Evidence map›Paper›PMID 29895538›Full record

ArticleStroke2018

Quantifying Infarct Growth and Secondary Injury Volumes: Comparing Multimodal Image Registration Measures.

George W J Harston, Davide Carone, Fintan Sheerin, Mark Jenkinson, James Kennedy

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Stroke, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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.

NCT05725694 unknown statusnot on this map

Acute Ischaemic STROKE: From LABoratory to(2) the Patient's BED. Retrospective Study of Blood Biomarkers and Neuroimaging as Predictors of Cerebral Edema, Extension of Ischemic Injury and Functional Outcome

TypeobservationalSponsorIstituto di Neuroscienze Consiglio Nazionale delle RicercheRan2015 to 2023Enrolled200ConditionsAcute Ischemic Stroke, Reperfusion Injury, Cerebral Edema, Hemorrhagic Transformation Due to Acute Stroke
NCT07422636 completednot on this mapstarted 2021, after this paper: background citation

Integrating Novel NeuroImaging Measurements and Circulating Biomarkers for the Prediction of Secondary Injury foLlowing strokE: From Bench to Bedside - The NIMBLE Study (NIMBLE)

Typeobservational_patient_registrySponsorUniversity of FlorenceRan2021 to 2024Enrolled213ConditionsAcute Ischemic Stroke, Reperfusion Injury, Cerebral Edema, Hemorrhagic Transformation Due to Acute Stroke
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Association between pre-treatment perfusion profile and cerebral edema after reperfusion therapies in ischemic stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Trial
  3. Article
  4. Article
  5. Analysis of brain edema in RHAPSODY.International journal of stroke : official journal of the International Stroke Society · 2024
    Article
  6. Article
  7. A non-human primate model of stroke reproducing endovascular thrombectomy and allowing long-term imaging and neurological read-outs.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  8. Ischemic lesion growth in acute stroke: Water uptake quantification distinguishes between edema and tissue infarct.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
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

5 authors at 1 institution in 1 country.

George W J HarstonFrom the Radcliffe Department of Medicine, Acute Vascular Imaging Centre (G.W.J.H., D.C., F.S., J.K.) george.harston@rdm.ox.ac.uk.
Davide CaroneFrom the Radcliffe Department of Medicine, Acute Vascular Imaging Centre (G.W.J.H., D.C., F.S., J.K.).
Fintan SheerinFrom the Radcliffe Department of Medicine, Acute Vascular Imaging Centre (G.W.J.H., D.C., F.S., J.K.).
Mark JenkinsonNuffield Department of Clinical Neurosciences, Wellcome Centre for Integrative Neuroimaging (M.J.), University of Oxford, United Kingdom.
James KennedyFrom the Radcliffe Department of Medicine, Acute Vascular Imaging Centre (G.W.J.H., D.C., F.S., J.K.).
Imaging Center · US

Funding

Department of Health OXFBRC-2012-1The Dunhill Medical Trust OSRP1/1006Wellcome Trust 088877Wellcome Trust WT088877/Z/09/Z
6 · The paper itself

Abstract

background and purposeLesion expansion in the week after acute stroke involves both infarct growth (IG) and anatomic distortion (AD) because of edema and hemorrhage. Enabling separate quantification would allow clinical trials targeting these distinct pathological processes. We developed an objective and automated approach to quantify these processes at 24 hours and 1 week.

methodsPatients with acute ischemic stroke were scanned at presentation, 24 hours, and 1 week in a magnetic resonance imaging (MRI) cohort study. IG and AD were calculated from follow-up lesion masks after linear and nonlinear registration to a presenting MRI scan. Performance of IG and AD was compared with edema quantified using cerebrospinal fluid displacement. The use of alternative reference images to define AD, including template MRI, mirrored MRI, and presenting computed tomographic scan, was explored.

resultsThirty-seven patients with nonlacunar stroke were included. AD was responsible for 20% and 36% of lesion expansion at 24 hours (n=30) and 1 week (n=28). Registration-defined IG and AD compared favorably with edema quantified using cerebrospinal fluid displacement, particularly at smaller infarct volumes. Presenting computed tomographic imaging was the preferred alternative reference image to presenting MRI for measuring AD.

conclusionsThe contributions of IG and AD to lesion expansion can be measured separately over time through the use of image registration. This approach can be used to combine imaging outcome data from computed tomography and MRI.

Indexed as

AgedAged, 80 and overBrainBrain EdemaBrain IschemiaFemaleFollow-Up StudiesHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMultimodal ImagingStrokeTomography, X-Ray Computededemafollow-up studieshumansmagnetic resonance imagingstroketomography, X-ray computed

Identifiers

PMID29895538
PMCPMC6023577
OpenAlexW2808625119

What OpenQuestion holds

Textmetadata
LicenceTDM
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.