Evidence map›Paper›PMID 34974117›Full record

ArticleNeuroImage2022

High b-value diffusion tractography: Abnormal axonal network organization associated with medication-refractory epilepsy.

Ezequiel Gleichgerrcht, Simon S Keller, Lorna Bryant, Hunter Moss, Tanja S Kellermann, Shubhabrata Biswas, Anthony G Marson, Janina Wilmskoetter, Jens H Jensen, Leonardo Bonilha

Open access · goldAbstract read
In one paragraph

Article in NeuroImage, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Magnetic resonance imaging of the monkey fetal brain in utero.Investigative magnetic resonance imaging · 2022
    Article
  3. 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

10 authors at 3 institutions in 2 countries.

Ezequiel GleichgerrchtDepartment of Neurology, Medical University of South Carolina, Charleston, SC, USA. Electronic address: gleichge@musc.edu.
Simon S KellerDepartment of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, UK; The Walton Centre NHS Foundation Trust, Liverpool, UK.
Lorna BryantDepartment of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, UK.
Hunter MossCenter for Biomedical Imaging, Medical University of South Carolina, Charleston, SC, USA.
Tanja S KellermannDepartment of Neurology, Medical University of South Carolina, Charleston, SC, USA.
Shubhabrata BiswasThe Walton Centre NHS Foundation Trust, Liverpool, UK.
Anthony G MarsonDepartment of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, UK; The Walton Centre NHS Foundation Trust, Liverpool, UK.
Janina WilmskoetterDepartment of Neurology, Medical University of South Carolina, Charleston, SC, USA.
Jens H JensenCenter for Biomedical Imaging, Medical University of South Carolina, Charleston, SC, USA.
Leonardo BonilhaDepartment of Neurology, Medical University of South Carolina, Charleston, SC, USA.
Medical University of South Carolina · USUniversity of Liverpool · GBWalton Centre · GB

Funding

National Neuropsychological Network (NNN)R01MH118514 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DANIEL L DRANE, David W. Loring · 2019 to 2026
$9.4M
Predicting Epilepsy Surgery Outcomes Using Neural Network ArchitectureR01NS110347 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BONILHA, LEONARDO F, DRANE, DANIEL L · 2019 to 2023
$3.6M
Medical Research Council MR/K023152/1Medical Research Council MR/S00355X/1NIMH NIH HHS R01 MH118514NINDS NIH HHS R01 NS110347
6 · The paper itself

Abstract

Diffusion magnetic resonance imaging (dMRI) tractography has played a critical role in characterizing patterns of aberrant brain network reorganization among patients with epilepsy. However, the accuracy of dMRI tractography is hampered by the complex biophysical properties of white matter tissue. High b-value diffusion imaging overcomes this limitation by better isolating axonal pathways. In this study, we introduce tractography derived from fiber ball imaging (FBI), a high b-value approach which excludes non-axonal signals, to identify atypical neuronal networks in patients with epilepsy. Specifically, we compared network properties obtained from multiple diffusion tractography approaches (diffusion tensor imaging, diffusion kurtosis imaging, FBI) in order to assess the pathophysiological relevance of network rearrangement in medication-responsive vs. medication-refractory adults with focal epilepsy. We show that drug-resistant epilepsy is associated with increased global network segregation detected by FBI-based tractography. We propose exploring FBI as a clinically feasible alternative to quantify topological changes that could be used to track disease progression and inform on clinical outcomes.

Indexed as

AdolescentAdultAxonsCase-Control StudiesDiffusion Tensor ImagingDrug Resistant EpilepsyFemaleHumansMaleMiddle AgedNeural PathwaysDiffusionFiber ball imagingFocal epilepsyMagnetic resonance imagingTractography

Identifiers

PMID34974117
PMCPMC8872809
OpenAlexW4200564650

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.