Evidence map›Paper›PMID 29166955›Full record

ArticleJournal of the International Neuropsychological Society : JINS2018

Brain Arterial Diameters and Cognitive Performance: The Northern Manhattan Study.

Jose Gutierrez, Erin Kulick, Yeseon Park Moon, Chuanhui Dong, Ken Cheung, Bagci Ahmet, Yaakov Stern, Noam Alperin, Tatjana Rundek, Ralph L Sacco and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the International Neuropsychological Society : JINS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The association of common infectious exposures with cognitive performance in community-dwelling older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  4. Accurate and fully automated diameter measurements of Circle of Willis arteries on MRA imaging.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025
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  14. Article
  15. Anatomical effects on the relationship between brain arterial diameter and length: The Northern Manhattan Study.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Brain arterial dilatation and the risk of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2019
    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

12 authors at 3 institutions in 1 country.

Jose Gutierrez1Department of Neurology,College of Physicians and Surgeons,Columbia University,New York,New York.ORCID 0000-0002-2175-8078
Erin Kulick1Department of Neurology,College of Physicians and Surgeons,Columbia University,New York,New York.
Yeseon Park Moon1Department of Neurology,College of Physicians and Surgeons,Columbia University,New York,New York.
Chuanhui Dong3Department of Neurology,University of Miami Miller School of Medicine,Miami,Florida.
Ken Cheung5Division of Biostatistics,Mailman School of Public Health,Columbia University,New York,New York.
Bagci Ahmet6Department of Radiology,University of Miami Miller School of Medicine,Miami,Florida.
Yaakov Stern1Department of Neurology,College of Physicians and Surgeons,Columbia University,New York,New York.
Noam Alperin6Department of Radiology,University of Miami Miller School of Medicine,Miami,Florida.
Tatjana Rundek3Department of Neurology,University of Miami Miller School of Medicine,Miami,Florida.
Ralph L Sacco3Department of Neurology,University of Miami Miller School of Medicine,Miami,Florida.
Clinton B Wright8National Institutes of Health,Bethesda,Maryland.
Mitchell S V Elkind1Department of Neurology,College of Physicians and Surgeons,Columbia University,New York,New York.
Columbia University · USUniversity of Miami · USNational Institutes of Health · US

Funding

STROKE INCIDENCE AND RISK FACTORS IN A TRI-ETHNIC REGIONR01NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, SACCO, RALPH L. · 1993 to 2019
$19.2M
NINDS NIH HHS R01 NS029993
6 · The paper itself

Abstract

objectivesTo test the hypothesis that brain arterial diameters are associated with cognitive performance, particularly in arteries supplying domain-specific territories.

methodsStroke-free participants in the Northern Manhattan Study were invited to have a brain MRI from 2003-2008. The luminal diameters of 13 intracranial arterial segments were obtained using time-of-flight magnetic resonance angiogram (MRA), and then averaged and normalized into a global score and region-specific arterial diameters. Z-Scores for executive function, semantic memory, episodic memory and processing speed were obtained at MRI and during follow-up. Adjusted generalized additive models were used to assess for associations.

resultsAmong the 1034 participants with neurocognitive testing and brain MRI, there were non-linear relationships between left anterior (ACA) and middle cerebral artery (MCA) diameter and semantic memory Z-scores (χ2=10.00; DF=3; p=.019), and left posterior cerebral artery (PCA) and posterior communicating artery (Pcomm) mean diameter and episodic memory Z-scores (χ2=9.88; DF=3; p=.020). Among the 745 participants who returned for 2nd neuropsychological testing, on average 5.0±0.4 years after their MRI, semantic memory change was associated non-linearly with the left PCA/Pcomm mean diameter (χ2=13.09; DF=3; p=.004) and with the right MCA/ACA mean diameter (χ2=8.43; DF=3; p=.03). In both cross-sectional and longitudinal analyses, participants with the larger brain arterial diameters had more consistently lower Z-scores and greater decline than the rest of the participants.

conclusionsBrain arterial diameters may have downstream effects in brain function presenting as poorer cognition. Identifying the mechanisms and the directionality of such interactions may increase the understanding of the vascular contribution to cognitive impairment and dementia. (JINS, 2018, 24, 335-346).

Indexed as

AgedAged, 80 and overAnterior Cerebral ArteryBrainCognitive DysfunctionCross-Sectional StudiesExecutive FunctionFemaleFollow-Up StudiesHumansMagnetic Resonance AngiographyMaleMemoryMiddle Cerebral ArteryPosterior Cerebral ArteryReaction TimeAgingArterial dilatationCognitionDolichoectasiaVascular dementiaVascular remodeling

Identifiers

PMID29166955
PMCPMC5860942
OpenAlexW2770559096

What OpenQuestion holds

Textmetadata
LicenceTDM
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.