Evidence map›Paper›PMID 42022641›Full record

ReviewHealth science reports2026

Insights From Quantitative Susceptibility Mapping: An Umbrella Review of Multiple Sclerosis.

Sadegh Ghaderi, Sana Mohammadi, Farzad Fatehi

Abstract readReview
In one paragraph

Review in Health science reports, 2026. 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

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

1 citing paper in PubMed.

  1. 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

3 authors.

Sadegh GhaderiNeuromuscular Research Center, Department of Neurology, Shariati Hospital Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0003-1334-8826
Sana MohammadiNeuromuscular Research Center, Department of Neurology, Shariati Hospital Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-2286-9052
Farzad FatehiNeuromuscular Research Center, Department of Neurology, Shariati Hospital Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-6774-7825

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system characterized by demyelination and neurodegeneration. Conventional MRI techniques lack specificity for detecting subtle pathological changes, such as iron deposition and myelin dynamics. Quantitative susceptibility mapping (QSM), an advanced MRI method sensitive to tissue magnetic susceptibility (χ), has emerged as a promising tool for evaluating iron-related pathology and demyelination in MS. This umbrella review synthesizes evidence from systematic reviews and meta-analyses to consolidate the role of QSM in MS diagnosis, monitoring, and prognostication. Methods: Following PRISMA guidelines, a comprehensive search of PubMed, Scopus, Web of Science, and Embase identified seven studies (four meta-analyses, three systematic reviews) encompassing 5389 MS patients, covering publications up to January 1, 2025. Methodological quality was assessed using AMSTAR 2, revealing moderate-to-low confidence in findings. Results: Key results demonstrated elevated χ in deep gray matter structures-particularly the globus pallidus, putamen, and caudate nucleus-in MS patients compared to healthy controls, correlating with clinical disability (e.g., Expanded Disability Status Scale scores) and cognitive dysfunction. Thalamic χ exhibited dynamic patterns, with reduced susceptibility in advanced disease stages. QSM outperformed conventional techniques (e.g., R2*, SWI) in detecting iron deposition, differentiating lesion types (e.g., paramagnetic rim lesions), and distinguishing MS from mimics. Rim-enhancing lesions showed higher χ values linked to inflammatory activity, while white matter lesions reflected demyelination-driven susceptibility changes. Despite QSM's diagnostic and prognostic potential, methodological heterogeneity and inconsistent standardization of PRL criteria limit comparability. Conclusion: This review underscores QSM's utility as a biomarker for MS pathophysiology while advocating for standardized protocols and longitudinal studies to validate its clinical translation.

Indexed as

multiple sclerosisneuroimagingquantitative susceptibility mapping

Identifiers

PMID42022641
PMCPMC13097562

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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.