Evidence map›Paper›PMID 23362153›Full record

ArticleHuman brain mapping2014

Associations between T1 white matter lesion volume and regional white matter microstructure in aging.

Elizabeth C Leritz, Juli Shepel, Victoria J Williams, Lewis A Lipsitz, Regina E McGlinchey, William P Milberg, David H Salat

Abstract 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 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–field-weighted citation impact
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

42 citing papers in PubMed.

  1. Trial
  2. Article
  3. Use of Multiple Languages Provides Cognitive Reserve Amidst Age-Related White Matter Changes.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
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  20. Imaging the aged brain: pertinence and methods.Quantitative imaging in medicine and surgery · 2019
    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

7 authors.

Elizabeth C LeritzGeriatric Research, Education and Clinical Center (GRECC) and Neuroimaging Research for Veterans Center (NeRVe), VA Boston Healthcare System, Boston, Massachusetts; Division of Aging, Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, Massachusetts.
Juli Shepel
Victoria J Williams
Lewis A Lipsitz
Regina E McGlinchey
William P Milberg
David H Salat

Funding

VITAMIN D NUTRITION IN THE INSTITUTIONALIZED ELDERLYP01AG004390 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI KIEL, DOUGLAS P. · 1985 to 2008
$13.2M
Translational Researchin Aging Trainnig ProgramT32AG023480 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2004 to 2024
$7.6M
OLDER AMERICANS INDEPENDENCE CENTERP60AG008812 · NIA · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI LIPSITZ, LEWIS · 1995 to 2006
$6.9M
Cerebrovascular Contributions to Brain Aging and DementiaR01NR010827 · NINR · MASSACHUSETTS GENERAL HOSPITAL · PI SALAT, DAVID H · 2007 to 2017
$5.0M
Cerebrovascular Mechanisms of Slow Gait and FallsR01AG041785 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2013 to 2017
$2.4M
The Impact of Risk for AD and CVD on Brain Structure and CognitionK23NS062148 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI LERITZ, ELIZABETH C · 2008 to 2012
$953k
NIA NIH HHS P01 AG004390NIA NIH HHS P01AG004390NIA NIH HHS P60 AG008812NIA NIH HHS P60AG08812NIA NIH HHS R01 AG041785NIA NIH HHS T32 AG023480NINDS NIH HHS K23 NS062148NINDS NIH HHS K23NS062148NINR NIH HHS R01 NR010827NINR NIH HHS R01NR010827
6 · The paper itself

Abstract

White matter lesions, typically manifesting as regions of signal intensity abnormality (WMSA) on MRI, increase in frequency with age. However, the role of this damage in cognitive decline and disease is still not clear, as lesion volume has only loosely been associated with clinical status. Diffusion tensor imaging (DTI) has been used to examine the quantitative microstructural integrity of white matter, and has applications in the examination of subtle changes to tissue that appear visually normal on conventional imaging. The primary goal of this study was to determine whether major macrostructural white matter damage, (total WMSA volume), is associated with microstructural integrity of normal appearing white matter, and if these macrostructural changes fully account for microstructural changes. Imaging was performed in 126 nondemented individuals, ages 43-85 years, with no history of cerebrovascular disease. Controlling for age, greater WMSA volume was associated with decreased fractional anisotropy (FA) in widespread brain regions. Patterns were similar for FA and radial diffusivity but in contrast, WMSA was associated with axial diffusivity in fewer areas. Age was associated with FA in several regions, and many of these effects remained even when controlling for WMSA volume, suggesting the etiology of WMSAs does not fully account for all age-associated white matter deterioration. These results provide evidence that WMSA volume is associated with the integrity of normal-appearing white matter. In addition, our results suggest that overt lesions may not account for the association of increasing age with decreased white matter tissue integrity.

Indexed as

AdultAgedAged, 80 and overAge FactorsAnisotropyBrainDiffusion Tensor ImagingFemaleHumansLeukoencephalopathiesMaleMiddle AgedNerve Fibers, Myelinatedagingdiffusion tensor imagingwhite matter lesionswhite matter microstructure

Identifiers

PMID23362153
PMCPMC4356252

What OpenQuestion holds

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Registered trials

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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.