Choroid plexus volume changes in multiple sclerosis: insights from a systematic review and meta-analysis of magnetic resonance imaging studies.

Purpose: Multiple sclerosis (MS) is a chronic autoimmune disease characterized by the destruction of the myelin sheath within the central nervous system. The etiology of MS involves a complex interplay of genetic, environmental, and immunological factors. Recent studies indicated the potential role...

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Publicado en:Neuroradiology Vol. 66; no. 11; pp. 1869 - 1887
Autores principales: Kolahi, Shahriar, Zarei, Diana, Issaiy, Mahbod, Shakiba, Madjid, Azizi, Narges, Firouznia, Kavous
Formato: meta analysis pictorial research systematic review tables/charts Journal Article
Publicado: Springer Nature Nov2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-024-03439-3
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        atl: Choroid plexus volume changes in multiple sclerosis: insights from a systematic review and meta-analysis of magnetic resonance imaging studies.
      aug:
        au:
          Kolahi, Shahriar
          Zarei, Diana
          Issaiy, Mahbod
          Shakiba, Madjid
          Azizi, Narges
          Firouznia, Kavous
        affil: Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Multiple Sclerosis Diagnosis
          Multiple Sclerosis Physiopathology
          Cerebral Ventricles Pathology
          Cerebral Ventricles Anatomy and Histology
          Neuroinflammation
          Magnetic Resonance Imaging
          Professional Knowledge
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Embase
          Blood-Brain Barrier
          Descriptive Statistics
          Confidence Intervals
          Disease Progression
          Cerebral Ventricles Physiopathology
          Checklists
      ab: Purpose: Multiple sclerosis (MS) is a chronic autoimmune disease characterized by the destruction of the myelin sheath within the central nervous system. The etiology of MS involves a complex interplay of genetic, environmental, and immunological factors. Recent studies indicated the potential role of the choroid plexus (CP) in the pathogenesis and progression of MS. This systematic review aims to assess existing research on the volume alterations of the CP in MS patients compared to the normal population. Methods: A comprehensive search was conducted across databases including PubMed, Embase, Scopus, and Web of Science up to June 2024. Data from the included studies were synthesized using a meta-analytical approach with a random-effects model, assessing heterogeneity with the I2 and Tau-squared indices. Results: We included 17 studies in this systematic review. The meta-analysis, which included data from eight studies reporting CP volume relative to TIV, found a statistically significant increase in CP volume in MS patients compared to healthy controls (HCs). The SMD was 0.77 (95% CI: 0.61 to 0.93), indicating a large effect size. This analysis showed no heterogeneity (I² = 0%). A separate meta-analysis was conducted using five studies that reported CP volume as normalized volume, resulting in an SMD of 0.63 (95% CI: 0.2–1.06). Conclusion: This study demonstrates an increase in CP volume among MS patients compared to HCs, implying the potential involvement of CP in MS pathogenesis and/or progression. These results show that CP might serve as a radiological indicator in the diagnosis and prognosis of MS.
      pubtype: Academic Journal
      doctype:
        meta analysis
        pictorial
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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