Evidence map›Paper›PMID 30408230›Full record

Trial reportAnnals of neurology2019

Magnetic resonance T1w/T2w ratio: A parsimonious marker for Parkinson disease.

Guangwei Du, Mechelle M Lewis, Christopher Sica, Lan Kong, Xuemei Huang

Abstract readClinical Trial
In one paragraph

Trial report in Annals of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–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

25 citing papers in PubMed.

  1. Generating R2Medical physics · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Guangwei DuDepartment of Neurology, Penn State Hershey Medical Center, Hershey, PA.
Mechelle M LewisDepartment of Neurology, Penn State Hershey Medical Center, Hershey, PA.
Christopher SicaDepartment of Radiology, Penn State Hershey Medical Center, Hershey, PA.
Lan KongDepartment of Public Health Sciences, Penn State Hershey Medical Center, Hershey, PA.
Xuemei HuangDepartment of Neurology, Penn State Hershey Medical Center, Hershey, PA.

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Clinical and Translational Science InstituteUL1TR000127 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$17.1M
PENN STATE CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR033184 · NCRR · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2011 to 2011
$4.5M
Multimodal MRI Markers of Nigrostriatal Pathology in Parkinson's DiseaseU01NS082151 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI · 2012 to 2016
$4.2M
Structural MRI marker(s) of Parkinson's Disease's ProgressionR01NS060722 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI · 2009 to 2013
$2.9M
Alzheimer's AssociationAlzheimer's Research UKHershey Medical Center General Clinical Research CenterMichael J. Fox Foundation for Parkinson's ResearchNCATS NIH HHS UL1 TR000127NCATS NIH HHS UL1 TR002014NCRR NIH HHS UL1 RR033184NINDS NIH HHS R01 NS060722NINDS NIH HHS U01 NS082151Pennsylvania Department of Health Tobacco CURE FundsWeston Brain Institute
6 · The paper itself

Abstract

objectiveNewer magnetic resonance imaging (MRI) techniques have shown promise in capturing early Parkinson disease (PD)-related changes in the substantia nigra pars compacta (SNc), the key pathological loci. Their translational value, however, is hindered by technical complexity and inconsistent results.

methodsA novel yet simple MRI contrast, the T1w/T2w ratio, was used to study 76 PD patients and 70 controls. The T1w/T2w ratio maps were analyzed using both voxel-based and region-of-interest approaches in normalized space. The sensitivity and specificity of the SNc T1w/T2w ratio in discriminating between PD and controls also were assessed. In addition, its diagnostic performance was tested in a subgroup of PD patients with disease duration ≤2 years (PDE). A second independent cohort of 73 PD patients and 49 controls was used for validation.

resultsCompared to controls, PD patients showed a higher T1w/T2w ratio in both the right (cluster size = 164mm

interpretationThe T1w/T2w ratio can detect PD-related changes in the SNc and may be used as a novel, parsimonious in vivo biomarker for the disease, particularly for early stage patients, with high translational value for clinical practice and research. ANN NEUROL 2019;85:96-104.

Indexed as

AgedAged, 80 and overCohort StudiesFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedParkinson Disease

Identifiers

PMID30408230
PMCPMC6342624

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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.