Evidence map›Paper›PMID 38990917›Full record

ArticlePloS one2024

Optical coherence tomography of the macular ganglion cell layer in children with neurofibromatosis type 1 is a useful tool in the assessment for optic pathway gliomas.

Urszula Arnljots, Maria Nilsson, Roberto Bolzani, Mariagrazia Benassi, Ulrika Sandvik, Daniel Martin Munoz, Klas Blomgren, Kerstin Hellgren

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Advances in the management of pediatric low-grade glioma.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
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4 · The record

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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.

Urszula ArnljotsDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.ORCID 0009-0006-3652-908X
Maria NilssonDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Roberto BolzaniDepartment of Psychology, University of Bologna, Bologna, Italy.
Mariagrazia BenassiDepartment of Psychology, University of Bologna, Bologna, Italy.
Ulrika SandvikDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-9273-2158
Daniel Martin MunozDepartment of Neuroradiology and Pediatric Radiology, Karolinska University Hospital Solna, Stockholm, Sweden.
Klas BlomgrenPediatric Oncology, Astrid Lindgren Children's Hospital Karolinska University Hospital, Stockholm, Sweden.
Kerstin HellgrenDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptic pathway glioma (OPG) is a feared complication to neurofibromatosis type 1 (NF1) since it can cause visual impairment in young children. The main goal of screening is to detect symptomatic OPGs that require treatment. Optical coherence tomography (OCT) has been suggested as a tool for detection of neuro-retinal damage.

aimsTo investigate whether the ganglion cell layer assessed by OCT is a reliable measure to identify and detect relapses of symptomatic OPGs in children with NF1.

methodsChildren (3-6 years) with NF1, with and without known OPG and children with sporadic OPG (S-OPG) resident in the Stockholm area, were invited and followed in a prospective study during a three-year period. Brain magnetic resonance tomography (MRI) had been performed in children with symptoms of OPG. Outcome measures were VA in logMAR, visual field index (VFI), average thicknesses of the ganglion cell-inner plexiform layer (GC-IPL), and peripapillary retinal nerve fiber layer (pRNFL).

resultsThere were 25 children with MRI-verified OPG and 52 with NF1 without symptomatic OPG. Eyes from NF1 patients without symptoms of OPG showed significantly better results in all four analyzed parameters compared to eyes with NF1-associated OPG. Mean GC-IPL measurements seemed stable and reliable, significantly correlated to pRNFL (correlation coefficient (r) = 0.662, confidence interval (CI) = .507 to .773 p<0.001), VA (r = -0.661, CI = -7.45 to -.551, p<0.001) and VFI (r = 0.644, CI = .452 to .774, p<0.001). GC-IPL measurements were easy to obtain and acquired at considerably younger age than pRNFL (5.6±1.5 vs 6.8±1.3; p<0.001).

conclusionsThe mean GC-IPL thickness could distinguish well between eyes with OPG and eyes without symptomatic OPG in children with NF1. As thinning of GC-IPL assessed with OCT could indicate underlying OPG, it should be included in the screening protocol of children with questionable VA measurements and in particular in children with NF1.

Indexed as

Neurofibromatosis 1Optic Nerve GliomaRetinal Ganglion CellsTomography, Optical CoherenceChildChild, PreschoolFemaleHumansMagnetic Resonance ImagingMaleProspective StudiesVisual Acuity

Identifiers

PMID38990917
PMCPMC11239031

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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.