Evidence map›Paper›PMID 32050136›Full record

ArticleNeuroImage. Clinical2020

Analyzing the co-localization of substantia nigra hyper-echogenicities and iron accumulation in Parkinson's disease: A multi-modal atlas study with transcranial ultrasound and MRI.

Seyed-Ahmad Ahmadi, Kai Bötzel, Johannes Levin, Juliana Maiostre, Tassilo Klein, Wolfgang Wein, Verena Rozanski, Olaf Dietrich, Birgit Ertl-Wagner, Nassir Navab and 1 more

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 12% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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  11. Novel gene signatures predicting and immune infiltration analysis in Parkinson's disease: based on combining random forest with artificial neural network.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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

11 authors at 5 institutions in 2 countries.

Seyed-Ahmad AhmadiDepartment of Neurology, Ludwig-Maximilians University, Marchioninistraße 15, Munich 81377, Germany; German Center for Vertigo and Balance Disorders (DSGZ), Ludwig-Maximilians University, Marchioninistraße 15, Munich 81377, Germany; Chair for Computer Aided Medical Procedures (CAMP), Technical University of Munich, Boltzmannstr. 3, Garching 85748, Germany.
Kai BötzelDepartment of Neurology, Ludwig-Maximilians University, Marchioninistraße 15, Munich 81377, Germany.
Johannes LevinDepartment of Neurology, Ludwig-Maximilians University, Marchioninistraße 15, Munich 81377, Germany.
Juliana MaiostreDepartment of Neurology, Ludwig-Maximilians University, Marchioninistraße 15, Munich 81377, Germany.
Tassilo KleinSAP ML Research, Berlin, Germany.
Wolfgang WeinImFusion GmbH, Agnes-Pockels-Bogen 1, München 80992, Germany.
Verena RozanskiKlinik Haag i. OB, Haag i. OB 83527, Germany.
Olaf DietrichDepartment of Radiology, Ludwig-Maximilians University, Marchioninistr. 15, Munich 81377, Germany.
Birgit Ertl-WagnerDepartment of Radiology, Ludwig-Maximilians University, Marchioninistr. 15, Munich 81377, Germany; The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1 × 8, Canada.
Nassir NavabChair for Computer Aided Medical Procedures (CAMP), Technical University of Munich, Boltzmannstr. 3, Garching 85748, Germany.
Annika PlateDepartment of Neurology, Ludwig-Maximilians University, Marchioninistraße 15, Munich 81377, Germany. Electronic address: Annika.plate@med.uni-muenchen.de.
Ludwig-Maximilians-Universität München · DEFabmatics (Germany) · DEGerman Center for Lung Research · DEHospital for Sick Children · CATechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscranial B-mode sonography (TCS) can detect hyperechogenic speckles in the area of the substantia nigra (SN) in Parkinson's disease (PD). These speckles correlate with iron accumulation in the SN tissue, but an exact volumetric localization in and around the SN is still unknown. Areas of increased iron content in brain tissue can be detected in vivo with magnetic resonance imaging, using quantitative susceptibility mapping (QSM).

methodsIn this work, we i) acquire, co-register and transform TCS and QSM imaging from a cohort of 23 PD patients and 27 healthy control subjects into a normalized atlas template space and ii) analyze and compare the 3D spatial distributions of iron accumulation in the midbrain, as detected by a signal increase (TCS+ and QSM+) in both modalities.

resultsWe achieved sufficiently accurate intra-modal target registration errors (TRE<1 mm) for all MRI volumes and multi-modal TCS-MRI co-localization (TRE<4 mm) for 66.7% of TCS scans. In the caudal part of the midbrain, enlarged TCS+ and QSM+ areas were located within the SN pars compacta in PD patients in comparison to healthy controls. More cranially, overlapping TCS+ and QSM+ areas in PD subjects were found in the area of the ventral tegmental area (VTA).

conclusionOur findings are concordant with several QSM-based studies on iron-related alterations in the area SN pars compacta. They substantiate that TCS+ is an indicator of iron accumulation in Parkinson's disease within and in the vicinity of the SN. Furthermore, they are in favor of an involvement of the VTA and thereby the mesolimbic system in Parkinson's disease.

Indexed as

IronAgedFemaleHumansImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedMultimodal ImagingNeuroimagingParkinson DiseaseSubstantia NigraUltrasonography, Doppler, TranscranialIronMulti-modal registrationParkinson's diseaseQuantitative susceptibility mappingSubstantia nigraTranscranial sonography

Identifiers

PMID32050136
PMCPMC7013333
OpenAlexW3003838972

What OpenQuestion holds

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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.