Evidence map›Paper›PMID 28144479›Full record

ArticleSurgical neurology international2016

Signal changes on magnetic resonance perfusion images with arterial spin labeling after carotid endarterectomy.

Takafumi Shimogawa, Takato Morioka, Tetsuro Sayama, Sei Haga, Tomoaki Akiyama, Kei Murao, Yuka Kanazawa, Yoshihiko Furuta, Ayumi Sakata, Shuji Arakawa

Open access · hybridAbstract read
In one paragraph

Article in Surgical neurology international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Takafumi ShimogawaDepartment of Neurosurgery, Kyushu Rosai Hospital, Kitakyushu, Japan; Department of Neurosurgery, Fukuoka Children's Hospital, Fukuoka, Japan.
Takato MoriokaDepartment of Neurosurgery, Kyushu Rosai Hospital, Kitakyushu, Japan; Department of Neurosurgery, Fukuoka Children's Hospital, Fukuoka, Japan.
Tetsuro SayamaDepartment of Neurosurgery, Kyushu Rosai Hospital, Kitakyushu, Japan.
Sei HagaDepartment of Neurosurgery, Kyushu Rosai Hospital, Kitakyushu, Japan.
Tomoaki AkiyamaDepartment of Neurosurgery, Kyushu Rosai Hospital, Kitakyushu, Japan.
Kei MuraoDepartment of Cerebrovascular Disease, Kyushu Rosai Hospital, Kitakyushu, Japan.
Yuka KanazawaDepartment of Cerebrovascular Disease, Kyushu Rosai Hospital, Kitakyushu, Japan.
Yoshihiko FurutaDepartment of Cerebrovascular Disease, Kyushu Rosai Hospital, Kitakyushu, Japan.
Ayumi SakataDepartment of Clinical Chemistry and Laboratory Medicine, Kyusyu University Hospital, Fukuoka, Japan.
Shuji ArakawaDepartment of Cerebrovascular Disease, Kyushu Rosai Hospital, Kitakyushu, Japan.
Kyushu Rosai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebral hyperperfusion after carotid endarterectomy (CEA) is defined as an increase in ipsilateral cerebral blood flow (CBF). Practically, however, prompt and precise assessment of cerebral hyperperfusion is difficult because of limitations in the methodology of CBF measurement during the perioperative period. Arterial spin labeling (ASL) is a completely noninvasive and repeatable magnetic resonance perfusion imaging technique that uses magnetically-labelled blood water as an endogenous tracer. To clarify the usefulness of ASL in the management of cerebral hyperperfusion, we investigated signal changes by ASL with a single 1.5-s post-labeling delay on visual inspection.

methodsThirty-two consecutive patients who underwent CEA were enrolled in this retrospective study.

resultsOn postoperative day 1, 22 (68.8%) and 4 (12.5%) patients exhibited increased ASL signals bilaterally (Group A) and on the operated side (Group B), respectively. Follow-up ASL showed improvement in these findings. Six (18.8%) patients showed no change (Group C). There was no apparent correlation between ASL signals on postoperative day 1 and the preoperative hemodynamic state, including the cerebrovascular reserve (

conclusionVisual analysis of ASL with a single post-labeling delay overestimates CBF and cannot identify patients at risk of cerebral hyperperfusion syndrome probably because of the strong effect of the shortened arterial transit time immediately after CEA. However, ASL may be used as for screening.

Indexed as

Arterial spin labelingcarotid endarterectomycerebral hyperperfusioncerebral hyperperfusion syndrome

Identifiers

PMID28144479
PMCPMC5234294
OpenAlexW2580999112

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.