Evidence map›Paper›PMID 27927188›Full record

ArticleBMC neuroscience2016

Investigating potentially salvageable penumbra tissue in an in vivo model of transient ischemic stroke using sodium, diffusion, and perfusion magnetic resonance imaging.

Friedrich Wetterling, Eva Chatzikonstantinou, Laurent Tritschler, Stephen Meairs, Marc Fatar, Lothar R Schad, Saema Ansar

Abstract read
In one paragraph

Article in BMC neuroscience, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. High spatial resolutionbioRxiv : the preprint server for biology · 2026
    Article
  2. Added Value of Sodium MR Imaging and Proton MR Spectroscopy to Conventional MR Imaging for a Better Characterization of the Ischemic Stroke: A Narrative Review.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
    Review
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  15. Cerebral sodium (European radiology · 2019
    Article
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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

7 authors.

Friedrich WetterlingComputer Assisted Clinical Medicine, Heidelberg University, Mannheim, Germany.
Eva ChatzikonstantinouDepartment of Neurology, Universitätsmedizin Mannheim, Heidelberg University, Mannheim, Germany.
Laurent TritschlerDepartment of Neurology, Universitätsmedizin Mannheim, Heidelberg University, Mannheim, Germany.
Stephen MeairsDepartment of Neurology, Universitätsmedizin Mannheim, Heidelberg University, Mannheim, Germany.
Marc FatarDepartment of Neurology, Universitätsmedizin Mannheim, Heidelberg University, Mannheim, Germany.
Lothar R SchadComputer Assisted Clinical Medicine, Heidelberg University, Mannheim, Germany.
Saema AnsarDepartment of Neurology, Universitätsmedizin Mannheim, Heidelberg University, Mannheim, Germany. Saema.Ansar@med.lu.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiffusion magnetic resonance imaging (MRI) is the current-state-of-the-art technique to clinically investigate acute (0-24 h) ischemic stroke tissue. However, reduced apparent diffusion coefficient (ADC)-considered a marker of tissue damage-was observed to reverse spontaneously during the subacute stroke phase (24-72 h) which means that low ADC cannot be used to reflect the damaged tissue after 24 h in experimental and clinical studies. One reason for the change in ADC is that ADC values drop with cytotoxic edema (acute phase) and rise when vasogenic edema begins (subacute phase). Recently, combined

resultsSodium signal in core did not change before reperfusion, increased after reperfusion while sodium signal in penumbra was significantly reduced before reperfusion, but showed no changes after reperfusion compared to control. The ADC was significantly decreased in core tissue at all three time points compared to contralateral side. This decrease recovered above commonly applied viability thresholds in the core after 24 h.

conclusionsReduced sodium-MRI signal in conjunction with reduced ADC can serve as a viability marker for penumbra detection and complement hydrogen diffusion- and perfusion-MRI in order to facilitate time-independent assessment of tissue fate and cellular bioenergetics failure in stroke patients.

Indexed as

Diffusion Magnetic Resonance ImagingMagnetic Resonance AngiographyAnimalsBrainCerebrovascular CirculationDisease Models, AnimalInfarction, Middle Cerebral ArteryIschemic Attack, TransientMaleProtonsRats, WistarSodium IsotopesStrokeProtonsSodium IsotopesDiffusionMagnetic resonance imagingPerfusionSodiumStroke

Identifiers

PMID27927188
PMCPMC5143461

What OpenQuestion holds

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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.