Evidence map›Paper›PMID 38202221›Full record

ReviewJournal of clinical medicine2023

How Early Is Early Multiple Sclerosis?

Sotiria Stavropoulou De Lorenzo, Christos Bakirtzis, Natalia Konstantinidou, Evangelia Kesidou, Dimitrios Parissis, Maria Eleptheria Evangelopoulos, Dina Elsayed, Eman Hamdy, Sameh Said, Nikolaos Grigoriadis

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.5field-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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. A role of CD20Frontiers in immunology · 2025
    Article
  7. 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

10 authors at 3 institutions in 2 countries.

Sotiria Stavropoulou De LorenzoMultiple Sclerosis Center, Second Department of Neurology, School of Medicine, Aristotle University of Thessaloniki, 54621 Thessaloniki, Greece.ORCID 0009-0006-9529-5324
Christos BakirtzisMultiple Sclerosis Center, Second Department of Neurology, School of Medicine, Aristotle University of Thessaloniki, 54621 Thessaloniki, Greece.ORCID 0000-0002-4737-3707
Natalia KonstantinidouMultiple Sclerosis Center, Second Department of Neurology, School of Medicine, Aristotle University of Thessaloniki, 54621 Thessaloniki, Greece.
Evangelia KesidouMultiple Sclerosis Center, Second Department of Neurology, School of Medicine, Aristotle University of Thessaloniki, 54621 Thessaloniki, Greece.
Dimitrios ParissisMultiple Sclerosis Center, Second Department of Neurology, School of Medicine, Aristotle University of Thessaloniki, 54621 Thessaloniki, Greece.ORCID 0000-0003-4300-2826
Maria Eleptheria EvangelopoulosFirst Department of Neurology, Aeginition Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0003-4654-7477
Dina ElsayedDepartment of Neuropsychiatry, Faculty of Medicine, Alexandria University, Alexandria 21311, Egypt.
Eman HamdyDepartment of Neuropsychiatry, Faculty of Medicine, Alexandria University, Alexandria 21311, Egypt.ORCID 0000-0001-5004-7454
Sameh SaidDepartment of Neuropsychiatry, Faculty of Medicine, Alexandria University, Alexandria 21311, Egypt.
Nikolaos GrigoriadisMultiple Sclerosis Center, Second Department of Neurology, School of Medicine, Aristotle University of Thessaloniki, 54621 Thessaloniki, Greece.ORCID 0000-0002-4278-3301
Aristotle University of Thessaloniki · GRAlexandria University · EGNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The development and further optimization of the diagnostic criteria for multiple sclerosis (MS) emphasize the establishment of an early and accurate diagnosis. So far, numerous studies have revealed the significance of early treatment administration for MS and its association with slower disease progression and better late outcomes of the disease with regards to disability accumulation. However, according to current research results, both neuroinflammatory and neurodegenerative processes may exist prior to symptom initiation. Despite the fact that a significant proportion of individuals with radiologically isolated syndrome (RIS) progress to MS, currently, there is no available treatment approved for RIS. Therefore, our idea of "early treatment administration" might be already late in some cases. In order to detect the individuals who will progress to MS, we need accurate biomarkers. In this review, we present notable research results regarding the underlying pathology of MS, as well as several potentially useful laboratory and neuroimaging biomarkers for the identification of high-risk individuals with RIS for developing MS. This review aims to raise clinicians' awareness regarding "subclinical" MS, enrich their understanding of MS pathology, and familiarize them with several potential biomarkers that are currently under investigation and might be used in clinical practice in the future for the identification of individuals with RIS at high risk for conversion to definite MS.

Indexed as

disease progressionearly treatmentlaboratory biomarkersmultiple sclerosismultiple sclerosis prodromeneuroimaging biomarkersRIS

Identifiers

PMID38202221
PMCPMC10780129
OpenAlexW4390403402

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.