Evidence map›Paper›PMID 39382072›Full record

ArticleAnnals of clinical and translational neurology2024

Clinical relevance of paramagnetic rim lesion heterogeneity in multiple sclerosis.

Anna Stölting, Colin Vanden Bulcke, Serena Borrelli, Céline Bugli, Renaud Du Pasquier, Vincent van Pesch, Pietro Maggi

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

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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

7 authors.

Anna StöltingNeuroinflammation Imaging Lab (NIL), Institute of NeuroScience, Université catholique de Louvain, Brussels, Belgium.ORCID 0000-0003-0880-0267
Colin Vanden BulckeNeuroinflammation Imaging Lab (NIL), Institute of NeuroScience, Université catholique de Louvain, Brussels, Belgium.ORCID 0000-0002-2210-1625
Serena BorrelliNeuroinflammation Imaging Lab (NIL), Institute of NeuroScience, Université catholique de Louvain, Brussels, Belgium.ORCID 0000-0002-3186-1562
Céline BugliPlateforme technologique de Support en Méthodologie et Calcul Statistique, Université catholique de Louvain, Brussels, Belgium.ORCID 0000-0001-5871-8558
Renaud Du PasquierNeurology Service, Department of Clinical Neurosciences, University Hospital of Lausanne and University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-2786-3434
Vincent van PeschDepartment of Neurology, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium.ORCID 0000-0003-2885-9004
Pietro MaggiNeuroinflammation Imaging Lab (NIL), Institute of NeuroScience, Université catholique de Louvain, Brussels, Belgium.ORCID 0000-0003-1697-5585

Funding

Fédération Wallonie Bruxelles - Fonds Spéciaux de Recherche (F.S.R), Université catholique de LouvainFondation Charcot Stichting Research FundFonds De La Recherche Scientifique - FNRS 40008331Fonds de Recherche Clinique, Cliniques universitaires Saint-LucFonds de Recherche Clinique (FRC), Université catholique de LouvainFunds Claire Fauconnier, Ginette Kryksztein & José and Marie Philippart-Hoffelt
6 · The paper itself

Abstract

objectivePrevious studies reveal heterogeneity in terms of paramagnetic rim lesions (PRL) associated tissue damage. We investigated the physiopathology and clinical implications of this heterogeneity.

methodsIn 103 MS patients (72 relapsing and 31 progressive), brain lesions were manually segmented on 3T 3D-FLAIR and rim visibility was assessed with a visual confidence level score (VCLS) on 3D-EPI phase. Using T1 relaxation time maps, lesions were categorized in long-T1 and short-T1. Lesion age was calculated from time of first gadolinium enhancement (N = 84 lesions). Results on clinical scores were validated in an extended cohort of 167 patients using normalized T1w-MPRAGE lesion values.

resultsRim visibility (VCLS analysis) was associated with increasing lesional T1 (P/P

interpretationPRL show substantial heterogeneity in terms of intralesional tissue damage. More destructive, likely older, long-T1 PRL improve the association with MS clinical scales. This PRL heterogeneity characterization was replicated using standard T1w MRI, highlighting its potential for clinical translation.

Indexed as

Magnetic Resonance ImagingAdultBrainClinical RelevanceFemaleHumansMaleMiddle AgedMultiple SclerosisMultiple Sclerosis, Chronic ProgressiveMultiple Sclerosis, Relapsing-Remitting

Identifiers

PMID39382072
PMCPMC11651185

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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.