Evidence map›Paper›PMID 32505118›Full record

ArticleNeuroImage. Clinical2020

In vivo histopathological staging in C9orf72-associated ALS: A tract of interest DTI study.

Hans-Peter Müller, Kelly Del Tredici, Dorothée Lulé, Kathrin Müller, Jochen H Weishaupt, Albert C Ludolph, Jan Kassubek

Abstract 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Potential Roles of Neuroimaging in Motor Neuron Disease.Current neurology and neuroscience reports · 2026
    Review
  2. New developments in imaging in ALS.Journal of neurology · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Segmental involvement of the corpus callosum inTherapeutic advances in chronic disease · 2021
    Article
  12. Article
  13. Review
  14. 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

7 authors.

Hans-Peter MüllerDepartment of Neurology, University of Ulm, Germany.
Kelly Del TrediciDepartment of Neurology, University of Ulm, Germany.
Dorothée LuléDepartment of Neurology, University of Ulm, Germany.
Kathrin MüllerDepartment of Neurology, University of Ulm, Germany.
Jochen H WeishauptDepartment of Neurology, University of Ulm, Germany.
Albert C LudolphDepartment of Neurology, University of Ulm, Germany.
Jan KassubekDepartment of Neurology, University of Ulm, Germany. Electronic address: jan.kassubek@uni-ulm.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiffusion tensor imaging (DTI) can identify amyotrophic lateral sclerosis (ALS)-associated patterns of brain alterations at the group level according to a neuropathological staging system.

objectiveThe study was designed to investigate the in vivo staging in ALS patients with the C9orf72 expansion and potential differences to ALS patients with the SOD1 mutation.

methodsDTI-based white matter mapping was performed both by an unbiased voxel-wise statistical comparison and by a hypothesis-guided tract-wise analysis of fractional anisotropy (FA) maps according to the ALS-staging pattern for 27 ALS patients with C9orf72 expansion vs 15 ALS patients with SOD1 mutation vs 32 matched healthy controls. Clinical and neuropsychological data were acquired and correlated to DTI data.

resultsThe analysis of white matter integrity demonstrated regional FA reductions along the CST and also in frontal and prefrontal brain areas according to the proposed propagation pattern for the ALS patients with C9orf72 expansion and sporadic patients. This pattern could not be identified for the SOD1 mutation at the group level. In contrast, in the tract-specific analysis according to the neuropathological ALS-staging pattern, C9orf72 expansion ALS patients showed significant alterations of ALS-related tract systems similar to sporadic patients.

conclusionsThe DTI study including the tract-of-interest-based analysis showed a microstructural corticoefferent involvement pattern according to the staging scheme in C9orf72-associated ALS patients but not in the SOD1 mutation.

Indexed as

AdultAgedAged, 80 and overAmyotrophic Lateral SclerosisAnisotropyBrainBrain MappingC9orf72 ProteinDiffusion Tensor ImagingDisease ProgressionFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedMutationC9orf72 ProteinC9orf72 protein, humanAmyotrophic lateral sclerosisC9orf72 expansionDiffusion tensor imagingMagnetic resonance imagingMotor neuron diseases

Identifiers

PMID32505118
PMCPMC7270604

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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.