Evidence map›Paper›PMID 29807883›Full record

ArticleJMIR research protocols2018

A Role for New Brain Magnetic Resonance Imaging Modalities in Daily Clinical Practice: Protocol of the Prediction of Cognitive Recovery After Stroke (PROCRAS) Study.

Hugo P Aben, Yael D Reijmer, Johanna Ma Visser-Meily, Jacoba M Spikman, Jeroen de Bresser, Geert Jan Biessels, Paul Lm de Kort

Abstract read
In one paragraph

Article in JMIR research protocols, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

7 authors.

Hugo P AbenElisabeth Tweesteden Hospital, Department of Neurology, Tilburg, Netherlands.ORCID http://orcid.org/0000-0003-3032-8843
Yael D ReijmerBrain Center Rudolf Magnus, Department of Neurology, University Medical Center Utrecht, Utrecht, Netherlands.ORCID http://orcid.org/0000-0002-2566-7122
Johanna Ma Visser-MeilyPhysical Therapy Science & Sports, Brain Center Rudolf Magnus, Department of Rehabilitation, University Medical Center Utrecht, Utrecht, Netherlands.ORCID http://orcid.org/0000-0002-5955-8012
Jacoba M SpikmanDepartment of Clinical and Experimental Neuropsychology, University of Groningen, Groningen, Netherlands.ORCID http://orcid.org/0000-0002-6477-0763
Jeroen de BresserDepartment of Radiology, University Medical Center Utrecht, Utrecht, Netherlands.ORCID http://orcid.org/0000-0003-0759-8407
Geert Jan BiesselsBrain Center Rudolf Magnus, Department of Neurology, University Medical Center Utrecht, Utrecht, Netherlands.ORCID http://orcid.org/0000-0001-6862-2496
Paul Lm de KortElisabeth Tweesteden Hospital, Department of Neurology, Tilburg, Netherlands.ORCID http://orcid.org/0000-0002-6031-2255

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive impairment is common after acute ischemic stroke, affecting up to 75% of the patients. About half of the patients will show recovery, whereas the others will remain cognitively impaired or deteriorate. It is difficult to predict these different cognitive outcomes.

objectiveThe objective of this study is to investigate whether diffusion tensor imaging-based measures of brain connectivity predict cognitive recovery after 1 year, in addition to patient characteristics and stroke severity. A specific premise of the Prediction of Cognitive Recovery After Stroke (PROCRAS) study is that it is conducted in a daily practice setting.

methodsThe PROCRAS study is a prospective, mono-center cohort study conducted in a large teaching hospital in the Netherlands. A total of 350 patients suffering from an ischemic stroke who screen positive for cognitive impairment on the Montreal Cognitive Assessment (MoCA<26) in the acute stage will undergo a 3Tesla-Magnetic Resonance Imaging (3T-MRI) with a diffusion-weighted sequence and a neuropsychological assessment. Patients will be classified as being unimpaired, as having a mild vascular cognitive disorder, or as having a major vascular cognitive disorder. One year after stroke, patients will undergo follow-up neuropsychological assessment. The primary endpoint is recovery of cognitive function 1 year after stroke in patients with a confirmed poststroke cognitive disorder. The secondary endpoint is deterioration of cognitive function in the first year after stroke.

resultsThe study is already ongoing for 1.5 years, and thus far, 252 patients have provided written informed consent. Final results are expected in June 2019.

conclusionsThe PROCRAS study will show the additional predictive value of diffusion tensor imaging-based measures of brain connectivity for cognitive outcome at 1 year in patients with a poststroke cognitive disorder in a daily clinical practice setting. REGISTERED REPORT IDENTIFIER: RR1-10.2196/9431.

Indexed as

anisotropybrain infarctioncognitive dysfunctiondiffusion magnetic resonance imagingdiffusion tensor imagingstroke

Identifiers

PMID29807883
PMCPMC5997934

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.