Evidence map›Paper›PMID 31566925›Full record

ArticleAnnals of clinical and translational neurology2019

Brain lesion distribution criteria distinguish demyelinating diseases in China.

Meng-Ting Cai, Yin-Xi Zhang, Yang Zheng, Fan Yang, Wei Fang, Chun-Hong Shen, Mei-Ping Ding

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Review
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

7 authors at 2 institutions in 1 country.

Meng-Ting CaiDepartment of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yin-Xi ZhangDepartment of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yang ZhengDepartment of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Fan YangDepartment of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Wei FangDepartment of Neurology, Fourth Affiliated Hospital, School of Medicine, Zhejiang University, Yiwu, China.
Chun-Hong ShenDepartment of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Mei-Ping DingDepartment of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.ORCID 0000-0003-3145-7778
Second Affiliated Hospital of Zhejiang University · CNAnhui Medical University · CN

Funding

National Natural Science Foundation of China 81671283National Natural Science Foundation of China 81701266
6 · The paper itself

Abstract

objectiveTo verify the utility of brain lesion distribution criteria in distinguishing multiple sclerosis (MS) from aquaporin-4 (AQP4)-immunoglobulin G (IgG)-positive/-negative neuromyelitis optica spectrum disorder (NMOSD) and myelin oligodendrocyte glycoprotein IgG-associated encephalomyelitis (MOG-EM) in the Chinese population.

methodsA total of 253 patients with MS (80), NMOSD (129 AQP4-IgG positive, 34 AQP4-IgG negative), and MOG-EM (10) were enrolled. Anonymized magnetic resonance imaging results were scored on the previous reported criteria of "at least one lesion adjacent to the body of the lateral ventricle and in the inferior temporal lobe; or the presence of a subcortical U-fiber lesion; or a Dawson's finger-type lesion." Chi-squared test (or Fisher's exact test) was used to analyze the data.

resultsThe distribution criteria were able to distinguish MS with a same sensitivity of 93.8% from all type of NMOSD and MOG-EM, with a specificity of 89.7% from the whole NMOSD cohort, 89.1% from AQP4-IgG-positive NMOSD 91.2% from AQP4-IgG-negative NMOSD, and 70.0% from MOG-EM. Dawson's finger-type lesion was the most sensitive and specific feature, whereas the U-fiber lesion was the least.

conclusionThe brain lesion distribution criteria were helpful in distinguishing MS from NMOSD and MOG-EM in the Chinese population. Dawson's finger-type lesion was highly suggestive of MS.

Indexed as

AdolescentAdultAgedAged, 80 and overAquaporin 4ChildChinaDemyelinating Autoimmune Diseases, CNSEncephalomyelitisFemaleHumansLateral VentriclesMagnetic Resonance ImagingMaleMiddle AgedMultiple SclerosisAQP4 protein, humanAquaporin 4MOG protein, humanMyelin-Oligodendrocyte Glycoprotein

Identifiers

PMID31566925
PMCPMC6801206
OpenAlexW2978771636

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.