Commercial volumetric MRI reporting tools in multiple sclerosis: a systematic review of the evidence.
Purpose: MRI is integral to the diagnosis of multiple sclerosis (MS) and is important for clinical prognostication. Quantitative volumetric reporting tools (QReports) can improve the accuracy and objectivity of MRI-based assessments. Several QReports are commercially available; however, validation c...
| Publicado en: | Neuroradiology Vol. 65; no. 1; pp. 5 - 25 |
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| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161158830&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 161158830 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00283940 NYZ jtl: Neuroradiology issn: 00283940 maglogo: N pubinfo: dt: Jan2023 vid: 65 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 161158830 161158830 161158830 10.1007/s00234-022-03074-w 161158830 ppf: 5 ppct: 20 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Commercial volumetric MRI reporting tools in multiple sclerosis: a systematic review of the evidence. aug: au: Mendelsohn, Zoe Pemberton, Hugh G. Gray, James Goodkin, Olivia Carrasco, Ferran Prados Scheel, Michael Nawabi, Jawed Barkhof, Frederik affil: Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, University College London, London, UK sug: subj: Multiple Sclerosis Diagnosis Magnetic Resonance Imaging Decision Support Techniques Decision Making, Clinical Human Systematic Review Brain Anatomy and Histology Socioeconomic Factors Funding Source ab: Purpose: MRI is integral to the diagnosis of multiple sclerosis (MS) and is important for clinical prognostication. Quantitative volumetric reporting tools (QReports) can improve the accuracy and objectivity of MRI-based assessments. Several QReports are commercially available; however, validation can be difficult to establish and does not currently follow a common pathway. To aid evidence-based clinical decision-making, we performed a systematic review of commercial QReports for use in MS including technical details and published reports of validation and in-use evaluation. Methods: We categorized studies into three types of testing: technical validation, for example, comparison to manual segmentation, clinical validation by clinicians or interpretation of results alongside clinician-rated variables, and in-use evaluation, such as health economic assessment. Results: We identified 10 companies, which provide MS lesion and brain segmentation and volume quantification, and 38 relevant publications. Tools received regulatory approval between 2006 and 2020, contextualize results to normative reference populations, ranging from 620 to 8000 subjects, and require T1- and T2-FLAIR-weighted input sequences for longitudinal assessment of whole-brain volume and lesions. In MS, six QReports provided evidence of technical validation, four companies have conducted clinical validation by correlating results with clinical variables, only one has tested their QReport by clinician end-users, and one has performed a simulated in-use socioeconomic evaluation. Conclusion: We conclude that there is limited evidence in the literature regarding clinical validation and in-use evaluation of commercial MS QReports with a particular lack of clinician end-user testing. Our systematic review provides clinicians and institutions with the available evidence when considering adopting a quantitative reporting tool for MS. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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