Evidence map›Paper›PMID 33851253›Full record

SynthesisNeuroradiology2021

Usefulness of magnetic resonance spectroscopy in mesial temporal sclerosis: a systematic review.

Nadín Fernández-Vega, José Ramón Ramos-Rodriguez, Francisco Alfaro, Miguel Ángel Barbancho, Natalia García-Casares

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 28% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Simultaneous high-resolution whole-brain MR spectroscopy and [European journal of nuclear medicine and molecular imaging · 2024
    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

5 authors at 2 institutions in 1 country.

Nadín Fernández-VegaDepartment of Medicine, Faculty of Medicine, University of Málaga, Málaga, España.
José Ramón Ramos-RodriguezCentro de Investigaciones Médico-Sanitarias (C.I.M.ES), University of Málaga, Málaga, España.
Francisco AlfaroCentro de Investigaciones Médico-Sanitarias (C.I.M.ES), University of Málaga, Málaga, España.
Miguel Ángel BarbanchoCentro de Investigaciones Médico-Sanitarias (C.I.M.ES), University of Málaga, Málaga, España.
Natalia García-CasaresDepartment of Medicine, Faculty of Medicine, University of Málaga, Málaga, España. nagcasares@uma.es.ORCID http://orcid.org/0000-0003-4861-6966
Universidad de Málaga · ESInstituto de Investigación Biomédica de Málaga · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMagnetic resonance spectroscopy (MRS) provides non-invasive information about metabolic features in different regions of the brain affected by mesial temporal sclerosis (MTS). PURPOSE: To review articles analyzing the most common alterations in biochemical parameters in MTS and the applications of MRS in presurgical assessment.

methodsWe undertook a systematic literature search for MRS in MTS in PubMed, SCOPUS, and Cochrane based on the MESH terms ""Magnetic Resonance Spectroscopy", "Proton Magnetic Resonance Spectroscopy", "Carbon-13 Magnetic Resonance Spectroscopy", "1H-MRS", "31P-MRS", "mesial temporal sclerosis", "hippocampal sclerosis", "mesial temporal seizure", and "mesial temporal epilepsy".

resultsOf the initial 134 articles found, 30 were selected after the exclusion process. Of these, 13 detected a decrease in N-acetylaspartate (NAA), 9 showed a decreased in the ratio NAA/Cho+Cr, and 8 demonstrated a decreased in the ratio NAA/Cr, all of them in the ipsilateral hippocampus. Nine studies also found reduced NAA levels in extrahippocampal regions.

conclusionsThe main findings were a decrease in NAA in the ipsilateral hippocampus. In addition, NAA levels were low outside the hippocampus so MTS could be a more extensive disease. Patients without MTS also presented a decrease in NAA in the ipsilateral hippocampus although NAA was even lower in the MTS patients. Thus, MRS could be useful in the presurgical evaluation to locate the epileptogenic focus, but not specific for the diagnosis of MTS.

Indexed as

Epilepsy, Temporal LobeAspartic AcidCholineCreatineHippocampusHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopySclerosisAspartic AcidCholineCreatine1H-MRS31P-MRSHippocampal sclerosisMagnetic resonance spectroscopyMesial temporal sclerosisN-acetylaspartate

Identifiers

PMID33851253
OpenAlexW3153676535

What OpenQuestion holds

Textmetadata
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.