Evidence map›Paper›PMID 38751230›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2024

Retinal small vessel pathology is associated with disease burden in multiple sclerosis.

Rebecca Wicklein, Linus Kreitner, Anna Wild, Lilian Aly, Daniel Rueckert, Bernhard Hemmer, Thomas Korn, Martin J Menten, Benjamin Knier

Abstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Comorbidity and modifiable risk factors in multiple sclerosis.Therapeutic advances in neurological disorders · 2026
    Review
  5. Article
  6. MOGJournal of neuroinflammation · 2025
    Review
  7. 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

9 authors.

Rebecca WickleinDepartment of Neurology, Klinikum rechts der Isar, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Linus KreitnerInstitute for AI and Informatics in Medicine, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Anna WildDepartment of Neurology, Klinikum rechts der Isar, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Lilian AlyDepartment of Neurology, Klinikum rechts der Isar, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Daniel RueckertInstitute for AI and Informatics in Medicine, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Bernhard HemmerDepartment of Neurology, Klinikum rechts der Isar, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Thomas KornDepartment of Neurology, Klinikum rechts der Isar, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Martin J MentenInstitute for AI and Informatics in Medicine, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Benjamin KnierDepartment of Neurology, Klinikum rechts der Isar, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.ORCID 0000-0003-4187-9472

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlterations of the superficial retinal vasculature are commonly observed in multiple sclerosis (MS) and can be visualized through optical coherence tomography angiography (OCTA).

objectivesThis study aimed to examine changes in the retinal vasculature during MS and to integrate findings into current concepts of the underlying pathology.

methodsIn this cross-sectional study, including 259 relapsing-remitting MS patients and 78 healthy controls, we analyzed OCTAs using deep-learning-based segmentation algorithm tools.

resultsWe identified a loss of small-sized vessels (diameter < 10 µm) in the superficial vascular complex in all MS eyes, irrespective of their optic neuritis (ON) history. This alteration was associated with MS disease burden and appears independent of retinal ganglion cell loss. In contrast, an observed reduction of medium-sized vessels (diameter 10-20 µm) was specific to eyes with a history of ON and was closely linked to ganglion cell atrophy.

conclusionThese findings suggest distinct atrophy patterns in retinal vessels in patients with MS. Further studies are necessary to investigate retinal vessel alterations and their underlying pathology in MS.

Indexed as

Multiple Sclerosis, Relapsing-RemittingOptic NeuritisRetinal VesselsTomography, Optical CoherenceAdultAtrophyCost of IllnessCross-Sectional StudiesDeep LearningFemaleHumansMaleMiddle AgedRetinal Ganglion Cellsdeep learningMultiple sclerosisneuroophthalmologyoptical coherence tomography angiographypathophysiologyretinal microvasculature

Identifiers

PMID38751230
PMCPMC11134992

What Socratic holds

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LicenceCC BY-NC
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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.