Evidence map›Paper›PMID 35210273›Full record

ArticleAJNR. American journal of neuroradiology2022

Simultaneously Acquired MRI Arterial Spin-Labeling and Interictal FDG-PET Improves Diagnosis of Pediatric Temporal Lobe Epilepsy.

A M Khalaf, H R Nadel, H M Dahmoush

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Head to head comparison between arterial spin labelling MRI and [Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Observational
  6. Article
  7. Article
  8. 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

3 authors at 2 institutions in 1 country.

A M KhalafFrom the Stanford University School of Medicine, Department of Radiology, Division of Nuclear Medicine & Molecular Imaging, Division of Pediatric Radiology, Division of Neuroimaging & Neurointervention, Stanford University, Stanford, California khalafam@stanford.edu.ORCID 0000-0001-6366-6318
H R NadelFrom the Stanford University School of Medicine, Department of Radiology, Division of Nuclear Medicine & Molecular Imaging, Division of Pediatric Radiology, Division of Neuroimaging & Neurointervention, Stanford University, Stanford, California.ORCID 0000-0003-0236-7298
H M DahmoushFrom the Stanford University School of Medicine, Department of Radiology, Division of Nuclear Medicine & Molecular Imaging, Division of Pediatric Radiology, Division of Neuroimaging & Neurointervention, Stanford University, Stanford, California.ORCID 0000-0002-9520-6305
Stanford University · USStanford Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeInterictal FDG-PET scans are a routine diagnostic technique for the identification of epileptogenic foci in the presurgical work-up of medically refractory pediatric epilepsy. With the advent of PET/MR imaging, it has become possible to simultaneously acquire FDG-PET and arterial spin-labeling perfusion data. The objective of this study was to evaluate whether the incorporation of arterial spin-labeling data with interictal FDG-PET could improve the diagnostic performance metrics of FDG-PET for identification of epileptogenic foci. MATERIALS AND

methodsForty-five pediatric patients with a mean age of 10.8 years were retrospectively included in this study. These patients all underwent PET/MR imaging to diagnose suspected focal epilepsy.

resultsWhen compared to interpretations of interictal FDG findings alone, FDG combined with arterial spin-labeling findings resulted in significantly decreased sensitivity (0.64 versus 0.52,

conclusionsThese findings suggest that simultaneously acquired interictal FDG-PET and arterial spin-labeling data can improve the diagnosis of epileptogenic foci, especially in the setting of temporal lobe epilepsy where they improve specificity and positive predictive value, with preservation of sensitivity.

Indexed as

Drug Resistant EpilepsyEpilepsies, PartialEpilepsyEpilepsy, Temporal LobeChildElectroencephalographyFluorodeoxyglucose F18HumansMagnetic Resonance ImagingPositron-Emission TomographyRetrospective StudiesSeizuresSpin LabelsFluorodeoxyglucose F18Spin Labels

Identifiers

PMID35210273
PMCPMC8910808
OpenAlexW4213445817

What OpenQuestion holds

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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.