PT - JOURNAL ARTICLE AU - Sonika Singh AU - Christopher Tench AU - Radu Tanasescu AU - Cris Constantinescu TI - Gray Matter alterations in MS and CIS: a Coordinate based Meta-analysis and regression AID - 10.1101/2020.04.11.036954 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.04.11.036954 4099 - http://biorxiv.org/content/early/2020/04/13/2020.04.11.036954.short 4100 - http://biorxiv.org/content/early/2020/04/13/2020.04.11.036954.full AB - The purpose of this coordinate based meta-analysis (CBMA) was to summarise the available evidence related to regional grey matter (GM) changes in patients with multiple sclerosis (MS) and clinically isolated syndrome (CIS). CBMA is a way to find the consistent results across multiple independent studies that are otherwise not easily comparable due to methodological differences. The coordinate based random effect size (CBRES) meta-analysis method utilizes the reported coordinates (foci of the clusters of GM loss) and Z score standardised by number of subjects, controlling type I error rate by false cluster discovery rate (FCDR). Thirty-four published articles reporting forty-five independent studies using voxel-based morphometry (VBM) for the assessment of GM atrophy between MS or CIS patients and healthy controls were identified from electronic databases. The primary meta-analysis identified clusters of spatially consistent cross-study reporting of GM atrophy; subgroup analyses and meta-regression were also performed. This meta-analysis demonstrates consistent areas of GM loss in MS or CIS, in the form of significant clusters. Some clusters also demonstrate correlation with disease duration.Competing Interest StatementThe authors have declared no competing interest.