Evidence map›Paper›PMID 28620719›Full record

ArticleJournal of neurology2017

Large coverage MR neurography in CIDP: diagnostic accuracy and electrophysiological correlation.

Moritz Kronlage, Philipp Bäumer, Kalliopi Pitarokoili, Daniel Schwarz, Véronique Schwehr, Tim Godel, Sabine Heiland, Ralf Gold, Martin Bendszus, Min-Suk Yoon

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In one paragraph

Article in Journal of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
5.8field-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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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  19. Magnetic Resonance Neurography: Improved Diagnosis of Peripheral Neuropathies.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
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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

10 authors at 2 institutions in 1 country.

Moritz KronlageDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany. moritz.kronlage@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0001-8648-9350
Philipp BäumerDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Kalliopi PitarokoiliDepartment of Neurology, St. Josef Hospital, Ruhr University of Bochum, Bochum, Germany.
Daniel SchwarzDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Véronique SchwehrDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Tim GodelDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Sabine HeilandDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Ralf GoldDepartment of Neurology, St. Josef Hospital, Ruhr University of Bochum, Bochum, Germany.
Martin BendszusDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Min-Suk YoonDepartment of Neurology, St. Josef Hospital, Ruhr University of Bochum, Bochum, Germany.
Heidelberg University · DESt. Josef-Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to evaluate large coverage magnetic resonance neurography (MRN) in chronic inflammatory demyelinating polyneuropathy (CIDP). In this prospective study, 18 patients with CIDP and 18 healthy controls were examined by a standardized MRN protocol at 3 T. Lumbosacral plexus was imaged by a T2-weighted 3D sequence and peripheral nerves of the upper and lower extremity by axial T2-weighted turbo spin-echo sequences. Lesions were characterized by nerve cross-sectional area (CSA) and T2-weighted signal (nT2). Additionally, T2 relaxometry of the sciatic nerve was performed using a multi-spin-echo sequence. All patients received a complementary electrophysiological exam. Patients with CIDP exhibited increased nerve CSA and nT2 compared to controls (p < 0.05) in a proximally predominating pattern. Receiver operating characteristic analysis revealed the best diagnostic accuracy for CSA of the lumbosacral plexus (AUC = 0.88) and nT2 of the sciatic nerve (AUC = 0.88). CSA correlated with multiple electrophysiological parameters of demyelinating neuropathy (F wave latency, nerve conduction velocity) of sciatic and median nerve, while nT2 only correlated with F wave latency of sciatic and not median nerve. T2 relaxometry indicated that MR signal increase in CIDP was due to an increase in proton-spin-density (p < 0.05), and not due to the increase in T2 relaxation time. Both nT2 and CSA might aid in the diagnosis of CIDP, but CSA correlates more robustly with established electrophysiological parameters for CIDP. Since the best diagnostic accuracy was shown for proximal nerve locations, MRN may be a useful complementary tool in selected CIDP cases.

Indexed as

Magnetic Resonance ImagingArea Under CurveDiagnosis, DifferentialFemaleHumansImaging, Three-DimensionalMaleMiddle AgedNeural ConductionPeripheral NervesPolyradiculoneuropathy, Chronic Inflammatory DemyelinatingProspective StudiesROC CurveChronic inflammatory demyelinating polyneuropathyElectrophysiologyMRI

Identifiers

PMID28620719
OpenAlexW2625923444

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.