Evidence map›Paper›PMID 34389887›Full record

ArticleNeuroradiology2021

A novel CT-based automated analysis method provides comparable results with MRI in measuring brain atrophy and white matter lesions.

Aku L Kaipainen, Johanna Pitkänen, Fanni Haapalinna, Olli Jääskeläinen, Hanna Jokinen, Susanna Melkas, Timo Erkinjuntti, Ritva Vanninen, Anne M Koivisto, Jyrki Lötjönen and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

18 citing papers in PubMed, 23 citations in OpenAlex.

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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

13 authors at 2 institutions in 1 country.

Aku L KaipainenUniversity of Eastern Finland, Institute of Clinical Medicine / Neurology, P.O. Box 1627, (Yliopistonranta 1 C), 70211, Kuopio, Finland. aku.kaipainen@kuh.fi.ORCID http://orcid.org/0000-0002-3430-2969
Johanna PitkänenDepartment of Neurology, University of Helsinki and Helsinki University Hospital, P.O. Box 340, 00029 HUS, Helsinki, Finland.
Fanni HaapalinnaUniversity of Eastern Finland, Institute of Clinical Medicine / Neurology, P.O. Box 1627, (Yliopistonranta 1 C), 70211, Kuopio, Finland.
Olli JääskeläinenUniversity of Eastern Finland, Institute of Clinical Medicine / Neurology, P.O. Box 1627, (Yliopistonranta 1 C), 70211, Kuopio, Finland.
Hanna JokinenDivision of Neuropsychology, HUS Neurocenter, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Susanna MelkasDepartment of Neurology, University of Helsinki and Helsinki University Hospital, P.O. Box 340, 00029 HUS, Helsinki, Finland.
Timo ErkinjunttiDepartment of Neurology, University of Helsinki and Helsinki University Hospital, P.O. Box 340, 00029 HUS, Helsinki, Finland.
Ritva VanninenDepartment of Radiology, Kuopio University Hospital, P.O. Box 1777, 70211, Kuopio, Finland.
Anne M KoivistoUniversity of Eastern Finland, Institute of Clinical Medicine / Neurology, P.O. Box 1627, (Yliopistonranta 1 C), 70211, Kuopio, Finland.
Jyrki LötjönenCombinostics Oy, Hatanpään valtatie 24, 33100, Tampere, Finland.
Juha KoikkalainenCombinostics Oy, Hatanpään valtatie 24, 33100, Tampere, Finland.
Sanna-Kaisa HerukkaUniversity of Eastern Finland, Institute of Clinical Medicine / Neurology, P.O. Box 1627, (Yliopistonranta 1 C), 70211, Kuopio, Finland.
Valtteri JulkunenUniversity of Eastern Finland, Institute of Clinical Medicine / Neurology, P.O. Box 1627, (Yliopistonranta 1 C), 70211, Kuopio, Finland.
University of Eastern Finland · FIUniversity of Helsinki · FI

Funding

Kuopion Yliopistollinen Sairaala 5772662
6 · The paper itself

Abstract

purposeAutomated analysis of neuroimaging data is commonly based on magnetic resonance imaging (MRI), but sometimes the availability is limited or a patient might have contradictions to MRI. Therefore, automated analyses of computed tomography (CT) images would be beneficial.

methodsWe developed an automated method to evaluate medial temporal lobe atrophy (MTA), global cortical atrophy (GCA), and the severity of white matter lesions (WMLs) from a CT scan and compared the results to those obtained from MRI in a cohort of 214 subjects gathered from Kuopio and Helsinki University Hospital registers from 2005 - 2016.

resultsThe correlation coefficients of computational measures between CT and MRI were 0.9 (MTA), 0.82 (GCA), and 0.86 (Fazekas). CT-based measures were identical to MRI-based measures in 60% (MTA), 62% (GCA) and 60% (Fazekas) of cases when the measures were rounded to the nearest full grade variable. However, the difference in measures was 1 or less in 97-98% of cases. Similar results were obtained for cortical atrophy ratings, especially in the frontal and temporal lobes, when assessing the brain lobes separately. Bland-Altman plots and weighted kappa values demonstrated high agreement regarding measures based on CT and MRI.

conclusionsMTA, GCA, and Fazekas grades can also be assessed reliably from a CT scan with our method. Even though the measures obtained with the different imaging modalities were not identical in a relatively extensive cohort, the differences were minor. This expands the possibility of using this automated analysis method when MRI is inaccessible or contraindicated.

Indexed as

Alzheimer DiseaseWhite MatterAtrophyBrainHumansMagnetic Resonance ImagingTomography, X-Ray ComputedAlzheimer’s diseaseAtrophyComputed tomographyComputer-assisted image analysisMagnetic resonance imagingNeurodegenerative disease

Identifiers

PMID34389887
PMCPMC8589740
OpenAlexW3191924704

What OpenQuestion holds

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LicenceCC BY
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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.