Evidence map›Paper›PMID 37941576›Full record

ArticleFrontiers in neurology2023

A prospective study of MRI biomarkers in the brain and lower limb muscles for prediction of lower limb motor recovery following stroke.

Mat Elameer, Hannah Lumley, Sarah A Moore, Katie Marshall, Abi Alton, Fiona E Smith, Akif Gani, Andrew Blamire, Helen Rodgers, Christopher I M Price and 1 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. 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

11 authors.

Mat ElameerDepartment of Neuroradiology, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
Hannah LumleyStroke Research Group, Newcastle University, Newcastle upon Tyne, United Kingdom.
Sarah A MooreStroke Research Group, Newcastle University, Newcastle upon Tyne, United Kingdom.
Katie MarshallDepartment of Medical Physics, Newcastle University, Newcastle upon Tyne, United Kingdom.
Abi AltonStroke Research Group, Newcastle University, Newcastle upon Tyne, United Kingdom.
Fiona E SmithDepartment of Neuroscience, Manchester Metropolitan University, Manchester, United Kingdom.
Akif GaniDepartment of Stroke Medicine, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
Andrew BlamireNewcastle Magnetic Resonance Centre, Newcastle University, Newcastle upon Tyne, United Kingdom.
Helen RodgersStroke Research Group, Newcastle University, Newcastle upon Tyne, United Kingdom.
Christopher I M PriceStroke Research Group, Newcastle University, Newcastle upon Tyne, United Kingdom.
Dipayan MitraDepartment of Neuroradiology, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this prospective observational longitudinal study was to explore and decipher the predictive value of prospective MRI biomarkers in the brain and lower limb muscles for 3-month lower limb motor recovery following stroke. In the brain, we measured the integrity of the corticospinal tract (fractional anisotropy/"FA"). In the muscles, we measured volume, fatty replacement (fat fraction analysis and proton spectroscopy) and oedema. Measurements were taken at two time points: (1) within 4 weeks of stroke (baseline measurement, clinical and imaging) and (2) 3 months following stroke (follow up measurement, clinical only). Clinical measurements consisted of assessments of functional ability and strength (Fugl-Meyer score, motor NIHSS, Functional Ambulation Category/"FAC", and muscle dynamometry). Twenty-three patients completed imaging and clinical assessments at baseline and follow-up; five patients had partial imaging assessment. The results provided some evidence that damage to the corticospinal tract would result in less motor recovery: recovery of the Fugl-Meyer score and dynamometric ankle plantarflexion, ankle dorsiflexion, and knee extension correlated positively and significantly with fractional anisotropy (0.406-0.457;

Indexed as

biomarkerslower limbMRIrecoveryspectroscopystrengthstroketractography

Identifiers

PMID37941576
PMCPMC10628497

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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.