Evidence map›Paper›PMID 30984816›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2019

Neuroimaging biomarkers for clinical trials in atypical parkinsonian disorders: Proposal for a Neuroimaging Biomarker Utility System.

Thilo van Eimeren, Angelo Antonini, Daniela Berg, Nico Bohnen, Roberto Ceravolo, Alexander Drzezga, Günter U Höglinger, Makoto Higuchi, Stephane Lehericy, Simon Lewis and 19 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

  1. Digital Outcomes as Biomarkers of Disease Progression in Early Parkinson's Disease: A Systematic Review.Movement disorders : official journal of the Movement Disorder Society · 2025
    Pooled it
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  6. Improved Tau PET SUVR Quantification in 4-Repeat Tau Phenotypes with [Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2024
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  13. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Observational
  14. Article
  15. Article
  16. Feasibility of short imaging protocols for [European journal of nuclear medicine and molecular imaging · 2021
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  20. Automated MRI Classification in Progressive Supranuclear Palsy: A Large International Cohort Study.Movement disorders : official journal of the Movement Disorder Society · 2020
    Article
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

29 authors.

Thilo van EimerenMultimodal Neuroimaging, Department of Nuclear Medicine, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany.
Angelo AntoniniDepartment of Neuroscience, University of Padua, Padua, Italy.
Daniela BergDepartment of Neurology, UKSH, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.
Nico BohnenDivision of Nuclear Medicine, Department of Radiology, University of Michigan, and VAMC, Ann Arbor, MI, USA.
Roberto CeravoloDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Alexander DrzezgaMultimodal Neuroimaging, Department of Nuclear Medicine, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany.
Günter U HöglingerGerman Centre for Neurodegenerative Diseases (DZNE), and Technical University Munich, Department of Neurology, Munich, Germany.
Makoto HiguchiNational Institutes for Quantum and Radiological Science and Technology, Chiba, Japan.
Stephane LehericyInstitut du Cerveau et de la Moelle épinière - ICM, Centre de NeuroImagerie de Recherche - CENIR, ICM Team "Movement Investigations and Therapeutics", Sorbonne Universités, Inserm U1127, CNRS UMR, Paris, France.
Simon LewisBrain & Mind Centre, Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
Oury MonchiDepartment of Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.
Peter NestorQueensland Brain Institute, University of Queensland, Brisbane, QLD, Australia.
Matej OndrusAXON Neuroscience CRM Services SE, Bratislava, Slovak Republic.
Nicola PaveseNewcastle Magnetic Resonance Centre & Positron Emission Tomography Centre, Newcastle University, Newcastle upon Tyne, United Kingdom.
María Cecilia PeraltaCenter for Medical Education and Clinical Research, Section of Neurology, Buenos Aires, Argentina.
Paola PicciniDepartment of Medicine, Imperial College London, London, United Kingdom.
José Ángel Pineda-PardohmCINAC, University Hospital HM Puerta del Sur, CEU-San Pablo University, Móstoles, Madrid, Spain.
Irena RektorováFirst Department of Neurology - Faculty of Medicine and CEITEC MU, Masaryk University, Brno, Czech Republic.
María Rodríguez-OrozDepartment of Neurology, Clinica Universidad de Navarra, Pamplona, Spain.
Axel RomingerDepartment of Nuclear Medicine, Inselspital, Universitätsspital Bern, Bern, Switzerland.
Klaus SeppiDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
A Jon StoesslPacific Parkinson's Research Centre, University of British Columbia, Vancouver, Canada.
Alessandro TessitoreDepartment of Medical, Surgery, Neurological, Metabolic and Aging Sciences, University of Campania, "L. Vanvitelli", Caserta CE, Italy.
Stephane ThoboisUniversité de Lyon, Université Claude Bernard Lyon 1, Faculté de Medecine Lyon Sud Charles Merieux, Lyon, France.
Valtteri KaasinenDepartment of Neurology, University of Turku, Turku, Finland.
Gregor WenningDivision of Clinical Neurology, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Hartwig R SiebnerDanish Research Centre for Magnetic Resonance, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Antonio P StrafellaE.J. Safra Parkinson Disease Program, Toronto Western Hospital & Krembil Research Institute, UHN, Toronto, Ontario, Canada.
James B RoweDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom.

Funding

Public Outreach and Education CoreP50NS091856 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DINOV, IVO D · 2014 to 2019
$10.1M
Hyposmia, Cholinergic Denervation and Incipient Cognitive Decline in PDR01NS070856 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BOHNEN, NICOLAAS IDA · 2010 to 2014
$1.9M
IMAGING BIOMARKERS OF PROGRESSION OF MOBILITY IMPAIRMENT IN PDI01RX000317 · VA · VETERANS HEALTH ADMINISTRATION · PI BOHNEN, NICOLAAS IDA · 2012 to 2014
–
Amyloidopathy, cholinopathy, dopamine responsiveness and freezing of gait in PDI01RX001631 · VA · VETERANS HEALTH ADMINISTRATION · PI BOHNEN, NICOLAAS IDA · 2016 to 2020
–
NINDS NIH HHS P50 NS091856NINDS NIH HHS R01 NS070856RRD VA I01 RX000317Wellcome Trust
6 · The paper itself

Abstract

introductionTherapeutic strategies targeting protein aggregations are ready for clinical trials in atypical parkinsonian disorders. Therefore, there is an urgent need for neuroimaging biomarkers to help with the early detection of neurodegenerative processes, the early differentiation of the underlying pathology, and the objective assessment of disease progression. However, there currently is not yet a consensus in the field on how to describe utility of biomarkers for clinical trials in atypical parkinsonian disorders.

methodsTo promote standardized use of neuroimaging biomarkers for clinical trials, we aimed to develop a conceptual framework to characterize in more detail the kind of neuroimaging biomarkers needed in atypical parkinsonian disorders, identify the current challenges in ascribing utility of these biomarkers, and propose criteria for a system that may guide future studies.

resultsAs a consensus outcome, we describe the main challenges in ascribing utility of neuroimaging biomarkers in atypical parkinsonian disorders, and we propose a conceptual framework that includes a graded system for the description of utility of a specific neuroimaging measure. We included separate categories for the ability to accurately identify an intention-to-treat patient population early in the disease (Early), to accurately detect a specific underlying pathology (Specific), and the ability to monitor disease progression (Progression). DISCUSSION: We suggest that the advancement of standardized neuroimaging in the field of atypical parkinsonian disorders will be furthered by a well-defined reference frame for the utility of biomarkers. The proposed utility system allows a detailed and graded description of the respective strengths of neuroimaging biomarkers in the currently most relevant areas of application in clinical trials.

Indexed as

BiomarkerCBDCBSHarmonizationMRIMSAMulticentricMultisiteNeurodegenerationNeuroimagingPETPSPTrials

Identifiers

PMID30984816
PMCPMC6446052

What OpenQuestion holds

Textmetadata
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.