Evidence map›Paper›PMID 29976833›Full record

ArticleAJNR. American journal of neuroradiology2018

Impact of Focal White Matter Damage on Localized Subcortical Gray Matter Atrophy in Multiple Sclerosis: A 5-Year Study.

T A Fuchs, K Carolus, R H B Benedict, N Bergsland, D Ramasamy, D Jakimovski, B Weinstock-Guttman, A Kuceyeski, R Zivadinov, M G Dwyer

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

T A FuchsFrom the Department of Neurology (T.F., K.C., N.B., D.R., D.J., R.Z., M.G.D.), Buffalo Neuroimaging Analysis Center.ORCID 0000-0002-0219-3518
K CarolusFrom the Department of Neurology (T.F., K.C., N.B., D.R., D.J., R.Z., M.G.D.), Buffalo Neuroimaging Analysis Center.ORCID 0000-0003-4863-5956
R H B BenedictDepartment of Neurology (T.F., R.H.B.B., N.B., D.R., D.J., B.W.G., M.G.D.), Jacobs Multiple Sclerosis Center, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York.ORCID 0000-0002-2080-3631
N BergslandDepartment of Neurology (T.F., R.H.B.B., N.B., D.R., D.J., B.W.G., M.G.D.), Jacobs Multiple Sclerosis Center, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York.ORCID 0000-0002-7792-0433
D RamasamyFrom the Department of Neurology (T.F., K.C., N.B., D.R., D.J., R.Z., M.G.D.), Buffalo Neuroimaging Analysis Center.ORCID 0000-0003-0691-5087
D JakimovskiFrom the Department of Neurology (T.F., K.C., N.B., D.R., D.J., R.Z., M.G.D.), Buffalo Neuroimaging Analysis Center.ORCID 0000-0001-7114-4958
B Weinstock-GuttmanDepartment of Neurology (T.F., R.H.B.B., N.B., D.R., D.J., B.W.G., M.G.D.), Jacobs Multiple Sclerosis Center, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York.ORCID 0000-0001-6732-151X
A KuceyeskiDepartment of Radiology (A.K.), Weill Cornell Medicine, Feil Family Brain and Mind Research Institute, New York, New York.ORCID 0000-0002-5050-8342
R ZivadinovFrom the Department of Neurology (T.F., K.C., N.B., D.R., D.J., R.Z., M.G.D.), Buffalo Neuroimaging Analysis Center.ORCID 0000-0002-7799-1485
M G DwyerFrom the Department of Neurology (T.F., K.C., N.B., D.R., D.J., R.Z., M.G.D.), Buffalo Neuroimaging Analysis Center mgdwyer@buffalo.edu.ORCID 0000-0003-4684-4658

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIt is unclear to what extent subcortical gray matter atrophy is a primary process as opposed to a result of focal white matter damage. Correlations between WM damage and atrophy of subcortical gray matter have been observed but may be partly attributable to indirect relationships between co-occurring processes arising from a common cause. Our aim was to cross-sectionally and longitudinally characterize the unique impact of focal WM damage on the atrophy of connected subcortical gray matter regions, beyond what is explainable by global disease progression. MATERIALS AND

methodsOne hundred seventy-six individuals with MS and 47 healthy controls underwent MR imaging at baseline and 5 years later. Atrophy and lesion-based disruption of connected WM tracts were evaluated for 14 subcortical gray matter regions. Hierarchic regressions were applied, predicting regional atrophy from focal WM disruption, controlling for age, sex, disease duration, whole-brain volume, and T2-lesion volume.

resultsWhen we controlled for whole-brain volume and T2-lesion volume, WM tract disruption explained little additional variance of subcortical gray matter atrophy and was a significant predictor for only 3 of 14 regions cross-sectionally (Δ

conclusionsWM tract disruption accounts for a small percentage of atrophy in connected subcortical gray matter when controlling for overall disease burden and is not the primary driver in most cases.

Indexed as

AdultAgedAtrophyBrainCross-Sectional StudiesDisease ProgressionFemaleGray MatterHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedMultiple SclerosisWhite Matter

Identifiers

PMID29976833
PMCPMC7410563

What OpenQuestion holds

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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.