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ArticleClinical neuroradiology2020

Microstructural White Matter Alterations in Mild Cognitive Impairment and Alzheimer's Disease : Study Based on Neurite Orientation Dispersion and Density Imaging (NODDI).

Xiuwei Fu, Susan Shrestha, Man Sun, Qiaoling Wu, Yuan Luo, Xianchang Zhang, Jianzhong Yin, Hongyan Ni

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Article in Clinical neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
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60citing papers in PubMed, 2 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

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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

60 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Xiuwei FuDepartment of Radiology, First Central Clinical College, Tianjin Medical University, Tianjin, China.
Susan ShresthaDepartment of Radiology, First Central Clinical College, Tianjin Medical University, Tianjin, China.
Man SunDepartment of Radiology, Tianjin Hospital of Tianjin, Tianjin, China.
Qiaoling WuTianjin University of Traditional Chinese Medicine, Tianjin, China.
Yuan LuoDepartment of Radiology, First Central Clinical College, Tianjin Medical University, Tianjin, China.
Xianchang ZhangMR Collaboration, Siemens Healthcare Ltd., Beijing, China.
Jianzhong YinDepartment of Radiology, Tianjin First Central Hospital, 24 Fukang Road, Nankai District, 300192, Tianjin, China.
Hongyan NiDepartment of Radiology, Tianjin First Central Hospital, 24 Fukang Road, Nankai District, 300192, Tianjin, China. nihyan@sina.com.

Funding

Natural Scientific Foundation of China 30870713Tianjin Natural Science Foundation Project 16JCYBJC25900
6 · The paper itself

Abstract

purposeTo investigate microstructural alterations in white matter in mild cognitive impairment (MCI) and Alzheimer's disease (AD) using neurite orientation dispersion and density imaging (NODDI) and to assess the potential diagnostic performance of NODDI-derived parameters.

methodsIn this study 14 MCI patients, 14 AD patients, and 14 healthy controls (HC) were recruited. The diffusion tensor imaging(DTI)-derived fractional anisotropy (FA) and NODDI-derived neurite density index (NDI), orientation dispersion index (ODI), and volume fraction of isotropic water molecules (Viso) were calculated from the diffusion data. The tract-based spatial statistics (TBSS) method was used for statistical analysis with one-way ANOVA. The correlations between the parameter values and mini-mental state examination (MMSE) and Montreal cognitive assessment (MoCA) scores were examined. A receiver operating characteristic (ROC) curve was conducted to assess the diagnostic performance of different parameters.

resultsCompared with the HC group, the NDI and ODI values decreased significantly and the Viso values were significantly increased in the MCI and AD groups (p < 0.01, threshold-free cluster enhancement (TFCE)-corrected); however, there were no significant differences in FA values in the MCI group. The NDI, ODI, and Viso values of multiple fibers were significantly correlated with MMSE and MoCA scores. For the diagnosis of AD, the area under the ROC curve (AUC) for the NDI value of the splenium of corpus callosum was larger than the FA value (AUC = 0.885, 0.714, p = 0.042). The AUC of the Viso value of the right cerebral peduncle was larger than FA value (AUC = 0.934, 0.531, p = 0.004).

conclusionThe NDI is more sensitive to white matter microstructural changes than FA and NODDI could be superior to DTI in the diagnosis of AD.

Indexed as

AgedAlzheimer DiseaseCase-Control StudiesCognitive DysfunctionDiffusion Tensor ImagingFemaleHumansImage Interpretation, Computer-AssistedMaleMiddle AgedNeuritesWhite MatterDiffusion tensor imagingFractional anisotropyIsotropic water moleculeNeurite densityOrientation dispersion

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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.