Evidence map›Paper›PMID 21700580›Full record

ArticleNeurology2011

Severity of leukoaraiosis determines clinical phenotype after brain infarction.

E M Arsava, A Bayrlee, M Vangel, N S Rost, J Rosand, K L Furie, A G Sorensen, H Ay

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. White matter hyperintensity determines ischemic stroke severity in symptomatic carotid artery stenosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  3. Article
  4. Article
  5. Article
  6. Determinants of white matter hyperintensity burden differ at the extremes of ages of ischemic stroke onset.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2015
    Article
  7. Article
  8. Article
  9. Article
  10. Clinical neurogenetics: stroke.Neurologic clinics · 2013
    Review
  11. Article
  12. Article
  13. Article
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

8 authors at 1 institution in 1 country.

E M ArsavaA.A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 149 13th Street, Room 2301, Charlestown, MA 02129, USA.
A Bayrlee
M Vangel
N S Rost
J Rosand
K L Furie
A G Sorensen
H Ay
Broad Institute · US

Funding

Specialized Programs of Translational Research in Acute Stroke at the PartnersP50NS051343 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GREENBERG, STEVEN M · 2006 to 2013
$17.5M
The NINDS International Stroke Genetics Consortium StudyU01NS069208 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI KITTNER, STEVEN J · 2010 to 2013
$9.4M
MRI DIFFUSION/PERFUSION MISMATCH IN HUMAN ACUTE STROKER01NS038477 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI SORENSEN, A. GREGORY · 1999 to 2008
$6.1M
Gene Discovery for Warfarin-Related Intracerebral HemorrhageR01NS059727 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ROSAND, JONATHAN · 2008 to 2012
$4.2M
Heart-Brain Interactions In Human Acute Ischemic StrokeR01NS059710 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI AY, HAKAN · 2009 to 2013
$1.9M
Sharing canonical human stroke dataR01NS063925 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI WU, ONA · 2009 to 2010
$1.4M
NINDS NIH HHS P50 NS051343NINDS NIH HHS P50-NS051343NINDS NIH HHS R01-NS038477NINDS NIH HHS R01 NS059710NINDS NIH HHS R01-NS059710NINDS NIH HHS R01-NS059727NINDS NIH HHS R01 NS063925NINDS NIH HHS R01-NS063925NINDS NIH HHS U01 NS069208-01
6 · The paper itself

Abstract

objectiveTo determine whether the extent of leukoaraiosis, a composite marker of baseline brain integrity, differed between patients with TIA with diffusion-weighted imaging (DWI) evidence of infarction (transient symptoms with infarction [TSI]) and patients with ischemic stroke.

methodsLeukoaraiosis volume on MRI was quantified in a consecutive series of 153 TSI and 354 ischemic stroke patients with comparable infarct volumes on DWI. We explored the relationship between leukoaraiosis volume and clinical phenotype (TIA or ischemic stroke) using a logistic regression model.

resultsPatients with TSI tended to be younger (median age 66 vs 69 years, p = 0.062) and had smaller median normalized leukoaraiosis volume (1.2 mL, interquartile range [IQR] 0.2-4.7 mL vs 3.5 mL, IQR 1.2-8.6 mL, p < 0.001). In multivariable analysis controlling for age, stroke risk factors, etiologic stroke mechanism, infarct volume, and infarct location, increasing leukoaraiosis volume remained associated with ischemic stroke (odds ratio 1.05 per mL, 95%confidence interval 1.02-1.09, p = 0.004), along with infarct volume and infarct location.

conclusionThe probability of ischemic stroke rather than TSI increases with increasing leukoaraiosis volume, independent of infarct size and location. Our findings support the concept that the integrity of white matter tracts connecting different parts of the brain could contribute to whether or not patients develop TSI or ischemic stroke in an event of brain infarction.

Indexed as

AgedBrain InfarctionDiffusion Tensor ImagingDisease ProgressionFemaleHumansImage Processing, Computer-AssistedLeukoaraiosisMagnetic Resonance ImagingMaleMiddle AgedPhenotypePrognosisRetrospective StudiesSeverity of Illness Index

Identifiers

PMID21700580
PMCPMC3127331
OpenAlexW2166119332

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.