Evidence map›Paper›PMID 30762104›Full record

ArticleJournal of neurology2019

MRI detects peripheral nerve and adjacent muscle pathology in non-systemic vasculitic neuropathy (NSVN).

Christian Schneider, Alina Sprenger, Kilian Weiss, Karin Slebocki, David Maintz, Gereon R Fink, Tobias D Henning, Helmar C Lehmann, Thorsten Lichtenstein

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Article in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  8. High-Field Diffusion Tensor Imaging of Median, Tibial, and Sural Nerves in Type 2 Diabetes With Morphometric Analysis.Journal of neuroimaging : official journal of the American Society of Neuroimaging
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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

9 authors at 3 institutions in 1 country.

Christian SchneiderDepartment of Neurology, University Hospital of Cologne, University of Cologne, Kerpener Straße 62, 50937, Cologne, Germany.
Alina SprengerDepartment of Neurology, University Hospital of Cologne, University of Cologne, Kerpener Straße 62, 50937, Cologne, Germany.
Kilian WeissPhilips Healthcare, Hamburg, Germany.
Karin SlebockiDepartment of Radiology, University of Cologne, Cologne, Germany.
David MaintzDepartment of Radiology, University of Cologne, Cologne, Germany.
Gereon R FinkDepartment of Neurology, University Hospital of Cologne, University of Cologne, Kerpener Straße 62, 50937, Cologne, Germany.
Tobias D HenningDepartment of Radiology, University of Cologne, Cologne, Germany.
Helmar C LehmannDepartment of Neurology, University Hospital of Cologne, University of Cologne, Kerpener Straße 62, 50937, Cologne, Germany. helmar.lehmann@uk-koeln.de.ORCID http://orcid.org/0000-0003-0674-9891
Thorsten LichtensteinDepartment of Radiology, University of Cologne, Cologne, Germany.
University of Cologne · DEForschungszentrum Jülich · DEPhilips (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiagnosis and disease monitoring of non-systemic vasculitic neuropathy (NSVN) are based on electrophysiological and clinical measures. However, these methods are insensitive to detect subtle differences of axonal injury. We here assessed the utility of a multiparametric MRI protocol to quantify axonal injury and neurogenic muscle damage in NSVN.

methodsTen NSVN patients and ten age-matched controls were investigated in this single-center prospective study. All participants were assessed by diffusion tensor imaging (DTI) of the tibial nerve and multiecho Dixon MRI of soleus and gastrocnemius muscles. These data were correlated with clinical and electrophysiological data.

resultsDTI scans of the tibial nerves of patients with NSVN showed significantly lower mean fractional anisotropy (FA) values (0.32 ± 0.02) compared to healthy controls (0.42 ± 0.01). FA values of NSVN patients correlated negatively with clinical measures of pain. Multiecho Dixon MRI scans revealed significantly higher intramuscular fat fractions in the soleus muscle (19.86 ± 6.18% vs. 5.86 ± 0.74%, p = 0.0015) and gastrocnemius muscle (26.09 ± 6.21% vs. 3.59 ± 0.82%, p = 0.0002) in NSVN patients compared to healthy controls.

conclusionOur data provide a proof of concept that MRI can render information about nerve integrity and muscle pathology in NSVN. Further studies are warranted to evaluate DTI and multiecho Dixon MRI as surrogate markers in NSVN.

Indexed as

Magnetic Resonance ImagingFemaleHumansMaleMiddle AgedMuscle, SkeletalNeural ConductionPeripheral Nervous System DiseasesProof of Concept StudyProspective StudiesTibial NerveVasculitisDTINeuromuscular diseaseNon-systemic vasculitic neuropathyPolyneuropathyProton-density fat fraction

Identifiers

PMID30762104
OpenAlexW2911539209

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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.