Evidence map›Paper›PMID 35880384›Full record

ArticleJournal of movement disorders2022

Semiautomated Algorithm for the Diagnosis of Multiple System Atrophy With Predominant Parkinsonism.

Woong-Woo Lee, Han-Joon Kim, Hong Ji Lee, Han Byul Kim, Kwang Suk Park, Chul-Ho Sohn, Beomseok Jeon

Abstract read
In one paragraph

Article in Journal of movement disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Review
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Woong-Woo LeeDepartment of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, Korea.
Han-Joon KimDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.
Hong Ji LeeDepartment of Biomedical Engineering, Seoul National University College of Medicine, Seoul, Korea.
Han Byul KimDepartment of Biomedical Engineering, Seoul National University College of Medicine, Seoul, Korea.
Kwang Suk ParkDepartment of Biomedical Engineering, Seoul National University College of Medicine, Seoul, Korea.
Chul-Ho SohnDepartment of Radiology, Seoul National University Hospital, Seoul, Korea.
Beomseok JeonDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.

Funding

Ministry of Science and ICTNational Research Foundation of Korea 2017R1C1B5074597
6 · The paper itself

Abstract

objectivePutaminal iron deposition is an important feature that helps differentiate multiple system atrophy with predominant parkinsonism (MSA-p) from Parkinson's disease (PD). Most previous studies used visual inspection or quantitative methods with manual manipulation to perform this differentiation. We investigated the value of a new semiautomated diagnostic algorithm using 3T-MR susceptibility-weighted imaging for MSA-p.

methodsThis study included 26 MSA-p, 68 PD, and 41 normal control (NC) subjects. The algorithm was developed in 2 steps: 1) determine the image containing the remarkable putaminal margin and 2) calculate the phase-shift values, which reflect the iron concentration. The next step was to identify the best differentiating conditions among several combinations. The highest phaseshift value of each subject was used to assess the most effective diagnostic set.

resultsThe raw phase-shift values were present along the lateral margin of the putamen in each group. It demonstrates an anterior- to-posterior gradient that was identified most frequently in MSA-p. The average of anterior 5 phase shift values were used for normalization. The highest area under the receiver operating characteristic curve (0.874, 80.8% sensitivity, and 86.7% specificity) of MSA-p versus PD was obtained under the combination of 3 or 4 vertical pixels and one dominant side when the normalization methods were applied. In the subanalysis for the MSA-p patients with a longer disease duration, the performance of the algorithm improved.

conclusionThis algorithm detected the putaminal lateral margin well, provided insight into the iron distribution of the putaminal rim of MSA-p, and demonstrated good performance in differentiating MSA-p from PD.

Indexed as

AutomationMultiple system atrophyParkinson’s diseasePutamenSusceptibility-weighted image

Identifiers

PMID35880384
PMCPMC9536910

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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.