Evidence map›Paper›PMID 27655303›Full record

ArticleEuropean radiology2017

MRI shows thickening and altered diffusion in the median and ulnar nerves in multifocal motor neuropathy.

Wieke Haakma, Bas A Jongbloed, Martijn Froeling, H Stephan Goedee, Clemens Bos, Alexander Leemans, Leonard H van den Berg, Jeroen Hendrikse, W Ludo van der Pol

Open access · hybridAbstract read
In one paragraph

Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  7. Implantable, Bioresorbable Radio Frequency Resonant Circuits for Magnetic Resonance Imaging.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
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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

9 authors at 2 institutions in 2 countries.

Wieke HaakmaDepartment of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands. w.haakma@umcutrecht.nl.ORCID http://orcid.org/0000-0003-1586-885X
Bas A JongbloedBrain Centre Rudolf Magnus, Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Martijn FroelingDepartment of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands.
H Stephan GoedeeBrain Centre Rudolf Magnus, Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Clemens BosDepartment of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Alexander LeemansImage Sciences Institute, University Medical Center Utrecht, Utrecht, The Netherlands.
Leonard H van den BergBrain Centre Rudolf Magnus, Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Jeroen HendrikseDepartment of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands.
W Ludo van der PolBrain Centre Rudolf Magnus, Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLAarhus University · DK

Funding

European Research Council 637024
6 · The paper itself

Abstract

objectivesTo study disease mechanisms in multifocal motor neuropathy (MMN) with magnetic resonance imaging (MRI) and diffusion tensor imaging (DTI) of the median and ulnar nerves.

methodsWe enrolled ten MMN patients, ten patients with amyotrophic lateral sclerosis (ALS) and ten healthy controls (HCs). Patients underwent MRI (in a prone position) and nerve conduction studies. DTI and fat-suppressed T2-weighted scans of the forearms were performed on a 3.0T MRI scanner. Fibre tractography of the median and ulnar nerves was performed to extract diffusion parameters: fractional anisotropy (FA), mean (MD), axial (AD) and radial (RD) diffusivity. Cross-sectional areas (CSA) were measured on T2-weighted scans.

resultsForty-five out of 60 arms were included in the analysis. AD was significantly lower in MMN patients (2.20 ± 0.12 × 10

conclusionsThickening of nerves is compatible with changes in the myelin sheath structure, whereas lowered AD values suggest axonal dysfunction. These findings suggest that myelin and axons are diffusely involved in MMN pathogenesis. KEY POINTS: • Diffusion magnetic resonance imaging provides quantitative information about multifocal motor neuropathy (MMN). • Diffusion tensor imaging allows non-invasive evaluation of the forearm nerves in MMN. • Nerve thickening and lowered diffusion parameters suggests myelin and axonal changes. • This study can help to provide insight into pathological mechanisms of MMN.

Indexed as

AdultAgedAmyotrophic Lateral SclerosisAnisotropyCase-Control StudiesDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingFemaleForearmHumansMagnetic Resonance ImagingMaleMedian NerveMiddle AgedMotor Neuron DiseaseNeural ConductionAmyotrophic lateral sclerosisDiffusion tensor imagingMagnetic resonance imagingMedian and ulnar nerveMultifocal motor neuropathy

Identifiers

PMID27655303
PMCPMC5374174
OpenAlexW2465138175

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.