Evidence map›Paper›PMID 35487133›Full record

ArticleNeuroImage. Clinical2022

Periventricular magnetisation transfer abnormalities in early multiple sclerosis.

Lukas Pirpamer, Bálint Kincses, Zsigmond Tamás Kincses, Christian Kiss, Anna Damulina, Michael Khalil, Rudolf Stollberger, Reinhold Schmidt, Christian Enzinger, Stefan Ropele

Abstract read
In one paragraph

Article in NeuroImage. Clinical, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

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

9 citing papers in PubMed.

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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

10 authors.

Lukas PirpamerDepartment of Neurology, Division of Neurogeriatrics, Medical University of Graz, Austria.
Bálint KincsesDepartment of Neurology, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary.
Zsigmond Tamás KincsesDepartment of Neurology, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary; Department of Radiology, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary.
Christian KissDepartment of Neurology, Division of General Neurology, Medical University Graz, Austria.
Anna DamulinaDepartment of Neurology, Division of General Neurology, Medical University Graz, Austria.
Michael KhalilDepartment of Neurology, Division of General Neurology, Medical University Graz, Austria.
Rudolf StollbergerInstitute of Medical Engineering, Graz University of Technology, Graz, Austria.
Reinhold SchmidtDepartment of Neurology, Division of Neurogeriatrics, Medical University of Graz, Austria.
Christian EnzingerDepartment of Neurology, Division of General Neurology, Medical University Graz, Austria; Division of Neuroradiology, Interventional and Vascular Radiology, Department of Radiology, Medical University of Graz, Austria. Electronic address: chris.enzinger@medunigraz.at.
Stefan RopeleDepartment of Neurology, Division of General Neurology, Medical University Graz, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRecent studies suggested that CSF-mediated factors contribute to periventricular (PV) T2-hyperintense lesion formation in multiple sclerosis (MS) and this in turn correlates with cortical damage. We thus investigated if such PV-changes are observable microstructurally in early-MS and if they correlate with cortical damage.

methodsWe assessed the magnetisation transfer ratio (MTR) in PV normal-appearing white matter (NAWM) and in MS lesions in 44 patients with a clinically isolated syndrome (CIS) suggestive of MS and 73 relapsing-remitting MS (RRMS) patients. Band-wise MTR values were related to cortical mean thickness (CMT) and compared with 49 healthy controls (HCs). For each band, MTR changes were assessed relative to the average MTR values of all HCs.

resultsRelative to HCs, PV-MTR was significantly reduced up to 2.63% in CIS and 5.37% in RRMS (p < 0.0001). The MTR decreased towards the lateral ventricles with 0.18%/mm in CIS and 0.31%/mm in RRMS patients, relative to HCs. In RRMS, MTR-values adjacent to the ventricle and in PV-lesions correlated positively with CMT and negatively with EDSS.

conclusionPV-MTR gradients are present from the earliest stage of MS, consistent with more pronounced microstructural WM-damage closer to the ventricles. The positive association between reduced CMT and lower MTR in PV-NAWM suggests a common pathophysiologic mechanism. Together, these findings indicate the potential use of multimodal MRI as refined marker for MS-related tissue changes.

Indexed as

Demyelinating DiseasesMultiple SclerosisMultiple Sclerosis, Relapsing-RemittingWhite MatterBrainCerebral VentriclesHumansMagnetic Resonance ImagingCortical thinningMagnetisation transfer ratioMRIMultiple sclerosisNormal-appearing white matterPeriventricular gradient

Identifiers

PMID35487133
PMCPMC9125781

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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.