Evidence map›Paper›PMID 34797422›Full record

ArticleActa neuropathologica2022

DNA methylation-based classification of malformations of cortical development in the human brain.

Samir Jabari, Katja Kobow, Tom Pieper, Till Hartlieb, Manfred Kudernatsch, Tilman Polster, Christian G Bien, Thilo Kalbhenn, Matthias Simon, Hajo Hamer and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Acta neuropathologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  18. Clinical and Surgical Approach for Cerebral Cortical Dysplasia.Advances and technical standards in neurosurgery · 2023
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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

22 authors at 10 institutions in 7 countries.

Samir Jabari *Department of Neuropathology, Affiliated Partner of the ERN EpiCARE, Universitätsklinikum Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Katja Kobow *Department of Neuropathology, Affiliated Partner of the ERN EpiCARE, Universitätsklinikum Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany. katja.kobow@uk-erlangen.de.ORCID 0000-0002-0074-2480
Tom PieperCenter for Pediatric Neurology, Neurorehabilitation and Epileptology, Vogtareuth, Germany.
Till HartliebCenter for Pediatric Neurology, Neurorehabilitation and Epileptology, Vogtareuth, Germany.
Manfred KudernatschCenter for Neurosurgery and Epilepsy Surgery, Schön Klinik Vogtareuth, Vogtareuth, Germany.
Tilman PolsterDepartment of Epileptology (Krankenhaus Mara), Medical School, Bielefeld University, Bielefeld, Germany.
Christian G BienDepartment of Epileptology (Krankenhaus Mara), Medical School, Bielefeld University, Bielefeld, Germany.
Thilo KalbhennDepartment of Neurosurgery - Epilepsy Surgery, Evangelisches Klinikum Bethel, Universitätsklinikum OWL, Bielefeld University, Bielefeld, Germany.
Matthias SimonDepartment of Neurosurgery - Epilepsy Surgery, Evangelisches Klinikum Bethel, Universitätsklinikum OWL, Bielefeld University, Bielefeld, Germany.
Hajo HamerDepartment of Neurology, Epilepsy Center, Universitätsklinikum Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Karl RösslerDepartment of Neurosurgery, Universitätsklinikum Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Martha FeuchtDepartment of Pediatrics and Adolescent Medicine, Affiliated Partner of the ERN EpiCARE, Medical University Vienna, Vienna, Austria.
Angelika MühlebnerDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Imad NajmCharles Shor Epilepsy Center, Cleveland Clinic, Cleveland, OH, USA.
José Eduardo Peixoto-SantosDepartment of Neurology and Neurosurgery, Paulista Medical School, UNIFESP, Sao Paulo, Brazil.
Antonio Gil-NagelEpilepsy Program, Hospital Ruber Internacional, Madrid, Spain.
Rafael Toledano DelgadoEpilepsy Program, Hospital Ruber Internacional, Madrid, Spain.
Angel Aledo-SerranoEpilepsy Program, Hospital Ruber Internacional, Madrid, Spain.
Yanghao HouDepartment of Neuropathology, German Cancer Research Center (DKFZ), Universitätsklinikum Heidelberg, and CCU Neuropathology, Heidelberg, Germany.
Roland CorasDepartment of Neuropathology, Affiliated Partner of the ERN EpiCARE, Universitätsklinikum Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Andreas von Deimling *Department of Neuropathology, German Cancer Research Center (DKFZ), Universitätsklinikum Heidelberg, and CCU Neuropathology, Heidelberg, Germany.
Ingmar Blümcke *Department of Neuropathology, Affiliated Partner of the ERN EpiCARE, Universitätsklinikum Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEBielefeld University · DEHospital Ruber Internacional · ESSchön Klinik Vogtareuth · DEArmy Medical University · CNCleveland Clinic · USGerman Cancer Research Center · DEMedical University of Vienna · ATUniversidade Federal de São Paulo · BRUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malformations of cortical development (MCD) comprise a broad spectrum of structural brain lesions frequently associated with epilepsy. Disease definition and diagnosis remain challenging and are often prone to arbitrary judgment. Molecular classification of histopathological entities may help rationalize the diagnostic process. We present a retrospective, multi-center analysis of genome-wide DNA methylation from human brain specimens obtained from epilepsy surgery using EPIC 850 K BeadChip arrays. A total of 308 samples were included in the study. In the reference cohort, 239 formalin-fixed and paraffin-embedded (FFPE) tissue samples were histopathologically classified as MCD, including 12 major subtype pathologies. They were compared to 15 FFPE samples from surgical non-MCD cortices and 11 FFPE samples from post-mortem non-epilepsy controls. We applied three different statistical approaches to decipher the DNA methylation pattern of histopathological MCD entities, i.e., pairwise comparison, machine learning, and deep learning algorithms. Our deep learning model, which represented a shallow neuronal network, achieved the highest level of accuracy. A test cohort of 43 independent surgical samples from different epilepsy centers was used to test the precision of our DNA methylation-based MCD classifier. All samples from the test cohort were accurately assigned to their disease classes by the algorithm. These data demonstrate DNA methylation-based MCD classification suitability across major histopathological entities amenable to epilepsy surgery and age groups and will help establish an integrated diagnostic classification scheme for epilepsy-associated MCD.

Indexed as

Deep LearningDNA MethylationAdolescentAdultChildChild, PreschoolEpilepsyFemaleHumansInfantMaleMalformations of Cortical DevelopmentMiddle AgedRetrospective StudiesYoung AdultBrain developmentCortical malformationDeep learningEpigeneticEpilepsy

Identifiers

PMID34797422
PMCPMC8732912
OpenAlexW3214175618

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.