Evidence map›Paper›PMID 29409009›Full record

ArticleBrain : a journal of neurology2018

A method for inferring regional origins of neurodegeneration.

Justin Torok, Pedro D Maia, Fon Powell, Sneha Pandya, Ashish Raj

Erratum issuedOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Brain : a journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. A network-level transport model of tau progression in the Alzheimer's brain.Mathematical medicine and biology : a journal of the IMA · 2025
    Article
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  9. Connectome-based biophysics models of Alzheimer's disease diagnosis and prognosis.Translational research : the journal of laboratory and clinical medicine · 2023
    Review
  10. Article
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  13. Review
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  19. A physics-informed geometric learning model for pathological tau spread in Alzheimer's disease.Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention · 2020
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Justin TorokDepartment of Radiology, Weill Cornell Medical College of Cornell University, 407 E. 61 Street, RR106, New York, NY 10065, USA.
Pedro D MaiaDepartment of Radiology, Weill Cornell Medical College of Cornell University, 407 E. 61 Street, RR106, New York, NY 10065, USA.
Fon PowellDepartment of Radiology, Weill Cornell Medical College of Cornell University, 407 E. 61 Street, RR106, New York, NY 10065, USA.
Sneha PandyaDepartment of Radiology, Weill Cornell Medical College of Cornell University, 407 E. 61 Street, RR106, New York, NY 10065, USA.
Ashish RajDepartment of Radiology, Weill Cornell Medical College of Cornell University, 407 E. 61 Street, RR106, New York, NY 10065, USA.
Cornell University · US

Funding

Predictive model of spread of Parkinson's pathology using network diffusionR01NS092802 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI GUPTA, AJAY, RAJ, ASHISH · 2016 to 2020
$2.8M
Multimodal modeling framework for fusing structural and functional connectome dataR01EB022717 · NIBIB · WEILL MEDICAL COLL OF CORNELL UNIV · PI NAGARAJAN, SRIKANTAN S., RAJ, ASHISH · 2016 to 2018
$1.6M
NIBIB NIH HHS R01 EB022717NINDS NIH HHS R01 NS092802
6 · The paper itself

Abstract

Alzheimer's disease, the most common form of dementia, is characterized by the emergence and spread of senile plaques and neurofibrillary tangles, causing widespread neurodegeneration. Though the progression of Alzheimer's disease is considered to be stereotyped, the significant variability within clinical populations obscures this interpretation on the individual level. Of particular clinical importance is understanding where exactly pathology, e.g. tau, emerges in each patient and how the incipient atrophy pattern relates to future spread of disease. Here we demonstrate a newly developed graph theoretical method of inferring prior disease states in patients with Alzheimer's disease and mild cognitive impairment using an established network diffusion model and an L1-penalized optimization algorithm. Although the 'seeds' of origin using our inference method successfully reproduce known trends in Alzheimer's disease staging on a population level, we observed that the high degree of heterogeneity between patients at baseline is also reflected in their seeds. Additionally, the individualized seeds are significantly more predictive of future atrophy than a single seed placed at the hippocampus. Our findings illustrate that understanding where disease originates in individuals is critical to determining how it progresses and that our method allows us to infer early stages of disease from atrophy patterns observed at diagnosis.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseAmyloid beta-PeptidesAtrophyCognitive DysfunctionCohort StudiesConnectomeCorrelation of DataDisease ProgressionFemaleFunctional LateralityHumansMagnetic Resonance ImagingMaleNeurofibrillary TanglesAmyloid beta-Peptides

Identifiers

PMID29409009
PMCPMC5837438
OpenAlexW2791831001

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.