Evidence map›Paper›PMID 29588945›Full record

ArticleEpilepsia open2017

Seven tesla MRI improves detection of focal cortical dysplasia in patients with refractory focal epilepsy.

Tim J Veersema, Cyrille H Ferrier, Pieter van Eijsden, Peter H Gosselaar, Eleonora Aronica, Fredy Visser, Jaco M Zwanenburg, Gerard A P de Kort, Jeroen Hendrikse, Peter R Luijten and 1 more

Open access · goldAbstract read
In one paragraph

Article in Epilepsia open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
3.3field-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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 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

11 authors at 3 institutions in 1 country.

Tim J VeersemaDepartment of Neurology and Neurosurgery Brain Center Rudolf Magnus University Medical Center Utrecht Utrecht the Netherlands.
Cyrille H FerrierDepartment of Neurology and Neurosurgery Brain Center Rudolf Magnus University Medical Center Utrecht Utrecht the Netherlands.
Pieter van EijsdenDepartment of Neurology and Neurosurgery Brain Center Rudolf Magnus University Medical Center Utrecht Utrecht the Netherlands.
Peter H GosselaarDepartment of Neurology and Neurosurgery Brain Center Rudolf Magnus University Medical Center Utrecht Utrecht the Netherlands.
Eleonora AronicaDepartment of (Neuro)Pathology Academic Medical Center University of Amsterdam Amsterdam the Netherlands.
Fredy VisserPhilips Healthcare Best the Netherlands.
Jaco M ZwanenburgDepartment of Radiology University Medical Center Utrecht Utrecht the Netherlands.
Gerard A P de KortDepartment of Radiology University Medical Center Utrecht Utrecht the Netherlands.
Jeroen HendrikseDepartment of Radiology University Medical Center Utrecht Utrecht the Netherlands.
Peter R LuijtenDepartment of Radiology University Medical Center Utrecht Utrecht the Netherlands.
Kees P J BraunDepartment of Neurology and Neurosurgery Brain Center Rudolf Magnus University Medical Center Utrecht Utrecht the Netherlands.
University Medical Center Utrecht · NLNetherlands Institute for Neuroscience · NLPhilips (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this study is to determine whether the use of 7 tesla (T) MRI in clinical practice leads to higher detection rates of focal cortical dysplasias in possible candidates for epilepsy surgery. Methods: In our center patients are referred for 7 T MRI if lesional focal epilepsy is suspected, but no abnormalities are detected at one or more previous, sufficient-quality lower-field MRI scans, acquired with a dedicated epilepsy protocol, or when concealed pathology is suspected in combination with MR-visible mesiotemporal sclerosis-dual pathology. We assessed 40 epilepsy patients who underwent 7 T MRI for presurgical evaluation and whose scans (both 7 T and lower field) were discussed during multidisciplinary epilepsy surgery meetings that included a dedicated epilepsy neuroradiologist. We compared the conclusions of the multidisciplinary visual assessments of 7 T and lower-field MRI scans. Results: In our series of 40 patients, multidisciplinary evaluation of 7 T MRI identified additional lesions not seen on lower-field MRI in 9 patients (23%). These findings were guiding in surgical planning. So far, 6 patients underwent surgery, with histological confirmation of focal cortical dysplasia or mild malformation of cortical development. Significance: Seven T MRI improves detection of subtle focal cortical dysplasia and mild malformations of cortical development in patients with intractable epilepsy and may therefore contribute to identification of surgical candidates and complete resection of the epileptogenic lesion, and thus to postoperative seizure freedom.

Indexed as

7 TFocal cortical dysplasiaMagnetic resonance imagingMalformation of cortical developmentUltra‐high field

Identifiers

PMID29588945
PMCPMC5719847
OpenAlexW2574014653

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.