Evidence map›Paper›PMID 36720749›Full record

ArticleNeuroradiology2023

Volumetric changes in hypothalamic subunits in patients with relapsing remitting multiple sclerosis.

Barış Genç, Sedat Şen, Kerim Aslan, Lütfi İncesu

Abstract read
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In one paragraph

Article in Neuroradiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

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  5. Effects of Psychological Stress on Multiple SclerosisCNS & neurological disorders drug targets · 2024
    Review
  6. Article
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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

4 authors at 2 institutions in 1 country.

Barış GençDepartment of Radiology, Samsun Education and Research Hospital, İlkadım, Samsun, 55060, Turkey. barisgenc12@gmail.com.ORCID http://orcid.org/0000-0003-3548-6373
Sedat ŞenDepartment of Neurology, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.ORCID http://orcid.org/0000-0001-8048-6845
Kerim AslanDepartment of Neurology, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.ORCID http://orcid.org/0000-0001-6322-7163
Lütfi İncesuDepartment of Radiology, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.ORCID http://orcid.org/0000-0001-5071-566X
Ondokuz Mayıs University · TRSamsun University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStudies on hypothalamic changes in patients with relapsing remitting multiple sclerosis (RRMS) are very scarce, despite the fact that the relationship with the hypothalamus is frequently reported. The aim of the study was to determine the volume of the hypothalamic subunits and the total hypothalamus and its relationship with the total demyelinating lesion volume (TLV) and expanded disability status scale (EDSS) in RRMS patients.

methodsIn this cross-sectional study, anterior-superior, superior tubular, posterior hypothalamus, anterior-inferior, inferior tubular subunits of hypothalamus, and total hypothalamus volume were calculated, with fully automatic analysis methods using volumetric T1 images of 65 relapsed RRMS patients and 68 healthy controls (HC). Volume changes in the hypothalamus and its subunits in RRMS patients were examined using multivariate analysis of covariance (MANCOVA). The relationship of these volumes with EDSS and TLV was investigated by partial correlation analysis.

resultsThere is volume reduction in total hypothalamus (F = 13.87, p < 0.001), anterior-superior (F = 19.2, p < 0.001), superior tubular (F = 10.1, p = 0.002) subunits, and posterior hypothalamus (F = 19.2, p < 0.001) volume in RRMS patients. EDSS correlates negatively with anterior-superior (p = 0.017, r =  - 0.333), superior tubular subunits (p = 0.023, r =  - 0.439), posterior hypothalamus (p < 0.001, r =  - 0.511), and whole hypothalamus volume (p = 0.001, r =  - 0.439). TLV correlates negatively with anterior superior (p < 0.001, r =  - 0.565), anterior inferior (p = 0.002, r =  - 0.431), superior tubular subunits (p = 0.002, r =  - 0.432), posterior hypothalamus (p < 0.001, r =  - 0.703), and whole hypothalamus (p < 0.001, r =  - 0.627) volumes.

conclusionThis study demonstrates a reduction in total hypothalamus volume, anterior-superior, superior tubular, and posterior hypothalamus in patients with RRMS. Anterior-superior and superior tubular subunit, posterior hypothalamus, and total hypothalamus volume were negatively correlated with TLV and EDSS scores.

Indexed as

Multiple SclerosisMultiple Sclerosis, Relapsing-RemittingCross-Sectional StudiesHumansHypothalamusMagnetic Resonance ImagingBrain atrophyFreesurferHypothalamusRelapsing remitting multiple sclerosis

Identifiers

PMID36720749
OpenAlexW4318677039

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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.