Evidence map›Paper›PMID 27301944›Full record

ArticleStroke2016

Magnetic Resonance Imaging of Plaque Morphology, Burden, and Distribution in Patients With Symptomatic Middle Cerebral Artery Stenosis.

Nikki Dieleman, Wenjie Yang, Jill M Abrigo, Winnie Chiu Wing Chu, Anja G van der Kolk, Jeroen C W Siero, Ka Sing Wong, Jeroen Hendrikse, Xiang Yan Chen

Abstract read
In one paragraph

Article in Stroke, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
–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

52 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Vessel Wall Imaging of Intracranial Arteries: Fundamentals and Clinical Applications.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Nikki DielemanFrom the Department of Radiology, University Medical Center Utrecht, The Netherlands (N.D., A.G.v.d.K., J.C.W.S., J.H.); and Department of Medicine (W.Y., K.S.W., X.Y.C.) and Department of Imaging and Interventional Radiology (J.M.A., W.C.W.C.), Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Wenjie YangFrom the Department of Radiology, University Medical Center Utrecht, The Netherlands (N.D., A.G.v.d.K., J.C.W.S., J.H.); and Department of Medicine (W.Y., K.S.W., X.Y.C.) and Department of Imaging and Interventional Radiology (J.M.A., W.C.W.C.), Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Jill M AbrigoFrom the Department of Radiology, University Medical Center Utrecht, The Netherlands (N.D., A.G.v.d.K., J.C.W.S., J.H.); and Department of Medicine (W.Y., K.S.W., X.Y.C.) and Department of Imaging and Interventional Radiology (J.M.A., W.C.W.C.), Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Winnie Chiu Wing ChuFrom the Department of Radiology, University Medical Center Utrecht, The Netherlands (N.D., A.G.v.d.K., J.C.W.S., J.H.); and Department of Medicine (W.Y., K.S.W., X.Y.C.) and Department of Imaging and Interventional Radiology (J.M.A., W.C.W.C.), Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Anja G van der KolkFrom the Department of Radiology, University Medical Center Utrecht, The Netherlands (N.D., A.G.v.d.K., J.C.W.S., J.H.); and Department of Medicine (W.Y., K.S.W., X.Y.C.) and Department of Imaging and Interventional Radiology (J.M.A., W.C.W.C.), Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Jeroen C W SieroFrom the Department of Radiology, University Medical Center Utrecht, The Netherlands (N.D., A.G.v.d.K., J.C.W.S., J.H.); and Department of Medicine (W.Y., K.S.W., X.Y.C.) and Department of Imaging and Interventional Radiology (J.M.A., W.C.W.C.), Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Ka Sing WongFrom the Department of Radiology, University Medical Center Utrecht, The Netherlands (N.D., A.G.v.d.K., J.C.W.S., J.H.); and Department of Medicine (W.Y., K.S.W., X.Y.C.) and Department of Imaging and Interventional Radiology (J.M.A., W.C.W.C.), Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Jeroen HendrikseFrom the Department of Radiology, University Medical Center Utrecht, The Netherlands (N.D., A.G.v.d.K., J.C.W.S., J.H.); and Department of Medicine (W.Y., K.S.W., X.Y.C.) and Department of Imaging and Interventional Radiology (J.M.A., W.C.W.C.), Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Xiang Yan ChenFrom the Department of Radiology, University Medical Center Utrecht, The Netherlands (N.D., A.G.v.d.K., J.C.W.S., J.H.); and Department of Medicine (W.Y., K.S.W., X.Y.C.) and Department of Imaging and Interventional Radiology (J.M.A., W.C.W.C.), Chinese University of Hong Kong, Shatin, Hong Kong SAR, China. fionachen@cuhk.edu.hk.

Funding

European Research Council 637024
6 · The paper itself

Abstract

background and purposeIntracranial atherosclerosis is a major cause of ischemic stroke worldwide. Intracranial vessel wall imaging is an upcoming field of interest to assess intracranial atherosclerosis. In this study, we investigated total intracranial plaque burden in patients with symptomatic middle cerebral artery stenosis, assessed plaque morphological features, and compared features of symptomatic and asymptomatic lesions using a 3T vessel wall sequence.

methodsNineteen consecutive Chinese patients with ischemic stroke and transient ischemic attack (mean age: 67 years; 7 females) with a middle cerebral artery stenosis were scanned at 3T magnetic resonance imaging; the protocol included a time-of-flight magnetic resonance angiography and the T1-weighted volumetric isotropically reconstructed turbo spin echo acquisition sequence before and after (83%) contrast administration. Chi-square tests were used to assess associations between different plaque features. Statistical significance was set at P<0.05.

resultsVessel wall lesions were identified in 18 patients (95%), totaling 57 lesions in 494 segments (12% of segments). Lesions were located primarily in the anterior circulation (82%). Eccentric lesions were associated with a focal thickening pattern and concentric lesions with a diffuse thickening pattern (P<0.001). When differentiating between asymptomatic and symptomatic lesions, an association (P<0.05) was found between eccentricity and asymptomatic lesions, but not for enhancement or a specific thickening pattern. Symptomatic lesions did not have any specific morphological features.

conclusionsOur results lead to a 2-fold conclusion: (1) The classification system of both thickening pattern and distribution of the lesion can be simplified by using distribution pattern only and (2) differentiation between symptomatic and asymptomatic atherosclerotic lesions was possible using intracranial vessel wall imaging.

Indexed as

AgedAged, 80 and overBrainBrain IschemiaFemaleHumansInfarction, Middle Cerebral ArteryIschemic Attack, TransientMagnetic Resonance ImagingMaleMiddle AgedMiddle Cerebral ArteryPlaque, AtheroscleroticProspective StudiesSeverity of Illness IndexStrokeatherosclerosisbrainmagnetic resonance imagingstroke

Identifiers

PMID27301944
PMCPMC4927221

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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.