo City, 060-8556, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the usefulness of the signal intensity ratio (SIR) of the optic nerve to the white matter (WM) on short tau inversion recovery (STIR) images to diagnose acute optic neuritis (AON).

methodsThe 405 consecutive patients with suspected orbital diseases underwent orbital magnetic resonance imaging (MRI) using a 3-T scanner between June 2008 and August 2011. Among them, 108 optic nerves (33 AON and 75 control) were retrospectively analysed. The averaged SIR (SIRave) and maximum SIR (SIRmax) were defined as the averaged signal intensity (SI) of the optic nerve divided by that of WM, and the maximum SI of the optic nerve divided by averaged SI of WM, respectively. These values were compared between AON and control using the Mann-Whitney U test. A P < 0.05 was considered statistically significant.

resultsSIRave and SIRmax were significantly (P < 0.001) higher in the AON compared to the control. At a cut-off SIRave value of 1.119, the sensitivity, specificity and accuracy were 0.939, 0.840, and 0.870; and at a cut-off SIRmax value of 1.281, these were 1.000, 0.720 and 0.806, respectively.

conclusionThe SIR of the optic nerve to WM on STIR images is of value in diagnosing AON. KEY POINTS: • We propose a method of diagnosing acute optic neuritis using 3-T MRI. • Our method is simple and objective and requires no novel imaging techniques. • Our method shows high diagnostic accuracy.

Indexed as

AdultAgedAged, 80 and overFemaleFrontal LobeHumansMagnetic Resonance ImagingMaleMiddle AgedOptic NerveOptic NeuritisRetrospective StudiesSensitivity and SpecificityWhite MatterYoung AdultDiagnosisMagnetic resonance imagingOptic neuritisQuantitative evaluationRetrospective study

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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.