Evidence map›Paper›PMID 34820734›Full record

ArticleJournal of neurology2022

The no evidence of disease activity (NEDA) concept in MS: impact of spinal cord MRI.

Elena Di Sabatino, Lorenzo Gaetani, Silvia Sperandei, Andrea Fiacca, Giorgio Guercini, Lucilla Parnetti, Massimiliano Di Filippo

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06827834 (A Prospective Longitudinal Study of Spinal Cord Lesions in Multiple Sclerosis), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT06827834 recruitingnot on this mapstarted 2024, after this paper: background citation

A Prospective Longitudinal Study of Spinal Cord Lesions in Multiple Sclerosis: MRI Monitoring and Prognostic Factors for Active Disease

TypeobservationalSponsorZuyderland Medisch CentrumRan2024 to 2028Enrolled155ConditionsMultiple Sclerosis
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Predictive MRI Biomarkers in MS-A Critical Review.Medicina (Kaunas, Lithuania) · 2022
    Review
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.

Elena Di SabatinoSection of Neurology, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Piazzale Menghini 1, 06132, Perugia, Italy.
Lorenzo GaetaniSection of Neurology, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Piazzale Menghini 1, 06132, Perugia, Italy.
Silvia SperandeiSection of Neurology, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Piazzale Menghini 1, 06132, Perugia, Italy.
Andrea FiaccaSection of Neuroradiology, Santa Maria della Misericordia Hospital, Piazzale Menghini 1, 06132, Perugia, Italy.
Giorgio GuerciniSection of Neuroradiology, Santa Maria della Misericordia Hospital, Piazzale Menghini 1, 06132, Perugia, Italy.
Lucilla ParnettiSection of Neurology, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Piazzale Menghini 1, 06132, Perugia, Italy.
Massimiliano Di FilippoSection of Neurology, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Piazzale Menghini 1, 06132, Perugia, Italy. massimiliano.difilippo@unipg.it.ORCID http://orcid.org/0000-0002-2645-7477

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeasures to define treatment response, such as no evidence of disease activity (NEDA), are routinely used in multiple sclerosis (MS) clinical practice. Although spinal cord involvement is a frequent feature of MS, its magnetic resonance imaging (MRI) monitoring is not routinely performed.

objectiveTo assess the impact of spinal cord MRI in the definition of NEDA in a cohort of people with MS (pwMS) with available spinal cord imaging performed as for routine monitoring.

methodsWe included 115 pwMS undergoing treatment with first-line disease-modifying therapies (DMTs) and retrospectively analyzed the presence of NEDA in the whole cohort, either considering or not spinal cord imaging.

resultsWhen considering only clinical and brain MRI measures, 97 out of 115 pwMS (84.3%) satisfied the criteria for NEDA. In the same cohort, the number of pwMS with NEDA significantly decreased to 88 (76.5%) (p < 0.01) when considering also spinal cord imaging.

conclusionThese findings suggest that, in routine clinical practice, spinal cord MRI monitoring in pwMS under first-line DMTs leads to a slight but significant change in the proportion of subjects classified as clinically and radiologically stable according to the NEDA definition.

Indexed as

Multiple SclerosisMultiple Sclerosis, Relapsing-RemittingHumansMagnetic Resonance ImagingRetrospective StudiesSpinal CordDisease activityMagnetic resonance imagingMonitoringMultiple sclerosisNEDANo evidence of disease activitySpinal cord

Identifiers

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Registered trials

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.