Evidence map›Paper›PMID 37983002›Full record

ArticleNeuroradiology2024

Cerebellar peduncle damage in Langerhans cell histiocytosis-associated neurodegenerative disease revealed by diffusion tensor imaging.

Tomohiko Imai, Kenichi Sakamoto, Tatsuji Hasegawa, Yoko Shioda, Yoshiyuki Tsutsumi, Satoshi Sakaue, Toshihiko Imamura, Akira Morimoto, Tomoko Iehara

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Article in Neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

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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

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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

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0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Tomohiko ImaiDepartment of Pediatrics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-Cho, Kawaramachi-Hirokoji, Kamigyo-Ku, Kyoto, 602-8566, Japan.ORCID http://orcid.org/0000-0003-1838-1852
Kenichi SakamotoDepartments of Pediatrics, Shiga University of Medical Science, Shiga, Japan.
Tatsuji HasegawaDepartment of Pediatrics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-Cho, Kawaramachi-Hirokoji, Kamigyo-Ku, Kyoto, 602-8566, Japan. thaseg@koto.kpu-m.ac.jp.ORCID http://orcid.org/0000-0002-9386-8014
Yoko ShiodaDepartments of Pediatrics, Children's Cancer Center, National Center for Child Health and Development, Tokyo, Japan.
Yoshiyuki TsutsumiDepartments of Radiology, Children's Cancer Center, National Center for Child Health and Development, Tokyo, Japan.
Satoshi SakaueDepartment of Pediatrics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-Cho, Kawaramachi-Hirokoji, Kamigyo-Ku, Kyoto, 602-8566, Japan.
Toshihiko ImamuraDepartment of Pediatrics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-Cho, Kawaramachi-Hirokoji, Kamigyo-Ku, Kyoto, 602-8566, Japan.
Akira MorimotoDepartments of Pediatrics, Showa Inan General Hospital, Komagane, Japan.
Tomoko IeharaDepartment of Pediatrics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-Cho, Kawaramachi-Hirokoji, Kamigyo-Ku, Kyoto, 602-8566, Japan.
Kyoto Prefectural University of Medicine · JPNational Center For Child Health and Development · JPShiga University of Medical Science · JPShowa Inan General Hospital · JP

Funding

Japan Agency for Medical Research and Development JP20ck0106605h0001
6 · The paper itself

Abstract

purposeTo confirm the hypothesis that brain white matter damage is involved in the pathogenesis and disease progression of Langerhans cell histiocytosis (LCH)-associated neurodegenerative disease (ND), we aimed to analyze pediatric patients with LCH using diffusion tensor imaging (DTI).

methodsWe enrolled 33 patients with LCH and obtained 33 DTI datasets. Using DTI-based tractography, fractional anisotropy (FA), apparent diffusion coefficient (ADC), axial diffusivity (AD), and radial diffusivity (RD) were measured in the cerebral and cerebellar white matter tracts. The participants were divided into three groups-non-ND, ND without clinical symptoms (r-ND), and ND with clinical symptoms (c-ND)-according to their clinical status during the examination with DTI. We compared the DTI parameters in white matter tracts were compared among the three groups.

resultsIn the order of non-ND, r-ND, and c-ND groups, the FA in superior cerebellar peduncle (SCP) and middle cerebellar peduncle (MCP) significantly decreased, the ADC, AD, and RD of MCP, and the RD of SCP were significantly elevated (FA-SCP; p < 0.001, FA-MCP; p = 0.026, ADC-MCP; p < 0.001, AD-MCP; p = 0.002, RD-MCP; p = 0.003, and RD-SCP; p = 0.018). Furthermore, in the simple linear regression analysis, the FA, ADC, AD, and RD values in the MCP and the FA value in the SCP were significantly influenced by the presence of neurological symptoms and ND findings on MRI (all p < 0.001).

conclusionIn LCH-ND, we identified microstructural damage in the SCP and MCP. DTI parameters in these tracts may help monitor LCH-ND; therefore, future studies are required to validate these results in a large cohort.

Indexed as

Neurodegenerative DiseasesWhite MatterAnisotropyCerebellumChildDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingHumansCentral nervous system complicationsCerebellar peduncleDiffusion tensor imagingLangerhans cell histiocytosisNeurodegenerationTractography

Identifiers

PMID37983002
OpenAlexW4388832183

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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.