Evidence map›Paper›PMID 29761120›Full record

ArticleAnnals of clinical and translational neurology2018

An image-based model of brain volume biomarker changes in Huntington's disease.

Peter A Wijeratne, Alexandra L Young, Neil P Oxtoby, Razvan V Marinescu, Nicholas C Firth, Eileanoir B Johnson, Amrita Mohan, Cristina Sampaio, Rachael I Scahill, Sarah J Tabrizi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.1field-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, 59 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 2 institutions in 2 countries.

Peter A WijeratneDepartment of Computer Science Centre for Medical Image Computing University College London Gower Street London WC1E 6BT United Kingdom.ORCID 0000-0002-4885-6241
Alexandra L YoungDepartment of Computer Science Centre for Medical Image Computing University College London Gower Street London WC1E 6BT United Kingdom.
Neil P OxtobyDepartment of Computer Science Centre for Medical Image Computing University College London Gower Street London WC1E 6BT United Kingdom.
Razvan V MarinescuDepartment of Computer Science Centre for Medical Image Computing University College London Gower Street London WC1E 6BT United Kingdom.
Nicholas C FirthDepartment of Computer Science Centre for Medical Image Computing University College London Gower Street London WC1E 6BT United Kingdom.
Eileanoir B JohnsonHuntington's Disease Research Centre University College London 2nd Floor Russell Square House, 10-12 Russell Square London WC1B 5EH United Kingdom.
Amrita MohanCHDI Management/CHDI Foundation 350 7th Avenue New York New York.
Cristina SampaioCHDI Management/CHDI Foundation 350 7th Avenue New York New York.
Rachael I ScahillHuntington's Disease Research Centre University College London 2nd Floor Russell Square House, 10-12 Russell Square London WC1B 5EH United Kingdom.
Sarah J TabriziHuntington's Disease Research Centre University College London 2nd Floor Russell Square House, 10-12 Russell Square London WC1B 5EH United Kingdom.
Daniel C AlexanderDepartment of Computer Science Centre for Medical Image Computing University College London Gower Street London WC1E 6BT United Kingdom.
University College London · GBCHDI Foundation · US

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectiveDetermining the sequence in which Huntington's disease biomarkers become abnormal can provide important insights into the disease progression and a quantitative tool for patient stratification. Here, we construct and present a uniquely fine-grained model of temporal progression of Huntington's disease from premanifest through to manifest stages.

methodsWe employ a probabilistic event-based model to determine the sequence of appearance of atrophy in brain volumes, learned from structural MRI in the Track-HD study, as well as to estimate the uncertainty in the ordering. We use longitudinal and phenotypic data to demonstrate the utility of the patient staging system that the resulting model provides.

resultsThe model recovers the following order of detectable changes in brain region volumes: putamen, caudate, pallidum, insula white matter, nonventricular cerebrospinal fluid, amygdala, optic chiasm, third ventricle, posterior insula, and basal forebrain. This ordering is mostly preserved even under cross-validation of the uncertainty in the event sequence. Longitudinal analysis performed using 6 years of follow-up data from baseline confirms efficacy of the model, as subjects consistently move to later stages with time, and significant correlations are observed between the estimated stages and nonimaging phenotypic markers.

interpretationWe used a data-driven method to provide new insight into Huntington's disease progression as well as new power to stage and predict conversion. Our results highlight the potential of disease progression models, such as the event-based model, to provide new insight into Huntington's disease progression and to support fine-grained patient stratification for future precision medicine in Huntington's disease.

Identifiers

PMID29761120
PMCPMC5945962
OpenAlexW2796149904

What OpenQuestion holds

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LicenceCC BY
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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.