Evidence map›Paper›PMID 37349108›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2023

TSPO-Detectable Chronic Active Lesions Predict Disease Progression in Multiple Sclerosis.

Eero Polvinen, Markus Matilainen, Marjo Nylund, Marcus Sucksdorff, Laura M Airas

Open access · goldAbstract read
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  14. Microglial Activation Visualized by [European journal of neurology · 2025
    Article
  15. Predictors of risk of secondary progression in multiple sclerosis.Therapeutic advances in neurological disorders · 2025
    Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. PhenotypingMultiple sclerosis (Houndmills, Basingstoke, England) · 2024
    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

5 authors at 1 institution in 1 country.

Eero PolvinenFrom the Turku PET Centre (E.P., M.M., M.N., M.S., L.M.A.); Clinical Neurosciences (E.P., M.N., M.S., L.M.A.), University of Turku; Faculty of Science and Engineering (M.M.), Åbo Akademi University; and Neurocenter (M.S., L.M.A.), Turku University Hospital, Finland.ORCID 0000-0002-7796-0064
Markus MatilainenFrom the Turku PET Centre (E.P., M.M., M.N., M.S., L.M.A.); Clinical Neurosciences (E.P., M.N., M.S., L.M.A.), University of Turku; Faculty of Science and Engineering (M.M.), Åbo Akademi University; and Neurocenter (M.S., L.M.A.), Turku University Hospital, Finland.ORCID 0000-0002-5597-2670
Marjo NylundFrom the Turku PET Centre (E.P., M.M., M.N., M.S., L.M.A.); Clinical Neurosciences (E.P., M.N., M.S., L.M.A.), University of Turku; Faculty of Science and Engineering (M.M.), Åbo Akademi University; and Neurocenter (M.S., L.M.A.), Turku University Hospital, Finland.ORCID 0000-0001-6695-5684
Marcus SucksdorffFrom the Turku PET Centre (E.P., M.M., M.N., M.S., L.M.A.); Clinical Neurosciences (E.P., M.N., M.S., L.M.A.), University of Turku; Faculty of Science and Engineering (M.M.), Åbo Akademi University; and Neurocenter (M.S., L.M.A.), Turku University Hospital, Finland.
Laura M AirasFrom the Turku PET Centre (E.P., M.M., M.N., M.S., L.M.A.); Clinical Neurosciences (E.P., M.N., M.S., L.M.A.), University of Turku; Faculty of Science and Engineering (M.M.), Åbo Akademi University; and Neurocenter (M.S., L.M.A.), Turku University Hospital, Finland. laura.airas@utu.fi.ORCID 0000-0002-9751-5881
Turku Centre for Computer Science · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesIn the multiple sclerosis (MS) brain, chronic active lesions can be detected using MRI- and PET-based methods. In this study, we investigated whether the frequency of TSPO-PET-detectable chronic active lesions associates with disease progression measured using the Expanded Disability Status Scale (EDSS) at 5-year follow-up.

methodsChronic lesion-associated innate immune cell activation was evaluated using TSPO-PET in 82 patients with MS. Chronic lesions were categorized into rim-active, inactive, and overall active lesion subtypes based on innate immune cell activation patterns in the lesion core and at the 2-mm perilesional rim. Logistic regression was used to identify best predictors of progression.

resultsTwenty-one patients experienced disability progression during the follow-up. These patients had a significantly higher proportion of rim-active lesions ( DISCUSSION: The results show that single TSPO-PET-based in vivo lesion phenotyping of chronic MS lesions provides a strong predictor for MS disease progression. This emphasizes the significance of chronic active lesions in disability accumulation in MS.

Indexed as

Multiple SclerosisBrainChronic DiseaseDisease ProgressionHumansMagnetic Resonance ImagingReceptors, GABAReceptors, GABATSPO protein, human

Identifiers

PMID37349108
PMCPMC10291892
OpenAlexW4381716215

What OpenQuestion holds

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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.