Evidence map›Paper›PMID 36178006›Full record

ArticleAnnals of clinical and translational neurology2022

Evaluating brain damage in multiple sclerosis with simultaneous multi-angular-relaxometry of tissue.

Biao Xiang, Jie Wen, Robert E Schmidt, Alexander L Sukstanskii, Daniel Mamah, Dmitriy A Yablonskiy, Anne H Cross

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

7 authors at 1 institution in 1 country.

Biao XiangDepartment of Radiology, Washington University, St. Louis, Missouri, 63110, USA.
Jie WenDepartment of Radiology, Washington University, St. Louis, Missouri, 63110, USA.
Robert E SchmidtDepartment of Pathology, Washington University, St. Louis, Missouri, 63110, USA.
Alexander L SukstanskiiDepartment of Radiology, Washington University, St. Louis, Missouri, 63110, USA.
Daniel MamahDepartment of Psychiatry, Washington University, St. Louis, Missouri, 63110, USA.
Dmitriy A YablonskiyDepartment of Radiology, Washington University, St. Louis, Missouri, 63110, USA.
Anne H CrossDepartment of Neurology, Washington University, St. Louis, Missouri, 63110, USA.ORCID 0000-0003-0829-7569
Washington University in St. Louis · US

Funding

In vivo MRI Biomarkers of Microstructural Correlates of Brain Pathology in Preclinical and Early Alzheimer DiseaseR01AG054513 · NIA · WASHINGTON UNIVERSITY · PI YABLONSKIY, DMITRIY A · 2017 to 2021
$2.7M
In vivo Identification of Pre-Atrophic Brain Neurodegeneration in Prodromal Alzheimer Disease with Quantitative Gradient Recalled Echo MRIRF1AG077658 · NIA · WASHINGTON UNIVERSITY · PI YABLONSKIY, DMITRIY A · 2022 to 2022
$2.2M
Deep-Learning-Augmented Quantitative Gradient Recalled Echo (DLA-qGRE) MRI for in vivo Clinical Evaluation of Brain Microstructural Neurodegeneration in Alzheimer DiseaseRF1AG082030 · NIA · WASHINGTON UNIVERSITY · PI GOYAL, MANU S, YABLONSKIY, DMITRIY A · 2023 to 2023
$2.0M
In vivo Identification of Pre-Atrophic Brain Neurodegeneration in Prodromal Alzheimer Disease with Quantitative Gradient Recalled Echo MRIR01AG077658 · NIA · WASHINGTON UNIVERSITY · PI DMITRIY A YABLONSKIY · 2025 to 2026
$1.4M
NIA NIH HHS R01 AG054513NIA NIH HHS R01 AG077658NIA NIH HHS RF1 AG077658NIA NIH HHS RF1 AG082030
6 · The paper itself

Abstract

objectiveMultiple sclerosis (MS) is a common demyelinating central nervous system disease. MRI methods that can quantify myelin loss are needed for trials of putative remyelinating agents. Quantitative magnetization transfer MRI introduced the macromolecule proton fraction (MPF), which correlates with myelin concentration. We developed an alternative approach, Simultaneous-Multi-Angular-Relaxometry-of-Tissue (SMART) MRI, to generate MPF. Our objective was to test SMART-derived MPF metric as a potential imaging biomarker of demyelination.

methodsTwenty healthy control (HC), 11 relapsing-remitting MS (RRMS), 22 progressive MS (PMS), and one subject with a biopsied tumefactive demyelinating lesion were scanned at 3T using SMART MRI. SMART-derived MPF metric was determined in normal-appearing cortical gray matter (NAGM), normal-appearing subcortical white matter (NAWM), and demyelinating lesions. MPF metric was evaluated for correlations with physical and cognitive test scores. Comparisons were made between HC and MS and between MS subtypes. Furthermore, correlations were determined between MPF and neuropathology in the biopsied person.

resultsSMART-derived MPF in NAGM and NAWM were lower in MS than HC (p < 0.001). MPF in NAGM, NAWM and lesions differentiated RRMS from PMS (p < 0.01, p < 0.001, p < 0.001, respectively), whereas lesion volumes did not. MPF in NAGM, NAWM and lesions correlated with the Expanded Disability Status Scale (p < 0.01, p < 0.001, p < 0.001, respectively) and nine-hole peg test (p < 0.001, p < 0.001, p < 0.01, respectively). MPF was lower in the histopathologically confirmed inflammatory demyelinating lesion than the contralateral NAWM and increased in the biopsied lesion over time, mirroring improved clinical performance.

interpretationSMART-derived MPF metric holds potential as a quantitative imaging biomarker of demyelination and remyelination.

Indexed as

Brain InjuriesMultiple SclerosisMultiple Sclerosis, Relapsing-RemittingWhite MatterHumansMagnetic Resonance ImagingProtonsProtons

Identifiers

PMID36178006
PMCPMC9539387
OpenAlexW4298087256

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.