Evidence map›Paper›PMID 26797139›Full record

ArticleAJNR. American journal of neuroradiology2016

Angiographic Structural Differentiation between Native Arteriogenesis and Therapeutic Synangiosis in Intracranial Arterial Steno-Occlusive Disease.

Y C Ooi, A N Laiwalla, R Liou, N R Gonzalez

Registry-linked trialOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02910180 (Genetic, Metabolic, and Growth Factor Repository for Cerebrovascular Disorders), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 23% 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.

NCT02910180 recruitingnot on this map

Genetic, Metabolic, and Growth Factor Repository for Cerebrovascular Disorders

Typeobservational_patient_registrySponsorCedars-Sinai Medical CenterRan2016 to 2030Enrolled900ConditionsCerebrovascular Diseases, Ischemic Stroke, Repository
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Fractal analysis of healthy and diseased vasculature in pediatric Moyamoya disease.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  3. Article
  4. Article
  5. Hypoxia induces de novo formation of cerebral collaterals and lessens the severity of ischemic stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
    Article
  6. 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

4 authors at 2 institutions in 1 country.

Y C OoiFrom the Departments of Neurosurgery (Y.C.O., A.N.L., R.L., N.R.G.).ORCID 0000-0001-8475-9484
A N LaiwallaFrom the Departments of Neurosurgery (Y.C.O., A.N.L., R.L., N.R.G.).ORCID 0000-0003-4580-1074
R LiouFrom the Departments of Neurosurgery (Y.C.O., A.N.L., R.L., N.R.G.).ORCID 0000-0002-0370-9694
N R GonzalezFrom the Departments of Neurosurgery (Y.C.O., A.N.L., R.L., N.R.G.) Radiology (N.R.G.), David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California. ngonzalez@mednet.ucla.edu.ORCID 0000-0002-1933-4815
Anna Needs Neuroblastoma Answers · USUniversity of California, Los Angeles · US

Funding

Surgical Indirect Revascularization For Symptomatic Intracranial Aterial StenosisK23NS079477 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GONZALEZ, NESTOR RAUL · 2013 to 2017
$842k
NINDS NIH HHS K23 NS079477
6 · The paper itself

Abstract

background and purposeEncephaloduroarteriosynangiosis has been shown to generate collateral vessels from the extracranial-to-intracranial circulation in patients with Moyamoya disease and intracranial arterial steno-occlusive disease. The mechanisms involved are not well-understood. We hypothesized that angiogenesis is the leading mechanism forming collaterals after encephaloduroarteriosynangiosis because there are no pre-existing connections. Angiogenesis-generated collaterals should exhibit higher architectural complexity compared with innate collaterals. MATERIALS AND

methodsPre- and postoperative digital subtraction angiograms were analyzed in patients enrolled in a prospective trial of encephaloduroarteriosynangiosis surgery. Branching angioscore, tortuosity index, and local connected fractal dimension were compared between innate and postoperative collaterals.

resultsOne hundred one angiograms (50 preoperative, 51 postoperative) were analyzed from 44 patients (22 with intracranial atherosclerosis and 22 with Moyamoya disease). There was a significantly higher median branching angioscore (13 versus 4, P < .001) and a lower median tortuosity index (1.08 versus 1.76, P < .001) in the encephaloduroarteriosynangiosis collaterals compared with innate collaterals. Higher mean local fractal dimension peaks (1.28 ± 0.1 versus 1.16 ± 0.11, P < .001) were observed in the encephaloduroarteriosynangiosis collaterals compared with innate collaterals for both intracranial atherosclerosis (P < .001) and Moyamoya disease (P < .001) groups. The observed increase in high connectivity was greater in the intracranial atherosclerosis group compared with patients with Moyamoya disease (P = .01).

conclusionsThe higher median branching angioscore and local connected fractal dimension, along with the lower median tortuosity index of encephaloduroarteriosynangiosis collaterals, are consistent with the greater complexity observed in the process of sprouting and splitting associated with angiogenesis.

Indexed as

Neovascularization, PhysiologicAdolescentAdultAgedAged, 80 and overAngiography, Digital SubtractionArterial Occlusive DiseasesAtherosclerosisCerebral AngiographyCerebral Arterial DiseasesChildCollateral CirculationFemaleHumansImage Processing, Computer-AssistedMale

Identifiers

PMID26797139
PMCPMC4907867
OpenAlexW2341958536

What OpenQuestion holds

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Registered trials

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.