Evidence map›Paper›PMID 23494495›Full record

ArticleEuropean radiology2013

Fluid-attenuated inversion recovery vascular hyperintensities are not visible using 3D CUBE FLAIR sequence.

Jérôme Hodel, Xavier Leclerc, Mathieu Rodallec, Sophie Gerber, Raphael Blanc, Olivier Outteryck, Samir Benadjaoud, Cécile Rabrait, Mathieu Zuber, Jean-Pierre Pruvo and 1 more

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Article in European radiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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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

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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

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Jérôme HodelDepartment of Radiology, Hôpital Saint Joseph, Paris, France. jeromehodel@hotmail.com
Xavier Leclerc
Mathieu Rodallec
Sophie Gerber
Raphael Blanc
Olivier Outteryck
Samir Benadjaoud
Cécile Rabrait
Mathieu Zuber
Jean-Pierre Pruvo
Marc Zins

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFluid-attenuated inversion recovery (FLAIR) vascular hyperintensities (FVH), initially described on 2D FLAIR images, are a useful imaging marker in patients with acute ischaemic stroke. We aimed to compare the sensitivity of the 3D CUBE FLAIR sequence with 2D FLAIR for the detection of FVH.

methodsForty-seven consecutive patients admitted for a suspected stroke were explored by 2D and 3D CUBE FLAIR MR sequences at 1.5 and 3 T. Three blinded readers assessed FVH defined as hyperintensities within cerebral arteries. Location of FVH, acute brain infarct and arterial stenosis were also assessed. 2D images were compared with 3D images for the detection of FVH. Agreement between readers was assessed.

resultsOf the 47 patients, 21 FVHs were observed on 2D FLAIR images of 15 patients (11 with acute brain infarct and 11 with an arterial stenosis). No FVH was visualised on 3D CUBE FLAIR images for either proximal or distal locations. Agreement between readers was excellent.

conclusionFVHs are not visible using 3D CUBE FLAIR images. This study suggests that, in suspected acute ischaemic stroke, the assessment of FVH should only be performed on conventional 2D FLAIR images. KEY POINTS: • Fluid-attenuated inversion recovery (FLAIR) vascular hyperintensities (FVH) are of neuroradiological importance. • FVHs are useful imaging markers in patients with an acute ischaemic stroke. • FVHs are not visible using 3D CUBE FLAIR images. • Assessment of FVH should be performed on conventional 2D FLAIR images.

Indexed as

AdultAgedAged, 80 and overBrainBrain InfarctionCerebral ArteriesConstriction, PathologicFemaleHumansImage Processing, Computer-AssistedImaging, Three-DimensionalMagnetic Resonance AngiographyMaleMiddle AgedObserver VariationProspective Studies

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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.