Evidence map›Paper›PMID 31602513›Full record

ArticleEuropean radiology2020

Cortical quantitative MRI parameters are related to the cognitive status in patients with relapsing-remitting multiple sclerosis.

Alexandra van Wijnen, Franca Petrov, Michelle Maiworm, Stefan Frisch, Christian Foerch, Elke Hattingen, Helmuth Steinmetz, Johannes C Klein, Ralf Deichmann, Marlies Wagner and 1 more

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 21 citations in OpenAlex.

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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

11 authors at 2 institutions in 2 countries.

Alexandra van WijnenDepartment of Neurology, Goethe University, Frankfurt/Main, Germany.
Franca PetrovDepartment of Neurology, Goethe University, Frankfurt/Main, Germany.
Michelle MaiwormDepartment of Neurology, Goethe University, Frankfurt/Main, Germany.
Stefan FrischInstitute of Psychology, Goethe University, Frankfurt/Main, Germany.
Christian FoerchDepartment of Neurology, Goethe University, Frankfurt/Main, Germany.
Elke HattingenDepartment of Neuroradiology, Goethe University, Frankfurt/Main, Germany.
Helmuth SteinmetzDepartment of Neurology, Goethe University, Frankfurt/Main, Germany.
Johannes C KleinNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Ralf DeichmannBrain Imaging Center, Goethe University, Frankfurt/Main, Germany.
Marlies WagnerDepartment of Neuroradiology, Goethe University, Frankfurt/Main, Germany.
René-Maxime GracienDepartment of Neurology, Goethe University, Frankfurt/Main, Germany. Rene-Maxime.Gracien@kgu.de.ORCID http://orcid.org/0000-0003-1065-940X
Goethe University Frankfurt · DEUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to assess cortical damage in patients with relapsing-remitting multiple sclerosis (RRMS)/clinically isolated syndrome (CIS) with a multiparametric, surface-based quantitative MRI (qMRI) approach and to evaluate the correlation of imaging-derived parameters with cognitive scores, hypothesizing that qMRI parameters are correlated with cognitive abilities.

methodsMultiparametric qMRI-data (T1, T2 and T2* relaxation times and proton density (PD)) were obtained from 34 patients/24 matched healthy control subjects. Cortical qMRI values were analyzed on the reconstructed cortical surface with Freesurfer. We tested for group differences of cortical microstructural parameters between the healthy and patient collectives and for partial Pearson correlations of qMRI parameters with cognitive scores, correcting for age.

resultsCortical T2-/T2*-/PD values and four cognitive parameters differed between groups (p ≤ 0.046). These cognitive scores, reflecting information processing speed, verbal memory, visuospatial abilities, and attention, were correlated with cortical T2 (p ≤ 0.02) and T2* (p ≤ 0.03). Cortical changes appeared heterogeneous across the cortex and their distribution differed between the parameters. Vertex-wise correlation of T2 with neuropsychological parameters revealed specific patterns of cortical damage being related to distinct cognitive deficits.

conclusionsMicrostructural changes are distributed heterogeneously across the cortex in RRMS/CIS. QMRI has the potential to provide surrogate parameters for the assessment of cognitive impairment in these patients for clinical studies. The characteristics of cognitive impairment in RRMS might depend on the distribution of cortical changes. KEY POINTS: • The goal of the presented study was to investigate cortical changes in RRMS/CIS and their relation to the cognitive status, using multiparametric quantitative MRI. • Cortical T2, T2*, and PD increases observed in patients appeared heterogeneous across the cortex and their distribution differed between the parameters. • Vertex-wise correlation of T2 with neuropsychological scores revealed specific patterns of cortical changes being related to distinct cognitive deficits.

Indexed as

AdultBrainCognitive DysfunctionEvaluation Studies as TopicFemaleHumansMagnetic Resonance ImagingMaleMultiple Sclerosis, Relapsing-RemittingCognitionDemyelinating diseasesMagnetic resonance imagingMultiple sclerosisRelapsing-remitting

Identifiers

PMID31602513
OpenAlexW2979685026

What Socratic holds

Textmetadata
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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.