Evidence map›Paper›PMID 35403258›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2022

Development and Validation of Automated Magnetic Resonance Parkinsonism Index 2.0 to Distinguish Progressive Supranuclear Palsy-Parkinsonism From Parkinson's Disease.

Andrea Quattrone, Maria G Bianco, Angelo Antonini, David E Vaillancourt, Klaus Seppi, Roberto Ceravolo, Antonio P Strafella, Gioacchino Tedeschi, Alessandro Tessitore, Roberto Cilia and 18 more

Abstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–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.

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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Article
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  10. Article
  11. Article
  12. Review
  13. Parkinson's Disease: Biomarkers for Diagnosis and Disease Progression.International journal of molecular sciences · 2024
    Review
  14. Article
  15. Clinical Utility of Tectal Plate Measurements on Magnetic Resonance Imaging in Progressive Supranuclear Palsy.Movement disorders : official journal of the Movement Disorder Society · 2024
    Article
  16. Article
  17. Article
  18. PET, SPECT, and MRI imaging for evaluation of Parkinson's disease.American journal of nuclear medicine and molecular imaging · 2024
    Review
  19. Review
  20. 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

28 authors.

Andrea QuattroneInstitute of Neurology, University "Magna Graecia", Catanzaro, Italy.
Maria G BiancoDepartment of Medical and Surgical Sciences, University "Magna Graecia", Catanzaro, Italy.
Angelo AntoniniParkinson and Movement Disorders Unit, Study Center for Neurodegeneration CESNE, Department of Neuroscience, University of Padua, Padua, Italy.ORCID 0000-0003-1040-2807
David E VaillancourtDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida, USA.
Klaus SeppiDepartment of Neurology, Medical University Innsbruck, Innsbruck, Austria.ORCID 0000-0001-6503-1455
Roberto CeravoloDepartment of Clinical and Experimental Medicine, Center for NeuroDegenerative Diseases, University of Pisa, Pisa, Italy.
Antonio P StrafellaKrembil Brain Institute, UHN & Research Imaging Center, Campbell Family Mental Health Research Institute, CAMH, University of Toronto, Toronto, Ontario, Canada.
Gioacchino TedeschiDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Alessandro TessitoreDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Roberto CiliaDepartment of Clinical Neurosciences, Fondazione IRCCS Istituto Neurologico Carlo Besta, Parkinson and Movement Disorders Unit, Milan, Italy.
Maurizio MorelliInstitute of Neurology, University "Magna Graecia", Catanzaro, Italy.
Salvatore NigroInstitute of Nanotechnology (NANOTEC), National Research Council, Lecce, Italy.
Basilio VescioInstitute of Molecular Bioimaging and Physiology, National Research Council (IBFM-CNR), Catanzaro, Italy.
Pier Paolo ArcuriDepartment of Radiology, Pugliese-Ciaccio Hospital, Catanzaro, Italy.
Rosa De MiccoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Mario CirilloDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Luca WeisParkinson and Movement Disorders Unit, Study Center for Neurodegeneration CESNE, Department of Neuroscience, University of Padua, Padua, Italy.
Eleonora FiorenzatoDepartment of General Psychology, University of Padua, Padua, Italy.ORCID 0000-0001-7947-5903
Roberta BiundoDepartment of General Psychology, University of Padua, Padua, Italy.
Roxana G BurciuDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, Delaware, USA.
Florian KrismerDepartment of Neurology, Medical University Innsbruck, Innsbruck, Austria.ORCID 0000-0002-4493-5073
Nikolaus R McFarlandDepartment of Neurology and Biomedical Engineering, University of Florida, Gainesville, Florida, USA.
Christoph MuellerDepartment of Neurology, Medical University Innsbruck, Innsbruck, Austria.
Elke R GizewskiNeuroimaging Core Facility, Medical University Innsbruck, Innsbruck, Austria.
Mirco CosottiniDepartment of Translational Research and New Technologies, University of Pisa, Pisa, Italy.
Eleonora Del PreteDepartment of Clinical and Experimental Medicine, Center for NeuroDegenerative Diseases, University of Pisa, Pisa, Italy.
Sonia MazzucchiDepartment of Clinical and Experimental Medicine, Center for NeuroDegenerative Diseases, University of Pisa, Pisa, Italy.
Aldo QuattroneNeuroscience Research Center, University "Magna Graecia", Catanzaro, Italy.ORCID 0000-0003-2001-957X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifferentiating progressive supranuclear palsy-parkinsonism (PSP-P) from Parkinson's disease (PD) is clinically challenging.

objectiveThis study aimed to develop an automated Magnetic Resonance Parkinsonism Index 2.0 (MRPI 2.0) algorithm to distinguish PSP-P from PD and to validate its diagnostic performance in two large independent cohorts.

methodsWe enrolled 676 participants: a training cohort (n = 346; 43 PSP-P, 194 PD, and 109 control subjects) from our center and an independent testing cohort (n = 330; 62 PSP-P, 171 PD, and 97 control subjects) from an international research group. We developed a new in-house algorithm for MRPI 2.0 calculation and assessed its performance in distinguishing PSP-P from PD and control subjects in both cohorts using receiver operating characteristic curves.

resultsThe automated MRPI 2.0 showed excellent performance in differentiating patients with PSP-P from patients with PD and control subjects both in the training cohort (area under the receiver operating characteristic curve [AUC] = 0.93 [95% confidence interval, 0.89-0.98] and AUC = 0.97 [0.93-1.00], respectively) and in the international testing cohort (PSP-P versus PD, AUC = 0.92 [0.87-0.97]; PSP-P versus controls, AUC = 0.94 [0.90-0.98]), suggesting the generalizability of the results. The automated MRPI 2.0 also accurately distinguished between PSP-P and PD in the early stage of the diseases (AUC = 0.91 [0.84-0.97]). A strong correlation (r = 0.91, P < 0.001) was found between automated and manual MRPI 2.0 values.

conclusionsOur study provides an automated, validated, and generalizable magnetic resonance biomarker to distinguish PSP-P from PD. The use of the automated MRPI 2.0 algorithm rather than manual measurements could be important to standardize measures in patients with PSP-P across centers, with a positive impact on multicenter studies and clinical trials involving patients from different geographic regions. © 2022 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

Parkinson DiseaseParkinsonian DisordersSupranuclear Palsy, ProgressiveDiagnosis, DifferentialHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyParalysisautomated MRI biomarkerMagnetic Resonance Parkinsonism Index 2.0Parkinson's diseaseprogressive supranuclear palsy-parkinsonism

Identifiers

PMID35403258
PMCPMC9321546

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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.