Evidence map›Paper›PMID 28110259›Full record

ArticleAtherosclerosis2017

Ipsilateral plaques display higher T1 signals than contralateral plaques in recently symptomatic patients with bilateral carotid intraplaque hemorrhage.

Xianling Wang, Jie Sun, Xihai Zhao, Daniel S Hippe, Thomas S Hatsukami, Jin Liu, Rui Li, Gador Canton, Yan Song, Chun Yuan and 1 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Atherosclerosis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
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  4. Review
  5. Review
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  8. Near-infrared spectroscopy carotid plaque characteristics and cerebral embolism in carotid artery stenting.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2021
    Article
  9. Article
  10. Review
  11. Review
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  15. Size of carotid artery intraplaque hemorrhage and acute ischemic stroke: a cardiovascular magnetic resonance Chinese atherosclerosis risk evaluation study.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2019
    Observational
  16. AJNR. American journal of neuroradiology · 2019
    Article
  17. Simultaneous TMagnetic resonance in medicine · 2018
    Article
  18. 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

11 authors.

Xianling WangDepartment of Radiology, University of Washington, Seattle, WA, USA; Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Jie SunDepartment of Radiology, University of Washington, Seattle, WA, USA.
Xihai ZhaoDepartment of Biomedical Engineering, Tsinghua University, Beijing, China.
Daniel S HippeDepartment of Radiology, University of Washington, Seattle, WA, USA.
Thomas S HatsukamiDepartment of Surgery, University of Washington, Seattle, WA, USA.
Jin LiuDepartment of Bioengineering, University of Washington, Seattle, WA, USA.
Rui LiDepartment of Biomedical Engineering, Tsinghua University, Beijing, China.
Gador CantonDepartment of Mechanical Engineering, University of Washington, Seattle, WA, USA.
Yan SongDepartment of Radiology, University of Washington, Seattle, WA, USA; Department of Radiology, Beijing Hospital, Beijing, China.
Chun YuanDepartment of Radiology, University of Washington, Seattle, WA, USA; Department of Biomedical Engineering, Tsinghua University, Beijing, China; Department of Bioengineering, University of Washington, Seattle, WA, USA. Electronic address: cyuan@uw.edu.
CARE-II study investigators

Funding

Carotid Intraplaque Hemorrhage: MRI of Therapeutic Response and Clinical SequelaeR01HL103609 · NHLBI · UNIVERSITY OF WASHINGTON · PI HATSUKAMI, THOMAS, YUAN, CHUN · 2011 to 2021
$7.1M
Culprit Plaque in Acute Cerebral Infarction: A Histological and MRI AssessmentR01NS083503 · NINDS · UNIVERSITY OF WASHINGTON · PI HATSUKAMI, THOMAS · 2013 to 2015
$598k
NHLBI NIH HHS R01 HL103609NINDS NIH HHS R01 NS083503
6 · The paper itself

Abstract

BACKGROUND AND

aimsProspective studies have shown a strong association between carotid intraplaque hemorrhage (IPH), detected by magnetic resonance imaging (MRI), and cerebrovascular ischemic events. However, IPH is also observed in a substantial number of asymptomatic patients. We hypothesized that there are differences in the characteristics of IPH+ plaques associated with recent symptoms, compared to IPH+ plaques not associated with recent symptoms.

methodsPatients with recent (≤2 weeks) anterior circulation ischemic events were scanned using a standardized multisequence protocol. Those showing IPH bilaterally were included and analyzed for differences in T1/T2 signals, plaque morphology, and coexisting plaque characteristics between the ipsilateral symptomatic and contralateral asymptomatic sides.

resultsThirty-one subjects (67 ± 9 years, 97% males) with bilateral IPH were studied. Despite comparable luminal stenosis (53 ± 42% vs. 53 ± 39%, p = 0.99), T1 signal of IPH measured as signal-intensity-ratio compared to muscle was stronger (SIR

conclusionsIn recently symptomatic patients with bilateral carotid IPH, the symptomatic side showed stronger T1 signals, larger necrotic cores, and longer plaque length than the asymptomatic side. Serial studies on the temporal relationship between these imaging features and clinical events will eventually establish their diagnostic and prognostic value beyond the mere presence of IPH.

Indexed as

Magnetic Resonance ImagingPlaque, AtheroscleroticAgedBrain IschemiaCarotid ArteriesCarotid StenosisChinaCross-Sectional StudiesDisease ProgressionFemaleHemorrhageHumansImage Interpretation, Computer-AssistedLipidsMaleMiddle AgedLipidsCarotid arteryIschemic strokeMagnetic resonance imagingPlaque progression

Identifiers

PMID28110259
PMCPMC5325786

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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.