Evidence map›Paper›PMID 38107523›Full record

ArticleBasic and clinical neuroscience

Brain Atrophy and Physical and Cognitive Disability in Multiple Sclerosis.

Luis Ignacio Casanova Peño, Carlos López De Silanes De Miguel, Laura de Torres, Miriam Eimil Ortiz, María José Gil Moreno, Beatriz Oyanguren Rodeño, Rodrigo Terrero Carpio, Julia Sabín Muñoz, Blanca Patricia Díaz Montoya, Miguel Ángel Saiz Sepúlveda and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Basic and clinical neuroscience. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Cognitive impairment in multiple sclerosis: from phenomenology to neurobiological mechanisms.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
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

13 authors at 1 institution in 1 country.

Luis Ignacio Casanova PeñoDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.ORCID 0000-0002-5904-9904
Carlos López De Silanes De MiguelDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.
Laura de TorresDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.
Miriam Eimil OrtizDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.
María José Gil MorenoDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.
Beatriz Oyanguren RodeñoDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.
Rodrigo Terrero CarpioDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.
Julia Sabín MuñozDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.
Blanca Patricia Díaz MontoyaDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.
Miguel Ángel Saiz SepúlvedaDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.
Esther De Antonio SanzDepartment of Radiology, Torrejón University Hospital, Madrid, Spain.
Sara Abellán AyusoDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.
Marta González SalaicesDepartment of Neurology, Torrejón University Hospital, Madrid, Spain.
Hospital Universitario de Torrejón · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Brain atrophy is associated with physical disability in multiple sclerosis (MS), but there is a great variability between different studies and methodologies, and its use is still limited to research projects. We aimed to analyze the relationship between several volumetric measurements and physical disability and cognitive functioning in MS patients in a clinical practice setting. Methods: This is a cross-sectional study. A total of 41 patients (31 relapsing-remitting MS, 6 secondary-progressive MS, and 4 primary-progressive MS) were included. Whole brain volume (WBV), gray matter volume (GMV), and T2 lesion load (T2L) were obtained using Icometrix Results: GMV was associated with age (b=-1.7, P=0.014) and with EDSS (b=-7.55, P=0.013). T2L was associated with EDSS (b=2.29, P=0.032). The number of affected cognitive domains was associated with clinical phenotype, worse in primary progressive MS (PPMS). There was not correlations between cognitive impairment and cerebral volumes. Conclusion: Brain atrophy measurement is feasible in clinical practice setting, and it is helpful in monitoring the EDSS progression. Primary progressive phenotype is associated with greater risk of cognitive dysfunction. Highlights: The T2 lesion load is associated with physical disability in patients with multiple sclerosis (MS).The gray matter volume is associated with age and physical disability in patients with MS.There is no significant correlation between cognitive impairment and cerebral volumes in patients with MS. Plain Language Summary: Conventional magnetic resonance imaging (MRI) is still used for diagnosing and monitoring multiple sclerosis (MS). Analysis of Brain volumes including Whole brain volume (WBV), gray matter volume (GMV), and T2 lesion load (T2L) allows the evaluation of its neurodegenerative mechanisms. Robust evidence links brain atrophy with disability in MS. This study aims to analyze the relationship between advanced MRI sequences and physical disability and cognitive functioning in MS patients. According to the results, T2L was associated with physical disability and GMV was associated with age and physical disability. There was no significant correlation between cognitive impairment and cerebral volumes in patients with MS.

Indexed as

Brain atrophyCognitive dysfunctionDisease progressionMagnetic resonance imagingMultiple sclerosis

Identifiers

PMID38107523
PMCPMC10719973
OpenAlexW3175205057

What OpenQuestion holds

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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.