Evidence map›Paper›PMID 29519787›Full record

ArticleAJNR. American journal of neuroradiology2018

Quantitative Phase-Contrast MR Angiography to Measure Hemodynamic Changes in Idiopathic Intracranial Hypertension.

J Juhász, T Lindner, C Riedel, N G Margraf, O Jansen, A Rohr

Open access · bronzeAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 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

6 authors at 4 institutions in 4 countries.

J JuhászFrom the Clinic for Radiology and Neuroradiology (J.J., T.L., C.R., O.J., A.R.) julia.juhasz@uksh.de.ORCID 0000-0002-9779-0832
T LindnerFrom the Clinic for Radiology and Neuroradiology (J.J., T.L., C.R., O.J., A.R.).ORCID 0000-0002-4408-2429
C RiedelFrom the Clinic for Radiology and Neuroradiology (J.J., T.L., C.R., O.J., A.R.).ORCID 0000-0002-3246-2969
N G MargrafClinic for Neurology (N.G.M.), University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.ORCID 0000-0003-2197-1079
O JansenFrom the Clinic for Radiology and Neuroradiology (J.J., T.L., C.R., O.J., A.R.).ORCID 0000-0002-7330-1942
A RohrFrom the Clinic for Radiology and Neuroradiology (J.J., T.L., C.R., O.J., A.R.).ORCID 0000-0003-4684-7920
JDSU (United States) · USJohnson & Johnson (United Kingdom) · GBUniversity Hospital Schleswig-Holstein · DEVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIdiopathic intracranial hypertension is a syndrome of raised intracranial pressure of unknown etiology. Few MR imaging-based studies have investigated arterial and venous blood flow in these patients. Results are inconclusive, and to our knowledge, no comparison of the hemodynamic parameters before and after CSF pressure reduction has been published. The aim of this study was to assess the short-term effects of normalizing CSF pressure on intracranial flow to better understand the pathophysiology of idiopathic intracranial hypertension. MATERIALS AND

methodsIn this study, we performed quantitative MR imaging-derived flow measurements of brain-supplying arteries and draining veins/dural sinuses to visualize hemodynamic changes in patients with idiopathic intracranial hypertension before and after therapy by lumbar puncture in comparison with a healthy control group.

resultsWe found differences in patients before and after lumbar puncture in the calculated resistance and pulsatility indices in the superior sagittal sinus. Venous pulsatility showed a negative correlation with CSF pressure in untreated patients. Additionally, there was a trend toward lower flow in the superior sagittal sinus in patients compared with healthy controls. Flow in the internal jugular veins was significantly reduced by lumbar puncture, and the resistance and pulsatility indices differed in patients and controls. The arterial flow was not influenced by pressure normalization.

conclusionsThe results of the present study indicate that venous but not arterial blood flow differs in patients compared with controls and that calculating resistance and pulsatility indices may contribute to assessing short-term hemodynamic changes in patients with diagnosed idiopathic intracranial hypertension before and after CSF diversion.

Indexed as

AdultFemaleHemodynamicsHumansMagnetic Resonance AngiographyMaleMiddle AgedPseudotumor CerebriSpinal Puncture

Identifiers

PMID29519787
PMCPMC7410764
OpenAlexW2793652666

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.