Evidence map›Paper›PMID 29065769›Full record

ArticleJournal of neurotrauma2018

Imaging of Cerebrovascular Function in Chronic Traumatic Brain Injury.

Franck Amyot, Kimbra Kenney, Carol Moore, Margalit Haber, L Christine Turtzo, Christian Shenouda, Erika Silverman, Yunhua Gong, Bao-Xi Qu, Leah Harburg and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of neurotrauma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04058132 (Cerebrovascular Reactivity), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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.

NCT04058132 phase2terminatednot on this mapstarted 2019, after this paper: background citation

Cerebrovascular Reactivity (CVR) Assessed With Functional Near Infrared Spectroscopy (fNIRS) as a Biomarker of Traumatic Cerebrovascular Injury (TCVI) Measured Longitudinally After Acute TBI in Military Personnel

TypeinterventionalSponsorUniformed Services University of the Health SciencesRan2019 to 2020Enrolled1ConditionsTraumatic Brain InjuryArmsSildenafil Citrate 50Mg Tab, functional Near-infrared Spectroscopy (fNIRS), Carbon Dioxide (CO2) 5%, Neuropsychological Assessments, Gadolinium contrast infusion
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Persistent dysmorphology and dysfunction of the brain microvasculature following repeated trauma.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Phosphodiesterase-5 (PDE-5) Inhibitors as Therapy for Cerebrovascular Dysfunction in Chronic Traumatic Brain Injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  11. Underfeeding Alters Brain Tissue Synthesis Rate in a Rat Brain Injury Model.International journal of molecular sciences · 2023
    Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Persistent COJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  18. Article
  19. Cerebrovascular Responses to OJournal of neurotrauma · 2021
    Article
  20. Imaging biomarkers of vascular and axonal injury are spatially distinct in chronic traumatic brain injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    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

13 authors at 3 institutions in 1 country.

Franck Amyot1 Department of Neurology, Uniformed Services University of the Health Sciences , Bethesda, Maryland.
Kimbra Kenney1 Department of Neurology, Uniformed Services University of the Health Sciences , Bethesda, Maryland.
Carol Moore1 Department of Neurology, Uniformed Services University of the Health Sciences , Bethesda, Maryland.
Margalit Haber2 Department of Neurology, University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania.
L Christine Turtzo3 Center for Neuroscience and Regenerative Medicine, National Institute of Neurological Disorder and Stroke, National Institutes of Health , Bethesda, Maryland.
Christian Shenouda3 Center for Neuroscience and Regenerative Medicine, National Institute of Neurological Disorder and Stroke, National Institutes of Health , Bethesda, Maryland.
Erika Silverman2 Department of Neurology, University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania.
Yunhua Gong2 Department of Neurology, University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania.
Bao-Xi Qu1 Department of Neurology, Uniformed Services University of the Health Sciences , Bethesda, Maryland.
Leah Harburg1 Department of Neurology, Uniformed Services University of the Health Sciences , Bethesda, Maryland.
Hanzhang Y Lu4 Department of Radiology and Radiological Science, Johns Hopkins University Baltimore , Maryland.
Eric M Wassermann5 National Institute of Neurological Disorders and Stroke, National Institutes of Health , Bethesda, Maryland.
Ramon Diaz-Arrastia2 Department of Neurology, University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania.
Uniformed Services University of the Health Sciences · USUniversity of Pennsylvania · USNational Institutes of Health · US

Funding

Electrophysiological Probes And Treatments In Neurobehavioral DisordersZIANS002977 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI WASSERMANN, ERIC M · 2009 to 2025
$14.6M
6 · The paper itself

Abstract

Traumatic cerebrovascular injury (TCVI) is a common pathologic mechanism of traumatic brain injury (TBI) and presents an attractive target for intervention. The aims of this study were to assess cerebral blood flow (CBF) and cerebrovascular reactivity (CVR) using magnetic resonance imaging (MRI) to assess their value as biomarkers of TCVI in chronic TBI, characterize the spatial distribution of TCVI, and assess the relationships between each biomarker and neuropsychological and clinical assessments. Forty-two subjects (27 chronic TBI, 15 age- and gender-matched healthy volunteers) were studied cross-sectionally. CBF was measured by arterial spin labeling and CVR by assessing the MRI-blood oxygen level-dependent signal with hypercapnia challenge. A focused neuropsychological battery adapted from the TBI Common Data Elements and neurobehavioral symptom questionnaires were administered at the time of the imaging session. Chronic TBI subjects showed a significant reduction in mean global, gray matter (GM), and white matter (WM) CVR, compared with healthy volunteers (p < 0.001). Mean GM CVR had the greatest effect size (Cohen's d = 0.9). CVR maps in chronic TBI subjects showed patchy, multifocal CVR deficits. CBF discriminated poorly between TBI subjects and healthy volunteers and did not correlate with CVR. Mean global CVR correlated best with chronic neurobehavioral symptoms among TBI subjects. Global, GM, and WM CVR are reliable and potentially useful biomarkers of TCVI in the chronic stage after moderate-to-severe TBI. CBF is less useful as biomarker of TCVI. CVR correlates best with chronic TBI symptoms. CVR has potential as a predictive and pharmacodynamic biomarker for interventions targeting TCVI.

Indexed as

AdultBrain Injuries, TraumaticBrain Injury, ChronicCerebrovascular CirculationCross-Sectional StudiesFemaleHumansImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMaleMiddle Agedcerebral blood flowcerebrovascular reactivityhypercapniamagnetic resonance imaging-blood oxygen level dependentneurovascular unittraumatic brain injurytraumatic cerebrovascular injury

Identifiers

PMID29065769
PMCPMC6016094
OpenAlexW2766754126

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.