Evidence map›Paper›PMID 27489875›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2016

White matter hyperintensities are more highly associated with preclinical Alzheimer's disease than imaging and cognitive markers of neurodegeneration.

Benjamin M Kandel, Brian B Avants, James C Gee, Corey T McMillan, Guray Erus, Jimit Doshi, Christos Davatzikos, David A Wolk

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 3% 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.

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

61 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
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  12. The role ofFrontiers in neuroscience · 2025
    Review
  13. Review
  14. Cerebrovascular markers of WMH and infarcts in ADNI: A historical perspective and future directions.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Review
  15. Article
  16. Article
  17. Article
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1 more citing papers are in PubMed but not listed here.

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

8 authors at 2 institutions in 2 countries.

Benjamin M KandelPenn Image Computing and Science Laboratory and Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, USA.
Brian B AvantsPenn Image Computing and Science Laboratory and Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
James C GeePenn Image Computing and Science Laboratory and Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Corey T McMillanDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Guray ErusCenter for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia, PA.
Jimit DoshiCenter for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia, PA.
Christos DavatzikosCenter for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia, PA.
David A WolkDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
University of Pennsylvania · USPenn Center for AIDS Research · US

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI XIE, SHARON XIANGWEN · 1991 to 2020
$35.1M
Training Program in Biomedical Imaging and Information SciencesT32EB009384 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI GEE, JAMES C, IVES, ZACHARY · 2009 to 2023
$4.0M
COMPUTATIONAL NEUROANATOMY OF AGING USING SHAPE ANALYSISR01AG014971 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS · 1999 to 2015
$3.5M
Optimized Arterial Spin Labeling MRI in Mild Cognitive ImpairmentR01AG040271 · NIA · UNIVERSITY OF PENNSYLVANIA · PI WOLK, DAVID A · 2012 to 2016
$2.0M
Multimodal Biomarkers in Frontotemporal Lobar DegenerationK01AG043503 · NIA · UNIVERSITY OF PENNSYLVANIA · PI MCMILLAN, COREY T · 2013 to 2017
$642k
Imaging genomics bases of pediatric executive functioningK01ES025432 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI AVANTS, BRIAN · 2014 to 2015
$319k
NIA NIH HHS K01 AG043503NIA NIH HHS P30 AG010124NIA NIH HHS R01 AG014971NIA NIH HHS R01 AG040271NIA NIH HHS U01 AG024904NIBIB NIH HHS T32 EB009384NIEHS NIH HHS K01 ES025432
6 · The paper itself

Abstract

introductionCognitive tests and nonamyloid imaging biomarkers do not consistently identify preclinical AD. The objective of this study was to evaluate whether white matter hyperintensity (WMH) volume, a cerebrovascular disease marker, is more associated with preclinical AD than conventional AD biomarkers and cognitive tests.

methodsElderly controls enrolled in the Alzheimer's Disease Neuroimaging Initiative (ADNI, n = 158) underwent florbetapir-PET scans, psychometric testing, neuroimaging with MRI and PET, and APOE genetic testing. Elderly controls the Parkinson's progression markers initiative (PPMI, n = 58) had WMH volume, cerebrospinal fluid (CSF) Aβ1-42, and APOE status measured.

resultsIn the ADNI cohort, only WMH volume and APOE ε4 status were associated with cerebral Aβ (standardized β = 0.44 and 1.25, P = .03 and .002). The association between WMH volume and APOE ε4 status with cerebral Aβ (standardized β = 1.12 and 0.26, P = .048 and .045) was confirmed in the PPMI cohort. DISCUSSION: WMH volume is more highly associated with preclinical AD than other AD biomarkers.

Indexed as

AgingAlzheimer's diseaseAmyloidLeukoaraiosisMRIPETPreclinical Alzheimer's diseaseWhite matter

Identifiers

PMID27489875
PMCPMC4950175
OpenAlexW2324276018

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.