Evidence map›Paper›PMID 36321777›Full record

ArticleNeurourology and urodynamics2023

Disruption of specific white matter tracts is associated with neurogenic lower urinary tract dysfunction in women with multiple sclerosis.

Darshil Choksi, Bradley Schott, Khue Tran, Ryan Jang, Khader M Hasan, John A Lincoln, Ali Jalali, Christof Karmonik, Betsy Salazar, Rose Khavari

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Neurourology and urodynamics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03574610 (Supraspinal Mechanisms Involved in Voiding Dysfunction.), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% 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.

NCT03574610 nacompletednot on this map

Supraspinal Mechanisms Involved in Voiding Dysfunction.

TypeinterventionalSponsorThe Methodist Hospital Research InstituteRan2018 to 2022Enrolled11ConditionsNeurogenic Bladder, Multiple Sclerosis, Voiding DysfunctionArmsTranscranial Rotating Permanent Magnet Stimulator (TRPMS)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
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 at 5 institutions in 1 country.

Darshil ChoksiInterdisciplinary College of Engineering Medicine, Texas A&M, Bryan, Texas, USA.ORCID 0000-0002-2955-343X
Bradley SchottInterdisciplinary College of Engineering Medicine, Texas A&M, Bryan, Texas, USA.
Khue TranInterdisciplinary College of Engineering Medicine, Texas A&M, Bryan, Texas, USA.
Ryan JangCollege of Medicine, Texas A&M, Bryan, Texas, USA.
Khader M HasanDepartment of Radiology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas, USA.
John A LincolnDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Ali JalaliDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
Christof KarmonikTranslational Imaging Core, Houston Methodist Research Institute, Houston, Texas, USA.
Betsy SalazarDepartment of Urology, Houston Methodist Hospital, Houston, Texas, USA.
Rose KhavariDepartment of Urology, Houston Methodist Hospital, Houston, Texas, USA.ORCID 0000-0001-6713-1679
Methodist Hospital · USThe University of Texas Health Science Center · USBaylor College of Medicine · USBryan College · USHouston Methodist · US

Funding

A randomized, sham-controlled clinical trial evaluating individualized neuromodulation of cortical regions involved in neurogenic overactive bladder in Multiple SclerosisR01DK134340 · NIDDK · METHODIST HOSPITAL RESEARCH INSTITUTE · PI Rose Khavari · 2023 to 2026
$1.4M
SUPRASPINAL TARGETS IN NEUROGENIC VOIDING DYSFUNCTIONK23DK118209 · NIDDK · METHODIST HOSPITAL RESEARCH INSTITUTE · PI KHAVARI, ROSE · 2018 to 2021
$546k
High-resolution mapping of the human brainstem during continence and micturition: noninvasive in vivo 7 Tesla fMRI studyR03DK126994 · NIDDK · METHODIST HOSPITAL RESEARCH INSTITUTE · PI KHAVARI, ROSE · 2021 to 2022
$242k
NIDDK NIH HHS K23 DK118209NIDDK NIH HHS R01 DK134340NIDDK NIH HHS R03 DK126994
6 · The paper itself

Abstract

objectiveTo identify specific white matter tracts (WMTs) whose disruption is associated with the severity of neurogenic lower urinary tract dysfunction (NLUTD) in two independent cohorts of women with multiple sclerosis (MS) and NLUTD.

methodsCohort 1 consisted of twenty-eight women with MS and NLUTD. The validation cohort consisted of 10 women with MS and NLUTD. Eleven healthy women served as controls. Participants of both MS cohorts had the same inclusion and exclusion criteria. Both MS cohorts and the healthy controls underwent the same clinical assessment and functional MRI (fMRI) protocol, except that the validation MS cohort underwent 7-Tesla fMRI scan. Fifteen WMTs (six coursing to relevant brainstem areas) involved in bladder control were a priori regions of interest (ROI). Spearman's correlation test was performed between each the Fractional Anisotropy (FA) and mean diffusivity (MD) of each WMT and the clinical parameters.

resultsOverall, we found a very high degree of overlap (100% of a priori ROI) in the tracts identified by our correlation analysis as having the greatest contribution to NLUTD symptoms in MS women. The right inferior cerebellar peduncle, left posterior limb of internal capsule, and left superior cerebellar peduncle displayed significant associations to the greatest number of clinical parameters.

conclusionsOur correlation analysis supports the role of specific WMT disruptions in the contribution of symptoms in women with MS and NLUTD, as confirmed in two independent MS cohorts.

Indexed as

Multiple SclerosisWhite MatterDiffusion Tensor ImagingFemaleHumansMagnetic Resonance ImagingUrinary Bladderdiffusion tensor imagingmagnetic resonance imagingmultiple sclerosisneurogenic lower urinary tract dysfunction

Identifiers

PMID36321777
PMCPMC9805497
OpenAlexW4307975535

What OpenQuestion holds

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Registered trials

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.