Evidence map›Paper›PMID 31004095›Full record

Trial reportScientific reports2019

Retinal microvasculature and cerebral small vessel disease in the Lothian Birth Cohort 1936 and Mild Stroke Study.

Sarah McGrory, Lucia Ballerini, Fergus N Doubal, Julie Staals, Mike Allerhand, Maria Del C Valdes-Hernandez, Xin Wang, Tom MacGillivray, Alex S F Doney, Baljean Dhillon and 5 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 3 pooled it
–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

54 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Article
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  6. Pathophysiology and Clinical Relevance of Microvascular Remodeling in Arterial Hypertension.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Review
  7. Retinal imaging for cerebrovascular risk stratification: evidence, limitations, and practical thresholds for the ophthalmologist.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
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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

15 authors.

Sarah McGroryVAMPIRE project, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK. s.mcgrory@ed.ac.uk.
Lucia BalleriniVAMPIRE project, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-1956-4012
Fergus N DoubalVAMPIRE project, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Julie StaalsDepartment of Neurology, Maastricht University Medical Center, Maastricht, The Netherlands.
Mike AllerhandDepartment of Psychology, University of Edinburgh, Edinburgh, UK.
Maria Del C Valdes-HernandezVAMPIRE project, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Xin WangVAMPIRE project, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Tom MacGillivrayVAMPIRE project, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0001-5120-0086
Alex S F DoneyDivision of Cardiovascular and Diabetes Medicine, Medical Research Institute, Ninewells Hospital and Medical School, Dundee, UK.
Baljean DhillonVAMPIRE project, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0001-5993-0278
John M StarrCentre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK.
Mark E BastinCentre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK.
Emanuele TruccoVAMPIRE project, Computing, School of Science and Engineering, University of Dundee, Dundee, UK.ORCID http://orcid.org/0000-0002-5055-0794
Ian J DearyDepartment of Psychology, University of Edinburgh, Edinburgh, UK.
Joanna M WardlawCentre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-9812-6642

Funding

Biotechnology and Biological Sciences Research Council MR/K026992/1Medical Research Council G0701120Medical Research Council G1001245Medical Research Council MC_PC_15027Medical Research Council MR/J006971/1Medical Research Council MR/K026992/1Medical Research Council MR/M013111/1
6 · The paper itself

Abstract

Research has suggested that the retinal vasculature may act as a surrogate marker for diseased cerebral vessels. Retinal vascular parameters were measured using Vessel Assessment and Measurement Platform for Images of the Retina (VAMPIRE) software in two cohorts: (i) community-dwelling older subjects of the Lothian Birth Cohort 1936 (n = 603); and (ii) patients with recent minor ischaemic stroke of the Mild Stroke Study (n = 155). Imaging markers of small vessel disease (SVD) (white matter hyperintensities [WMH] on structural MRI, visual scores and volume; perivascular spaces; lacunes and microbleeds), and vascular risk measures were assessed in both cohorts. We assessed associations between retinal and brain measurements using structural equation modelling and regression analysis. In the Lothian Birth Cohort 1936 arteriolar fractal dimension accounted for 4% of the variance in WMH load. In the Mild Stroke Study lower arteriolar fractal dimension was associated with deep WMH scores (odds ratio [OR] 0.53; 95% CI, 0.32-0.87). No other retinal measure was associated with SVD. Reduced fractal dimension, a measure of vascular complexity, is related to SVD imaging features in older people. The results provide some support for the use of the retinal vasculature in the study of brain microvascular disease.

Indexed as

Cerebrovascular CirculationMagnetic Resonance AngiographyWhite MatterAgedCerebral Small Vessel DiseasesHumansMaleMiddle AgedRetinal VesselsStroke

Identifiers

PMID31004095
PMCPMC6474900

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.