Evidence map›Paper›PMID 23225611›Full record

ArticleHuman brain mapping2014

The burden of microstructural damage modulates cortical activation in elderly subjects with MCI and leuko-araiosis. A DTI and fMRI study.

Mario Mascalchi, Andrea Ginestroni, Nicola Toschi, Anna Poggesi, Paolo Cecchi, Emilia Salvadori, Carlo Tessa, Mirco Cosottini, Nicola De Stefano, Giovanni Pracucci and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Human brain mapping, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Leukoaraiosis Predicts Short-term Cognitive But not Motor Recovery in Ischemic Stroke Patients During Rehabilitation.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2019
    Observational
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Vascular cognitive impairment and dementia.Biochimica et biophysica acta · 2016
    Review
  19. Article
  20. 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

14 authors at 5 institutions in 1 country.

Mario MascalchiRadiodiagnostic Section, Department of Clinical Physiopathology, University of Florence, Florence, Italy.
Andrea Ginestroni
Nicola Toschi
Anna Poggesi
Paolo Cecchi
Emilia Salvadori
Carlo Tessa
Mirco Cosottini
Nicola De Stefano
Giovanni Pracucci
Leonardo Pantoni
Domenico Inzitari
Stefano Diciotti
VMCI Tuscany Investigators
University of Florence · ITUniversity of Pisa · ITOspedale Versilia · ITUniversity of Rome Tor Vergata · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The term leuko-araiosis (LA) describes a common chronic affection of the cerebral white matter (WM) in the elderly due to small vessel disease with variable clinical correlates. To explore whether severity of LA entails some adaptive reorganization in the cerebral cortex we evaluated with functional MRI (fMRI) the cortical activation pattern during a simple motor task in 60 subjects with mild cognitive impairment and moderate or severe (moderate-to-severe LA group, n = 46) and mild (mild LA group, n = 14) LA extension on visual rating. The microstructural damage associated with LA was measured on diffusion tensor data by computation of the mean diffusivity (MD) of the cerebral WM and by applying tract based spatial statistics (TBSS). Subjects were examined with fMRI during continuous tapping of the right dominant hand with task performance measurement. Moderate-to-severe LA group showed hyperactivation of left primary sensorimotor cortex (SM1) and right cerebellum. Regression analyses using the individual median of WM MD as explanatory variable revealed a posterior shift of activation within the left SM1 and hyperactivation of the left SMA and paracentral lobule and of the bilateral cerebellar crus. These data indicate that brain activation is modulated by increasing severity of LA with a local remapping within the SM1 and increased activity in ipsilateral nonprimary sensorimotor cortex and bilateral cerebellum. These potentially adaptive changes as well lack of contralateral cerebral hemisphere hyperactivation are in line with sparing of the U fibers and brainstem and cerebellar WM tracts and the emerging microstructual damage of the corpus callosum revealed by TBSS with increasing severity of LA.

Indexed as

AgedAged, 80 and overBrainBrain MappingCerebellumCognitive DysfunctionDiffusion Tensor ImagingFemaleFunctional LateralityHumansLeukoaraiosisMaleMiddle AgedMotor ActivityMotor CortexSeverity of Illness Indexdiffusion tensorfunctional MRIleuko-araiosismotor function

Identifiers

PMID23225611
PMCPMC6869323
OpenAlexW1908088802

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.