Evidence map›Paper›PMID 28362522›Full record

ReviewThe British journal of radiology2017

Multiple sclerosis update: use of MRI for early diagnosis, disease monitoring and assessment of treatment related complications.

Mark S Igra, David Paling, Mike P Wattjes, Daniel J A Connolly, Nigel Hoggard

Abstract readReview
In one paragraph

Review in The British journal of radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 45 citations in OpenAlex.

  1. Incorporation of the central vein sign into the McDonald criteria.Multiple sclerosis and related disorders · 2025
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  19. Neurological safety of fingolimod: An updated review.Clinical & experimental neuroimmunology · 2017
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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

5 authors at 3 institutions in 2 countries.

Mark S Igra1 Department of Neuroradiology, Royal Hallamshire Hospital, Sheffield, UK.ORCID http://orcid.org/0000-0003-4256-2178
David Paling2 Department of Clinical Neurology, Royal Hallamshire Hospital, Sheffield, UK.
Mike P Wattjes3 Department of Radiology and Nuclear Medicine, VU University Medical Center, Amsterdam, Netherlands.
Daniel J A Connolly1 Department of Neuroradiology, Royal Hallamshire Hospital, Sheffield, UK.
Nigel Hoggard4 Academic Unit of Radiology, University of Sheffield, Sheffield, UK.
Royal Hallamshire Hospital · GBAmsterdam UMC Location Vrije Universiteit Amsterdam · NLUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

MRI has long been established as the most sensitive in vivo technique for detecting multiple sclerosis (MS) lesions. The 2010 revisions of the McDonald Criteria have simplified imaging criteria, such that a diagnosis of MS can be made on a single contrast-enhanced MRI scan in the appropriate clinical context. New disease-modifying therapies have proven effective in reducing relapse rate and severity. Several of these therapies, most particularly natalizumab, but also dimethyl fumarate and fingolimod, have been associated with progressive multifocal leukoencephalopathy (PML). PML-immune reconstitution inflammatory syndrome (IRIS) has been recognized in patients following cessation of natalizumab owing to PML, and discontinuation for other reasons can lead to the phenomenon of rebound MS. These complications often provide a diagnostic dilemma and have implications for imaging surveillance of patients. We demonstrate how the updated McDonald Criteria aid the diagnosis of MS and describe the imaging characteristics of conditions such as PML and PML-IRIS in the context of MS. Potential imaging surveillance protocols are considered for the diagnosis and assessment of complications. We will explain how changes in MS treatment are leading to new imaging demands in order to monitor patients for disease progression and treatment-related complications.

Indexed as

Antibodies, Monoclonal, HumanizedContrast MediaEarly DiagnosisHumansImmune Reconstitution Inflammatory SyndromeLeukoencephalopathy, Progressive MultifocalMagnetic Resonance ImagingMultiple SclerosisNatalizumabAntibodies, Monoclonal, HumanizedContrast MediaNatalizumab

Identifiers

PMID28362522
PMCPMC5602172
OpenAlexW2600162559

What OpenQuestion holds

Textmetadata
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.