Evidence map›Paper›PMID 28428212›Full record

ArticleAJNR. American journal of neuroradiology2017

A Novel MRI Biomarker of Spinal Cord White Matter Injury: T2*-Weighted White Matter to Gray Matter Signal Intensity Ratio.

A R Martin, B De Leener, J Cohen-Adad, D W Cadotte, S Kalsi-Ryan, S F Lange, L Tetreault, A Nouri, A Crawley, D J Mikulis and 2 more

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
8.7field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 90 citations in OpenAlex.

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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

12 authors at 6 institutions in 4 countries.

A R MartinFrom the Division of Neurosurgery, Department of Surgery (A.R.M., D.W.C., S.K.-R., L.T., A.N., H.G., M.G.F.).ORCID http://orcid.org/0000-0002-9495-5654
B De LeenerPolytechnique Montreal (B.D.L., J.C.-A.), Montreal, Quebec, Canada.ORCID http://orcid.org/0000-0002-1378-2756
J Cohen-AdadPolytechnique Montreal (B.D.L., J.C.-A.), Montreal, Quebec, Canada.ORCID http://orcid.org/0000-0003-3662-9532
D W CadotteFrom the Division of Neurosurgery, Department of Surgery (A.R.M., D.W.C., S.K.-R., L.T., A.N., H.G., M.G.F.).ORCID http://orcid.org/0000-0003-2581-5903
S Kalsi-RyanFrom the Division of Neurosurgery, Department of Surgery (A.R.M., D.W.C., S.K.-R., L.T., A.N., H.G., M.G.F.).ORCID http://orcid.org/0000-0003-2332-5986
S F LangeUniversity of Groningen (S.F.L.), Groningen, the Netherlands.ORCID http://orcid.org/0000-0003-2054-1536
L TetreaultFrom the Division of Neurosurgery, Department of Surgery (A.R.M., D.W.C., S.K.-R., L.T., A.N., H.G., M.G.F.).ORCID http://orcid.org/0000-0001-8435-4292
A NouriFrom the Division of Neurosurgery, Department of Surgery (A.R.M., D.W.C., S.K.-R., L.T., A.N., H.G., M.G.F.).ORCID http://orcid.org/0000-0002-4965-3059
A CrawleyDepartment of Medical Imaging (A.C., D.J.M.), University of Toronto and the University Health Network, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-4578-7110
D J MikulisDepartment of Medical Imaging (A.C., D.J.M.), University of Toronto and the University Health Network, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-3956-0892
H GinsbergFrom the Division of Neurosurgery, Department of Surgery (A.R.M., D.W.C., S.K.-R., L.T., A.N., H.G., M.G.F.).ORCID http://orcid.org/0000-0003-2718-6549
M G FehlingsFrom the Division of Neurosurgery, Department of Surgery (A.R.M., D.W.C., S.K.-R., L.T., A.N., H.G., M.G.F.) michael.fehlings@uhn.on.ca madeleineoh@gmail.com.ORCID http://orcid.org/0000-0002-5722-6364
MACOM (United States) · USUniversity Health Network · CAInstitut Universitaire de Gériatrie de Montréal · CAPolytechnique Montréal · CASt Michael's Hospital · GBUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeT2*-weighted imaging provides sharp contrast between spinal cord GM and WM, allowing their segmentation and cross-sectional area measurement. Injured WM demonstrates T2*WI hyperintensity but requires normalization for quantitative use. We introduce T2*WI WM/GM signal-intensity ratio and compare it against cross-sectional area, the DTI metric fractional anisotropy, and magnetization transfer ratio in degenerative cervical myelopathy. MATERIALS AND

methodsFifty-eight patients with degenerative cervical myelopathy and 40 healthy subjects underwent 3T MR imaging, covering C1-C7. Metrics were automatically extracted at maximally compressed and uncompressed rostral/caudal levels. Normalized metrics were compared with

resultsThe maximally compressed level cross-sectional area demonstrated superior differences (

conclusionsT2*WI WM/GM shows promise as a novel biomarker of WM injury. It detects damage in compressed and uncompressed regions and contributes substantially to multivariate models for diagnosis and correlation with impairment. Our multiparametric approach overcomes limitations of individual measures, having the potential to improve diagnostics, monitor progression, and predict outcomes.

Indexed as

AdultAgedAnatomy, Cross-SectionalAnisotropyDiffusion Tensor ImagingDisability EvaluationFemaleGray MatterHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedReproducibility of ResultsSpinal CordSpinal Cord Compression

Identifiers

PMID28428212
PMCPMC7960075
OpenAlexW2606128815

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.