Evidence map›Paper›PMID 41664737›Full record

ArticleCureus2026

Quantitative Magnetic Resonance Imaging Biomarkers in the Evaluation of Disease Activity in Thyroid Eye Disease: A Retrospective Study.

Duncan Marston, Sarah Grech, Andrea Noah Paris, Nicole Galdes, Isaac Bertuello, Andrew Palmier

Erratum issuedAbstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Duncan MarstonOphthalmology, Mater Dei Hospital, Msida, MLT.
Sarah GrechOphthalmology, Mater Dei Hospital, Msida, MLT.
Andrea Noah ParisSurgery, Mater Dei Hospital, Msida, MLT.
Nicole GaldesSurgery, Mater Dei Hospital, Msida, MLT.
Isaac BertuelloOphthalmology, Mater Dei Hospital, Msida, MLT.
Andrew PalmierOphthalmology, Mater Dei Hospital, Msida, MLT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective The aim of this study was to determine whether quantitative measurements of extra-ocular muscles and structures on magnetic resonance imaging (MRI) correlate with disease activity in thyroid eye disease (TED). Method A retrospective review of 162 patients, between June 2014 and June 2024, with TED who underwent MRI orbits was conducted. The patients were categorised into two groups: those with clinical and imaging features consistent with active TED (n = 73; 45.1%) and those with inactive disease (n = 89; 54.9%). T1-weighted imaging, T2-weighted imaging, and short tau inversion recovery (STIR) on MRI sequences were used to measure exophthalmos value, extra-ocular muscle diameters, orbital fat thickness, and optic nerve diameters. An independent t-test was carried out to determine statistical significance (p < 0.05) in structural measurements between both groups. The area under the receiver operating characteristic curve (ROC) analysis was used to deduce the diagnostic accuracy of structural measurements in predicting disease activity. Results Inferior rectus (IR) and medial rectus (MR) muscles were significantly larger in patients with active disease (p < 0.05 and p < 0.05, respectively). Total extraocular muscle (EOM) was also significantly larger in this group (p < 0.05). Total EOM/exophthalmos and IR/total EOM ratios showed higher values in patients with active disease (p < 0.05). ROC analysis showed that the cut-off point of total EOM/exophthalmos ratio was 0.647, with a sensitivity of 90.4% and specificity of 88.8% (AUC = 0.96; 95% CI: 0.94-0.99), whilst the IR/Total EOM ratio had a cut-off point of 0.362, with a sensitivity of 90.4% and a specificity of 87.6% (AUC = 0.94; 95% CI: 0.9-0.98). Conclusion MRI-derived quantitative measurements, particularly the total EOM/exophthalmos and IR/total EOM ratios, reliably distinguish active from inactive TED, on MRI, with high sensitivity and specificity. These imaging biomarkers offer a valuable, non-invasive tool for assessing disease activity and monitoring progression in TED.

Indexed as

extraocular musclesmri orbitneuroimaging biomarkersorbital imaging‘thyroid eye disease’

Identifiers

PMID41664737
PMCPMC12883248

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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.