Evidence map›Paper›PMID 33787958›Full record

ArticleClinical neuroradiology2021

Microstructural White Matter Alterations in Cognitively Impaired Patients at Early Stages of Multiple Sclerosis.

Ruth Schneider, Britta Matusche, Erhan Genç, Ralf Gold, Barbara Bellenberg, Carsten Lukas

Open access · hybridAbstract read
In one paragraph

Article in Clinical neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. High-resolution diffusion tensor imaging of the fornix predicts memory function in multiple sclerosis.Multiple sclerosis journal - experimental, translational and clinical
    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

6 authors at 3 institutions in 1 country.

Ruth SchneiderDepartment of Neurology, St. Josef Hospital, Ruhr-University Bochum, Bochum, Germany. Ruth.Schneider@rub.de.ORCID http://orcid.org/0000-0002-0997-2725
Britta MatuscheInstitute of Neuroradiology, St. Josef Hospital, Ruhr-University Bochum, Bochum, Germany.
Erhan GençDepartment of Psychology and Neurosciences, Leibniz Research Center for Working Environment and Human Factors, Dortmund, Germany.
Ralf GoldDepartment of Neurology, St. Josef Hospital, Ruhr-University Bochum, Bochum, Germany.
Barbara BellenbergInstitute of Neuroradiology, St. Josef Hospital, Ruhr-University Bochum, Bochum, Germany.
Carsten LukasInstitute of Neuroradiology, St. Josef Hospital, Ruhr-University Bochum, Bochum, Germany.
St. Josef-Hospital · DETU Dortmund University · DEUniversity Hospitals of the Ruhr-University of Bochum · DE

Funding

Bundesministerium für Bildung und Forschung 01GI1601IDeutsche Forschungsgemeinschaft GE 2777/2-1
6 · The paper itself

Abstract

purposeAs conventional quantitative magnetic resonance imaging (MRI) parameters are weakly associated with cognitive impairment (CI) in early multiple sclerosis (MS), we explored microstructural white matter alterations in early MS or clinically isolated syndrome (CIS) comparing patients with or without CI.

methodsBased on a preceding tract-based spatial statistics analysis (3 Tesla MRI) which contrasted 106 patients with early MS or CIS and 49 healthy controls, diffusion metrics (fractional anisotropy, FA, mean diffusivity, MD) were extracted from significant clusters using an atlas-based approach. The FA and MD were compared between patients with (Ci_P n = 14) and without (Cp_P n = 81) cognitive impairment in a subset of patients who underwent CI screening.

resultsThe FA was reduced in Ci_P compared to Cp_P in the splenium of corpus callosum (p = 0.001), right parahippocampal cingulum (p = 0.002) and fornix cres./stria terminalis (0.042), left posterior corona radiata (p = 0.012), bilateral cerebral peduncles, medial lemniscus and in cerebellar tracts. Increased MD was detected in the splenium of corpus callosum (p = 0.01). The CI-related localizations overlapped only partially with MS lesions.

conclusionMicrostructural white matter alterations at disease onset were detectable in Ci_P compared to Cp_P in known cognitively relevant fiber tracts, indicating the relevance of early treatment initiation in MS and CIS.

Indexed as

Multiple SclerosisWhite MatterAnisotropyCorpus CallosumDiffusion Tensor ImagingHumansClinically isolated syndromeCognitive impairmentFractional anisotropyMean diffusivityTract based spatial statistic

Identifiers

PMID33787958
PMCPMC8648694
OpenAlexW3151878331

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.