Evidence map›Paper›PMID 25429356›Full record

ArticleNeuroImage. Clinical2015

Final infarct volume estimation on 1-week follow-up MR imaging is feasible and is dependent on recanalization status.

Mark Krongold, Mohammed A Almekhlafi, Andrew M Demchuk, Shelagh B Coutts, Richard Frayne, Armin Eilaghi

Abstract read
In one paragraph

Article in NeuroImage. Clinical, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Trial
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  3. Hyperemia detection on arterial spin labeling is associated with final infarct volume in stroke post-endovascular therapy.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2025
    Observational
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  20. Optimizing image registration and infarct definition in stroke research.Annals of clinical and translational neurology · 2017
    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

6 authors.

Mark KrongoldRadiology and Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada ; Seaman Family Centre, Foothills Medical Centre, Alberta Health Services, Calgary, Alberta, Canada ; Biomedical Engineering, University of Calgary, Calgary, Alberta, Canada.
Mohammed A AlmekhlafiRadiology and Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada ; Seaman Family Centre, Foothills Medical Centre, Alberta Health Services, Calgary, Alberta, Canada ; King Abdulaziz University, Jeddah, Saudi Arabia.
Andrew M DemchukRadiology and Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada ; Seaman Family Centre, Foothills Medical Centre, Alberta Health Services, Calgary, Alberta, Canada ; Calgary Stroke Program, Foothills Medical Centre, Calgary, Alberta, Canada.
Shelagh B CouttsRadiology and Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada ; Seaman Family Centre, Foothills Medical Centre, Alberta Health Services, Calgary, Alberta, Canada ; Calgary Stroke Program, Foothills Medical Centre, Calgary, Alberta, Canada.
Richard FrayneRadiology and Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada ; Seaman Family Centre, Foothills Medical Centre, Alberta Health Services, Calgary, Alberta, Canada ; Biomedical Engineering, University of Calgary, Calgary, Alberta, Canada.
Armin EilaghiRadiology and Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada ; Seaman Family Centre, Foothills Medical Centre, Alberta Health Services, Calgary, Alberta, Canada ; Biomedical Engineering, University of Calgary, Calgary, Alberta, Canada.

Funding

Canadian Institutes of Health Research MOP-118096
6 · The paper itself

Abstract

purposeWe aim to characterize infarct volume evolution within the first month post-ischemic stroke and to determine the effect of recanalization status on early infarct volume estimation.

methodsIschemic stroke patients recruited for the MONITOR and VISION studies were retrospectively screened and patients who had infarcts on diffusion-weighted imaging (DWI) at baseline and had at least two follow-up MR scans (n = 56) were included. Pre-defined target imaging time points, obtained on a 3-T MR scanner, were 12 hours (h), 24 h, 7 days, and ≥30 days post-stroke. Infarct tissue was manually traced blinded to the images at the other time points. Infarct expansion index was calculated by dividing infarct volume at each follow-up time point by the baseline DWI infarct volume. Recanalization was assessed within 24 h post-stroke. Correlation and statistical comparison analysis were done using the Spearman, Mann-Whitney, and Kruskal-Wallis tests.

resultsFollow-up infarct volumes were positively correlated with the baseline infarct volume (ρ > 0.81; p < 0.001) where the strongest correlation existed between baseline and 7-day post-stroke infarct volumes (ρ = 0.92; p < 0.001). The strongest correlation among the follow-up imaging was found between infarct volumes 7-day post-stroke and ≥30-day time points (ρ = 0.93; p < 0.001). Linear regression showed a close-to unity slope between 7-day and final infarct volumes (slope = 1.043; p < 0.001). Infarct expansion was higher in the non-recanalized group than the recanalized group at the 7-day (p = 0.001) and ≥30-day (p = 0.038) time points.

conclusionsFinal infarct volume can be approximated as early as 7 days post-stroke. Final infarct volume approximation is significantly associated with recanalization status.

Indexed as

AgedAged, 80 and overBrain IschemiaDiffusion Magnetic Resonance ImagingFeasibility StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesStrokeStroke VolumeTreatment OutcomeInfarct volumeIschemic strokeMRIRecanalizationSub-acute

Identifiers

PMID25429356
PMCPMC4238048

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.