Evidence map›Paper›PMID 29327668›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2019

Impact of 3 Tesla MRI on interobserver agreement in clinically isolated syndrome: A MAGNIMS multicentre study.

Marloes Hj Hagens, Jessica Burggraaff, Iris D Kilsdonk, Serena Ruggieri, Sara Collorone, Rosa Cortese, Niamh Cawley, Emilia Sbardella, Michaela Andelova, Michael Amann and 13 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 29 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

23 authors at 13 institutions in 6 countries.

Marloes Hj HagensDepartment of Neurology, MS Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
Jessica BurggraaffDepartment of Neurology, MS Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
Iris D KilsdonkDepartment of Radiology and Nuclear Medicine, MS Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands/Department of Radiology and Nuclear Medicine, Onze Lieve Vrouwen Gasthuis, Amsterdam, The Netherlands.
Serena RuggieriDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy/Department of Neurosciences, San Camillo-Forlanini Hospital, Rome, Italy.
Sara ColloroneDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy/NMR Research Unit, Queen Square Multiple Sclerosis Centre, UCL Institute of Neurology, London, UK.
Rosa CorteseNMR Research Unit, Queen Square Multiple Sclerosis Centre, UCL Institute of Neurology, London, UK; Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari, Bari, Italy.
Niamh CawleyNMR Research Unit, Queen Square Multiple Sclerosis Centre, UCL Institute of Neurology, London, UK.
Emilia SbardellaDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
Michaela AndelovaDepartment of Neurology, University Hospital Basel, Basel, Switzerland.
Michael AmannDepartment of Neurology, University Hospital Basel, Basel, Switzerland/Medical Image Analysis Center (MIAC), Basel, Switzerland/Division of Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland.
Johanna M LiebDivision of Neuroradiology, Department of Radiology, University Hospital Basel, Basel, Switzerland.
Patrizia PantanoDepartment of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy/Istituto Neurologico Mediterraneo, Neuromed, Pozzilli, Italy.
Birgit I Lissenberg-WitteDepartment of Epidemiology and Biostatistics, VU University Medical Centre, Amsterdam, The Netherlands.
Joep KillesteinDepartment of Neurology, MS Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
Celia Oreja-GuevaraDepartment of Neurology, Hospital Clínico San Carlos, Madrid, Spain.
Jens WuerfelMedical Image Analysis Center (MIAC), Basel, Switzerland/NeuroCure, Charité - Berlin University of Medicine, Berlin, Germany/Department of Biomedical Engineering, University Hospital Basel, Basel, Switzerland.
Olga CiccarelliNMR Research Unit, Queen Square Multiple Sclerosis Centre, UCL Institute of Neurology, London, UK.
Claudio GasperiniDepartment of Neurosciences, San Camillo-Forlanini Hospital, Rome, Italy.
Carsten LukasDepartment of Diagnostic and Interventional Radiology and Nuclear Medicine, St. Josef Hospital, Ruhr University, Bochum, Germany.
Alex RoviraDepartment of Radiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Frederik BarkhofDepartment of Radiology and Nuclear Medicine, MS Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands/Institutes of Neurology and Healthcare Engineering, UCL Institute of Neurology, London, UK.
Mike P WattjesDepartment of Radiology and Nuclear Medicine, MS Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
MAGNIMS Study Group
Amsterdam UMC Location VUmc · NLSapienza University of Rome · ITUniversity Hospital of Basel · CHCarlo Forlanini Hospital · ITCharité - Universitätsmedizin Berlin · DEHospital Clínico San Carlos · ESMultiple Sclerosis Society · GBNational Hospital for Neurology and Neurosurgery · GBOLVG · NLRuhr University Bochum · DEUniversity College London · GBUniversity of Bari Aldo Moro · ITVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompared to 1.5 T, 3 T magnetic resonance imaging (MRI) increases signal-to-noise ratio leading to improved image quality. However, its clinical relevance in clinically isolated syndrome suggestive of multiple sclerosis remains uncertain.

objectivesThe purpose of this study was to investigate how 3 T MRI affects the agreement between raters on lesion detection and diagnosis.

methodsWe selected 30 patients and 10 healthy controls from our ongoing prospective multicentre cohort. All subjects received baseline 1.5 and 3 T brain and spinal cord MRI. Patients also received follow-up brain MRI at 3-6 months. Four experienced neuroradiologists and four less-experienced raters scored the number of lesions per anatomical region and determined dissemination in space and time (McDonald 2010).

resultsIn controls, the mean number of lesions per rater was 0.16 at 1.5 T and 0.38 at 3 T ( p = 0.005). For patients, this was 4.18 and 4.40, respectively ( p = 0.657). Inter-rater agreement on involvement per anatomical region and dissemination in space and time was moderate to good for both field strengths. 3 T slightly improved agreement between experienced raters, but slightly decreased agreement between less-experienced raters.

conclusionOverall, the interobserver agreement was moderate to good. 3 T appears to improve the reading for experienced readers, underlining the benefit of additional training.

Indexed as

AdultClinical CompetenceDemyelinating DiseasesFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingNeurologistsRadiologistsclinically isolated syndromeinterobserver variationmagnetic resonance imagingmulticentre studyMultiple sclerosis

Identifiers

PMID29327668
PMCPMC6393953
OpenAlexW2783621596

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Registered trials

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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.