Evidence map›Paper›PMID 37994963›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2024

Exploring ASL perfusion MRI as a substitutive modality for 18F-FDG PET in determining the laterality of mesial temporal lobe epilepsy.

Hossein Rahimzadeh, Hadi Kamkar, Pardis Ghafarian, Narges Hoseini-Tabatabaei, Neda Mohammadi-Mobarakeh, Jafar Mehvari-Habibabadi, Seyed-Sohrab Hashemi-Fesharaki, Mohammad-Reza Nazem-Zadeh

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In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

8 authors at 7 institutions in 2 countries.

Hossein RahimzadehResearch Center for Molecular and Cellular Imaging, Advanced Medical Technologies and Equipment Institute (AMTEI), Tehran University of Medical Sciences, Tehran, Iran.
Hadi KamkarResearch Center for Molecular and Cellular Imaging, Advanced Medical Technologies and Equipment Institute (AMTEI), Tehran University of Medical Sciences, Tehran, Iran.
Pardis GhafarianChronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Narges Hoseini-TabatabaeiMedical School, Tehran University of Medical Sciences, Tehran, Iran.
Neda Mohammadi-MobarakehResearch Center for Molecular and Cellular Imaging, Advanced Medical Technologies and Equipment Institute (AMTEI), Tehran University of Medical Sciences, Tehran, Iran.
Jafar Mehvari-HabibabadiIsfahan Neuroscience Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Seyed-Sohrab Hashemi-FesharakiPars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.
Mohammad-Reza Nazem-ZadehResearch Center for Molecular and Cellular Imaging, Advanced Medical Technologies and Equipment Institute (AMTEI), Tehran University of Medical Sciences, Tehran, Iran. mnazemzadeh@tums.ac.ir.ORCID http://orcid.org/0000-0002-6005-5973
Tehran University of Medical Sciences · IRIran University of Medical Sciences · IRIsfahan University of Medical Sciences · IRMasih Daneshvari Hospital · IRMonash University · AUShahid Beheshti University of Medical Sciences · IRTarbiat Modares University · IR

Funding

Tehran University of Medical Sciences and Health Services 98-3-101-45419
6 · The paper itself

Abstract

objectiveThe aim of this investigation was to determine whether a correlation could be discerned between perfusion acquired through ASL MRI and metabolic data acquired via 18F-fluorodeoxyglucose (18F-FDG) PET in mesial temporal lobe epilepsy (mTLE).

methodsASL MRI and 18F-FDG PET data were gathered from 22 mTLE patients. Relative cerebral blood flow (rCBF) asymmetry index (AIs) were measured using ASL MRI, and standardized uptake value ratio (SUVr) maps were obtained from 18F-FDG PET, focusing on bilateral vascular territories and key bitemporal lobe structures (amygdala, hippocampus, and parahippocampus). Intra-group comparisons were carried out to detect hypoperfusion and hypometabolism between the left and right brain hemispheres for both rCBF and SUVr in right and left mTLE. Correlations between the two AIs computed for each modality were examined.

resultsSignificant correlations were observed between rCBF and SUVr AIs in the middle temporal gyrus, superior temporal gyrus, and hippocampus. Significant correlations were also found in vascular territories of the distal posterior, intermediate anterior, intermediate middle, proximal anterior, and proximal middle cerebral arteries. Intra-group comparisons unveiled significant differences in rCBF and SUVr between the left and right brain hemispheres for right mTLE, while hypoperfusion and hypometabolism were infrequently observed in any intracranial region for left mTLE.

conclusionThe study's findings suggest promising concordance between hypometabolism estimated by 18F-FDG PET and hypoperfusion determined by ASL perfusion MRI. This raises the possibility that, with prospective technical enhancements, ASL perfusion MRI could be considered an alternative modality to 18F-FDG PET in the future.

Indexed as

Epilepsy, Temporal LobeFluorine RadioisotopesFluorodeoxyglucose F18HumansMagnetic Resonance ImagingPerfusionPositron-Emission TomographyProspective StudiesFluorine-18Fluorine RadioisotopesFluorodeoxyglucose F1818F FDG PET18F-fluorodeoxyglucose positron emission tomographyArterial spin labelingASLBlood vascular territoriesCBFCerebral blood flowLaterality indexLIMesial temporal lobe epilepsyMRI perfusionmTLEStandardized uptake valuesSUV

Identifiers

PMID37994963
OpenAlexW4388945853

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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.