Evidence map›Paper›PMID 26905870›Full record

ArticleEuropean radiology2016

In vivo dentate nucleus MRI relaxometry correlates with previous administration of Gadolinium-based contrast agents.

Enrico Tedeschi, Giuseppe Palma, Antonietta Canna, Sirio Cocozza, Carmela Russo, Pasquale Borrelli, Roberta Lanzillo, Valentina Angelini, Emanuela Postiglione, Vincenzo Brescia Morra and 3 more

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In one paragraph

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 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

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

  1. Pooled it
  2. Article
  3. Gadolinium Contrast Agent Deposition in Children.Journal of magnetic resonance imaging : JMRI · 2025
    Review
  4. Review
  5. Article
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  9. Dentate-nucleus gadolinium deposition on magnetic resonance imaging: ultrasonographic and clinical correlates in multiple sclerosis patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  10. Article
  11. Article
  12. MRI and muscle imaging for idiopathic inflammatory myopathies.Brain pathology (Zurich, Switzerland) · 2021
    Review
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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.

Enrico TedeschiNeuroradiology, Department of Advanced Biomedical Sciences, University "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy. enrico.tedeschi@unina.it.ORCID http://orcid.org/0000-0002-0511-0132
Giuseppe PalmaInstitute of Biostructure and Bioimaging, National Research Council, Naples, Italy.
Antonietta CannaNeuroradiology, Department of Advanced Biomedical Sciences, University "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
Sirio CocozzaNeuroradiology, Department of Advanced Biomedical Sciences, University "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
Carmela RussoNeuroradiology, Department of Advanced Biomedical Sciences, University "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
Pasquale BorrelliIRCCS SDN, Naples, Italy.
Roberta LanzilloDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University "Federico II", Naples, Italy.
Valentina AngeliniNeuroradiology, Department of Advanced Biomedical Sciences, University "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
Emanuela PostiglioneDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University "Federico II", Naples, Italy.
Vincenzo Brescia MorraDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University "Federico II", Naples, Italy.
Marco SalvatoreIRCCS SDN, Naples, Italy.
Arturo BrunettiNeuroradiology, Department of Advanced Biomedical Sciences, University "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
Mario QuarantelliInstitute of Biostructure and Bioimaging, National Research Council, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate changes in T1 and T2* relaxometry of dentate nuclei (DN) with respect to the number of previous administrations of Gadolinium-based contrast agents (GBCA).

methodsIn 74 relapsing-remitting multiple sclerosis (RR-MS) patients with variable disease duration (9.8±6.8 years) and severity (Expanded Disability Status Scale scores:3.1±0.9), the DN R1 (1/T1) and R2* (1/T2*) relaxation rates were measured using two unenhanced 3D Dual-Echo spoiled Gradient-Echo sequences with different flip angles. Correlations of the number of previous GBCA administrations with DN R1 and R2* relaxation rates were tested, including gender and age effect, in a multivariate regression analysis.

resultsThe DN R1 (normalized by brainstem) significantly correlated with the number of GBCA administrations (p<0.001), maintaining the same significance even when including MS-related factors. Instead, the DN R2* values correlated only with age (p=0.003), and not with GBCA administrations (p=0.67). In a subgroup of 35 patients for whom the administered GBCA subtype was known, the effect of GBCA on DN R1 appeared mainly related to linear GBCA.

conclusionsIn RR-MS patients, the number of previous GBCA administrations correlates with R1 relaxation rates of DN, while R2* values remain unaffected, suggesting that T1-shortening in these patients is related to the amount of Gadolinium given. KEY POINTS: • In multiple sclerosis, previous Gadolinium administrations correlate with dentate nuclei T1 relaxometry. • Such correlation is linked to linear Gadolinium chelates and unrelated to disease duration or severity. • Dentate nuclei T2* relaxometry is age-related and independent of previous Gadolinium administrations. • Changes in dentate nuclei T1 relaxometry are not determined by iron accumulation. • MR relaxometry can quantitatively assess Gadolinium accumulation in dentate nuclei.

Indexed as

Contrast MediaGadoliniumAdultCerebellar NucleiFemaleHumansImage EnhancementMagnetic Resonance ImagingMaleMultiple Sclerosis, Relapsing-RemittingRetrospective StudiesContrast MediaGadoliniumDentate nucleusGadoliniumMRI contrast mediaMultiple SclerosisRelaxometry

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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.