Evidence map›Paper›PMID 41921125›Full record

Observational studyNeurology(R) neuroimmunology & neuroinflammation2026

TRUE-MOGAD Score: A Novel Scoring System to Identify MOGAD Among Positive MOG-IgG Test Results.

Andreu Vilaseca, Angeliki G Filippatou, Yana Said, Elia Sechi, Stephanie B Syc-Mazurek, Laura Cacciaguerra, Kai Guo, Nisa Vorasoot, Moritz Niederschweiberer, Smathorn Thakolwiboon and 7 more

Erratum issuedAbstract readObservational Study
In one paragraph

Observational study in Neurology(R) neuroimmunology & neuroinflammation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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.

  1. Article
  2. Beyond Positivity: Understanding and Interpreting MOG-IgG Testing in MOGAD.Journal of clinical neurology (Seoul, Korea) · 2026
    Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Andreu VilasecaDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0001-8147-8505
Angeliki G FilippatouDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0003-0419-233X
Yana SaidDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0009-0004-4350-1910
Elia SechiDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0003-4698-663X
Stephanie B Syc-MazurekDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0002-9549-6648
Laura CacciaguerraDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0001-9342-2410
Kai GuoDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0001-5028-6789
Nisa VorasootDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0002-0751-8967
Moritz NiederschweibererDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN.
Smathorn ThakolwiboonDepartment of Neurology, Mayo Clinic Health System-Franciscan Healthcare, La Crosse, WI.ORCID 0000-0003-0607-904X
Jessica A SagenDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0002-1986-6352
Sebastian A Lopez-ChiribogaDepartment of Neurology, Mayo Clinic, Jacksonville, FL.ORCID 0000-0001-5653-5600
Jan-Mendelt TillemaDepartment of Neurology, Division of Child and Adolescence, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0001-6933-8913
John J ChenDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0003-3644-7528
Sean J PittockDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0002-6140-5584
Elias S SotirchosDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0002-8812-1637
Eoin P FlanaganDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0002-6661-2910

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMyelin oligodendrocyte glycoprotein (MOG) antibodies (MOG-IgG) are a biomarker of MOG antibody-associated disease (MOGAD). However, false positives remain common. We aimed to develop a scoring tool to guide interpretation.

methodsObservational study of MOG-IgG-positive patients at Mayo Clinic (May 2022-December 2024). The primary outcome was fulfillment of 2023-MOGAD diagnostic criteria. Predictive variables were identified using logistic regression, and scoring systems were derived and evaluated using receiver operating characteristic analysis. Internal (n = 92) and external (Johns Hopkins, n = 117) validation was performed.

resultsOf 215 MOG-IgG positive patients, 144 were true positive per 2023-MOGAD diagnostic criteria (positive predictive value, 67.0%). The DISCUSSION: The TRUE-MOGAD score is a practical tool that accurately identifies MOGAD among positive MOG-IgG test results and may guide diagnostic and therapeutic decisions in clinical practice. CLASSIFICATION OF EVIDENCE: This study provides Class II evidence that a TRUE-MOGAD score of 2 or more accurately predicts MOGAD in patients with MOG-IgG titers of 1:20 or higher using the assay described.

Indexed as

Immunoglobulin GMyelin-Oligodendrocyte GlycoproteinMyelin Oligodendrocyte Glycoprotein Antibody-Associated DiseaseAdultFemaleHumansMaleMiddle AgedImmunoglobulin GMOG protein, humanMyelin-Oligodendrocyte Glycoprotein

Identifiers

PMID41921125
PMCPMC13045729

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.