Evidence map›Paper›PMID 27686489›Full record

Trial reportAJNR. American journal of neuroradiology2016

Comparison of Quantitative Cerebral Blood Flow Measurements Performed by Bookend Dynamic Susceptibility Contrast and Arterial Spin-Labeling MRI in Relapsing-Remitting Multiple Sclerosis.

R M D'Ortenzio, S P Hojjat, R Vitorino, C G Cantrell, L Lee, A Feinstein, P O'Connor, T J Carroll, R I Aviv

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 4 institutions in 4 countries.

R M D'OrtenzioUniversity of Toronto (R.M.D., P.O.C., L.L., A.F., R.I.A.), Toronto, Ontario, Canada.ORCID 0000-0001-9228-9523
S P HojjatMedical Imaging (S.P.H., R.V., R.I.A.), Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada r.dortenzio@mail.utoronto.ca.ORCID 0000-0003-0188-1578
R VitorinoMedical Imaging (S.P.H., R.V., R.I.A.), Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.ORCID 0000-0001-6416-6278
C G CantrellDepartments of Biomedical Engineering (C.G.C., T.J.C.).ORCID 0000-0003-0559-8681
L LeeNeurology (L.L.).ORCID 0000-0001-7322-9672
A FeinsteinFrom the Departments of Psychiatry (A.F.).ORCID 0000-0002-0132-0909
P O'ConnorUniversity of Toronto (R.M.D., P.O.C., L.L., A.F., R.I.A.), Toronto, Ontario, Canada.ORCID 0000-0002-5632-8385
T J CarrollDepartments of Biomedical Engineering (C.G.C., T.J.C.).ORCID 0000-0002-5149-8377
R I AvivMedical Imaging (S.P.H., R.V., R.I.A.), Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.ORCID 0000-0003-0259-970X
University of Toronto · CASunnybrook Health Science Centre · CAC3J Therapeutics (United States) · USNorthwestern University · US

Funding

Improved Measurement of Cerebral Perfusion with MRIR01NS049395 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CARROLL, TIMOTHY J · 2006 to 2009
$1.3M
Development of MRI-based Cerebral Oxygen Extraction FractionR21EB017928 · NIBIB · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CARROLL, TIMOTHY J · 2014 to 2015
$424k
CIHRNIBIB NIH HHS R21 EB017928NINDS NIH HHS R01 NS049395
6 · The paper itself

Abstract

background and purposeQuantitative CBF usage as a biomarker for cognitive impairment and disease progression in MS is potentially a powerful tool for longitudinal patient monitoring. Dynamic susceptibility contrast perfusion with bookend T1-calibration (bookend technique) and pseudocontinuous arterial spin-labeling have recently been used for CBF quantification in relapsing-remitting MS. The noninvasive nature of pseudocontinuous arterial spin-labeling is advantageous over gadolinium-based techniques, but correlation between the techniques is not well-established in the context of MS. MATERIALS AND

methodsWe compared pseudocontinuous arterial spin-labeling CBF with the bookend technique in a prospective cohort of 19 healthy controls, 19 subjects with relapsing-remitting MS without cognitive impairment, and 20 subjects with relapsing-remitting MS with cognitive impairment on a voxelwise and Brodmann region basis. The linear Pearson correlation, SNR, and coefficient of variation were quantified.

resultsVoxelwise paired t tests revealed no significant CBF differences between techniques after normalization of global mean intensities. The highest Pearson correlations were observed in deep GM structures (average r = 0.71 for the basal ganglia and r = 0.65 for the thalamus) but remained robust for cortical GM, WM, and white matter lesions (average r = 0.51, 0.53, 0.54, respectively). Lower Pearson correlations were observed for cortical lesions (average r = 0.23). Brodmann region correlations were significant for all groups. All correlations were maintained in healthy controls and in patients with relapsing-remitting multiple sclerosis. The highest SNR was present in bookend perfusion, while the highest coefficient of variation was present in white matter lesions.

conclusionsAgreement between pseudocontinuous arterial spin-labeling and bookend technique CBF measurements is demonstrated in healthy controls and patients with relapsing-remitting MS.

Indexed as

AdultBrainCerebrovascular CirculationFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMultiple Sclerosis, Relapsing-RemittingProspective StudiesSpin LabelsSpin Labels

Identifiers

PMID27686489
PMCPMC5161663
OpenAlexW2526648797

What OpenQuestion holds

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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.