Evidence map›Paper›PMID 31571307›Full record

ArticleJournal of neuroimaging : official journal of the American Society of Neuroimaging2020

Intersubject Variability and Normalization Strategies for Spinal Cord Total Cross-Sectional and Gray Matter Areas.

Nico Papinutto, Carlo Asteggiano, Antje Bischof, Tristan J Gundel, Eduardo Caverzasi, William A Stern, Stefano Bastianello, Stephen L Hauser, Roland G Henry

Abstract read
In one paragraph

Article in Journal of neuroimaging : official journal of the American Society of Neuroimaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

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

  1. Spinal cord imaging in multiple sclerosis: A vital component we can no longer overlook.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
    Pooled it
  2. Review
  3. Article
  4. Charting Cervical Spinal Cord Morphometry Across the Lifespan.bioRxiv : the preprint server for biology · 2026
    Article
  5. Article
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  12. Review
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  14. Article
  15. Optimization of cervical cord synthetic TImaging neuroscience (Cambridge, Mass.) · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Progressive Spinal Cord Degeneration in Friedreich's Ataxia: Results from ENIGMA-Ataxia.Movement disorders : official journal of the Movement Disorder Society · 2023
    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

9 authors.

Nico PapinuttoDepartment of Neurology, University of California, San Francisco, CA.ORCID 0000-0003-2184-4782
Carlo AsteggianoDepartment of Neurology, University of California, San Francisco, CA.
Antje BischofDepartment of Neurology, University of California, San Francisco, CA.
Tristan J GundelDepartment of Neurology, University of California, San Francisco, CA.
Eduardo CaverzasiDepartment of Neurology, University of California, San Francisco, CA.
William A SternDepartment of Neurology, University of California, San Francisco, CA.
Stefano BastianelloDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Stephen L HauserDepartment of Neurology, University of California, San Francisco, CA.
Roland G HenryDepartment of Neurology, University of California, San Francisco, CA.

Funding

The Role of B cells in the Origin and Progression of Multiple SclerosisR35NS111644 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEPHEN L HAUSER · 2019 to 2026
$9.1M
NINDS NIH HHS R35 NS111644
6 · The paper itself

Abstract

background and purposeThe quantification of spinal cord (SC) atrophy by MRI has assumed an important role in assessment of neuroinflammatory/neurodegenerative diseases and traumatic SC injury. Recent technical advances make possible the quantification of gray matter (GM) and white matter tissues in clinical settings. However, the goal of a reliable diagnostic, prognostic or predictive marker is still elusive, in part due to large intersubject variability of SC areas. Here, we investigated the sources of this variability and explored effective strategies to reduce it.

methodsOne hundred twenty-nine healthy subjects (mean age: 41.0 ± 15.9) underwent MRI on a Siemens 3T Skyra scanner. Two-dimensional PSIR at the C2-C3 vertebral level and a sagittal 1 mm

resultsThe most effective normalization metrics were the V-scale (from SienaX) and the product of the C2-C3 spinal canal diameters. Normalization methods based on these metrics reduced the intersubject variability of cord areas of up to 17.74%. The measured cord areas had a statistically significant sex difference, while the effect of age was moderate.

conclusionsThe present work explored in a large cohort of healthy subjects the source of intersubject variability of SC areas and proposes effective normalization methods for its reduction.

Indexed as

AdultAgedFemaleGray MatterHealthy VolunteersHumansMagnetic Resonance ImagingMaleMiddle AgedOrgan SizeSex CharacteristicsSpinal CordWhite MatterYoung AdultIntersubject variabilitymagnetic resonance imagingmorphometrynormalization strategiesspinal cord

Identifiers

PMID31571307
PMCPMC7153493

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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.