Evidence map›Paper›PMID 32472179›Full record

ArticleJournal of neurology2020

Diagnosis and management of multiple sclerosis: MRI in clinical practice.

Valentina Tomassini, Audrey Sinclair, Vijay Sawlani, James Overell, Owen R Pearson, Julie Hall, Joe Guadagno

Abstract read
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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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  12. Digital Twins for Multiple Sclerosis.Frontiers in immunology · 2021
    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.

Valentina TomassiniDepartment of Neurosciences, Imaging and Clinical Sciences, Institute of Advanced Biomedical Technologies (ITAB), University of Chieti-Pescara "G. d'Annunzio", Chieti, Italy. valentina.tomassini@unich.it.ORCID http://orcid.org/0000-0002-7368-6280
Audrey SinclairDepartment of Neuroradiology, St Georges Hospital, London, UK. Audrey.Sinclair@stgeorges.nhs.uk.
Vijay SawlaniQueen Elizabeth Hospital, Birmingham, UK.
James OverellUniversity of Glasgow, Glasgow, UK.
Owen R PearsonMorriston Hospital, Swansea and Neath Port Talbot Hospitals, Port Talbot, UK.
Julie HallRoyal Victoria Infirmary, Newcastle, UK.
Joe GuadagnoNewcastle Hospitals, Newcastle, UK.

Funding

Novartis Pharmaceuticals UK Limited Support for meeting
6 · The paper itself

Abstract

backgroundRecent changes in the understanding and management of multiple sclerosis (MS) have increased the role of MRI in supporting diagnosis and disease monitoring. However, published guidelines on the use of MRI in MS do not translate easily into different clinical settings and considerable variation in practice remains. Here, informed by published guidelines for the use of MRI in MS, we identified a clinically informative MRI protocol applicable in a variety of clinical settings, from district general hospitals to tertiary centres.

methodsMS specialists geographically representing the UK National Health Service and with expertise in MRI examined existing guidelines on the use of MRI in MS and identification of challenges in their applications in various clinical settings informed the formulation of a feasible MRI protocol.

resultsWe identified a minimum set of MRI information, based on clinical relevance, as well as on applicability to various clinical settings. This informed the selection of MRI acquisitions for scanning protocols, differentiated on the basis of their purpose and stage of the disease, and indication of timing for scans. Advice on standardisation of MRI requests and reporting, and proposed timing and frequency of MRI scans were generated.

conclusionsThe proposed MRI protocol can adapt to a range of clinical settings, aiding the impetus towards standardisation of practice and offering an example of research-informed service improvement to support optimisation of resources. Other neurological conditions, where a gap still exists between published guidelines and their clinical implementation, may benefit from this same approach.

Indexed as

Magnetic Resonance ImagingMultiple SclerosisHumansState MedicineClinical practiceDiagnosisDisease-modifying treatmentsMonitoringMRIMultiple sclerosis

Identifiers

PMID32472179
PMCPMC7501096

What OpenQuestion holds

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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.