Evidence map›Paper›PMID 20660866›Full record

Trial reportNeurology2010

Cortical neuroanatomic correlates of symptom severity in primary progressive aphasia.

D Sapolsky, A Bakkour, A Negreira, P Nalipinski, S Weintraub, M-M Mesulam, D Caplan, B C Dickerson

Open access · bronzeAbstract readClinical TrialValidation Study
In one paragraph

Trial report in Neurology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Language and behavior domains enhance the value of the clinical dementia rating scale.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2011
    Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Grammatical Parallelism in Aphasia: A Lesion-Symptom Mapping Study.Neurobiology of language (Cambridge, Mass.) · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Italian translation and cross-cultural adaptation of the Progressive Aphasia Severity Scale.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. The Cortical Organization of Syntax.Cerebral cortex (New York, N.Y. : 1991) · 2020
    Article
  18. Article
  19. Article
  20. Article
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

8 authors at 1 institution in 1 country.

D SapolskyMGH Frontotemporal Dementia Unit, Massachusetts General Hospital and Harvard Medical School, 149 13th Street, Charlestown, MA 02129, USA.
A Bakkour
A Negreira
P Nalipinski
S Weintraub
M-M Mesulam
D Caplan
B C Dickerson
Northwestern University · US

Funding

THE ROLE OF ADVANCED CAA IN ALZHEIMER'S DEMENTIAP50AG005134 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI SPERLING, REISA A. · 1985 to 2018
$42.1M
MULTIDISCIPLINARY CLINICAL AND TRANSLATIONAL SCIENCE (MCTS) PROGRAM (UL1)UL1RR025741 · NCRR · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GREENLAND, PHILIP · 2008 to 2011
$24.7M
MORPHOMETRY BIOMEDICAL INFORMATICS RESEARCH NETWORKU24RR021382 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI ROSEN, BRUCE R · 2004 to 2008
$24.1M
ULTRAHIGH FIELD TECHNOLOGY FOR FUNCTIONAL IMAGINGP41RR014075 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI HAMALAINEN, MATTI · 1999 to 2011
$16.4M
Language in Primary Progressive AphasiaR01DC008552 · NIDCD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MESULAM, MAREK-MARSEL M · 2007 to 2021
$8.5M
LOCALIZATION OF DISORDERS OF SYNTAX-BASED COMPREHENSIONR01DC000942 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI CAPLAN, DAVID NORMAN · 1991 to 2011
$3.8M
Medial temporal lobe subregions in aging, MCI and AD:Structural and functional MR01AG029411 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI DICKERSON, BRADFORD C · 2007 to 2011
$2.3M
Ultrahigh-resolution in vivo and ex vivo MRI of human medial temporal lobeR21AG029840 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI DICKERSON, BRADFORD C · 2008 to 2009
$404k
NCRR NIH HHS P41-RR14075NCRR NIH HHS U24-RR021382NCRR NIH HHS UL1 RR025741NIA NIH HHS P50-AG005134NIA NIH HHS R01 AG029411NIA NIH HHS R01-AG29411NIA NIH HHS R21-AG29840NIDCD NIH HHS R01 DC000942NIDCD NIH HHS R01 DC008552
6 · The paper itself

Abstract

objectiveTo test the validity and reliability of a new measure of clinical impairment in primary progressive aphasia (PPA), the Progressive Aphasia Severity Scale (PASS), and to investigate relationships with MRI-based cortical thickness biomarkers for localizing and quantifying the severity of anatomic abnormalities.

methodsPatients with PPA were rated using the PASS and underwent performance-based language testing and MRI scans that were processed for cortical thickness measures.

resultsThe level of impairment in PASS fluency, syntax/grammar, and word comprehension showed strong specific correlations with performance-based measures of these domains of language, and demonstrated high interrater reliability. Left inferior frontal thinning correlated with impairment in fluency and grammar/syntax, while left temporopolar thinning correlated with impairment in word comprehension. Discriminant function analysis demonstrated that a combination of left inferior frontal, left temporopolar, and left superior temporal sulcal thickness separated the 3 PPA subtypes from each other with 100% accuracy (87% accuracy in a leave-one-out analysis).

conclusionsThe PASS, a novel measure of the severity of clinical impairment within domains of language typically affected in PPA, demonstrates reliable and valid clinical-behavioral properties. Furthermore, the presence of impairment in individual PASS domains demonstrates specific relationships with focal abnormalities in particular brain regions and the severity of impairment is strongly related to the severity of anatomic abnormality within the relevant brain region. These anatomic imaging biomarkers perform well in classifying PPA subtypes. These data provide robust support for the value of this novel clinical measure and the new imaging measure as markers for potential use in clinical research and trials in PPA.

Indexed as

Severity of Illness IndexAgedAphasia, Primary ProgressiveBrain MappingFemaleFrontal LobeHumansLanguage TestsMagnetic Resonance ImagingMaleMiddle AgedNeuroanatomyObserver VariationPhoneticsReproducibility of ResultsSemantics

Identifiers

PMID20660866
PMCPMC2918888
OpenAlexW2098310737

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.