Evidence map›Paper›PMID 31655891›Full record

ArticleJournal of neurology2020

3D PSIR MRI at 3 Tesla improves detection of spinal cord lesions in multiple sclerosis.

S Mirafzal, A Goujon, R Deschamps, K Zuber, J C Sadik, O Gout, Augustin Lecler, J Savatovsky

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

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  15. Association of Spinal Cord Radiomic Features and Disability in Multiple Sclerosis.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

8 authors.

S MirafzalDepartment of Neuroradiology, Foundation Adolphe de Rothschild Hospital, Paris, France.ORCID http://orcid.org/0000-0002-9442-4837
A GoujonDepartment of Neuroradiology, Foundation Adolphe de Rothschild Hospital, Paris, France.
R DeschampsDepartment of Neurology, Foundation Adolphe de Rothschild Hospital, Paris, France.
K ZuberDepartment of Biostatistics, Foundation Adolphe de Rothschild Hospital, Paris, France.
J C SadikDepartment of Neuroradiology, Foundation Adolphe de Rothschild Hospital, Paris, France.
O GoutDepartment of Neurology, Foundation Adolphe de Rothschild Hospital, Paris, France.
Augustin LeclerDepartment of Neuroradiology, Foundation Adolphe de Rothschild Hospital, Paris, France. alecler@for.paris.
J SavatovskyDepartment of Neuroradiology, Foundation Adolphe de Rothschild Hospital, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal imaging in multiple sclerosis remains challenging because of its small size and numerous artifacts.

objectiveTo compare 3D Phase-Sensitive Inversion Recovery (PSIR) to a conventional dataset of 3D Short Tau Inversion Recovery (STIR) and T2-weighted imaging at 3 Tesla to detect multiple sclerosis spinal cord lesions.

methodsThis prospective single-center study was approved by a national research ethics board and included 54 patients (median age 44) enrolled from December 2016 to August 2018. Two neuroradiologists individually analyzed the two datasets separately and in random order. Discrepancies were resolved by consensus with a third neuroradiologist. The primary judgment criterion was the number of spinal cord lesions. Secondary judgment criteria included location of the lesions, reader-reported confidence and conspicuity assessed with the lesion-to-cord contrast ratio (LCCR).

results3D PSIR detected significantly more lesions than the conventional dataset (371 versus 173, respectively, p < 0.05). Seven patients had no detected lesion with the conventional dataset, whereas 3D PSIR detected at least one lesion. LCCR mean reader-reported confidence (p < 0.001) and inter-observer agreement were higher using 3D PSIR.

conclusions3D PSIR significantly improved overall spinal cord lesion detection in MS patients, with higher reader-reported confidence, higher lesion contrast, and higher inter-reader agreement.

Indexed as

AdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMultiple SclerosisNeuroimagingProspective StudiesSpinal Cord DiseasesDemyelinating autoimmune diseasesDiagnostic techniques and proceduresMRIMultiple sclerosisNeuroimagingSpinal cord

Identifiers

What OpenQuestion holds

Textmetadata
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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.