Evidence map›Paper›PMID 31144071›Full record

ArticleEuropean radiology2019

Structural and functional MRI correlates of T2 hyperintensities of brain white matter in young neurologically asymptomatic adults.

Miloš Keřkovský, Jakub Stulík, Marek Dostál, Matyáš Kuhn, Jan Lošák, Petra Praksová, Monika Hulová, Josef Bednařík, Andrea Šprláková-Puková, Marek Mechl

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Article in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

10 authors.

Miloš KeřkovskýDepartment of Radiology and Nuclear Medicine, The University Hospital Brno and Masaryk University, Brno, Czech Republic. Kerkovsky.Milos@fnbrno.cz.ORCID http://orcid.org/0000-0003-0587-9897
Jakub StulíkDepartment of Radiology and Nuclear Medicine, The University Hospital Brno and Masaryk University, Brno, Czech Republic.
Marek DostálDepartment of Radiology and Nuclear Medicine, The University Hospital Brno and Masaryk University, Brno, Czech Republic.
Matyáš KuhnDepartment of Psychiatry, The University Hospital Brno and Masaryk University, Brno, Czech Republic.
Jan LošákDepartment of Psychiatry, The University Hospital Brno and Masaryk University, Brno, Czech Republic.
Petra PraksováDepartment of Neurology, The University Hospital Brno and Masaryk University, Brno, Czech Republic.
Monika HulováDepartment of Neurology, The University Hospital Brno and Masaryk University, Brno, Czech Republic.
Josef BednaříkDepartment of Neurology, The University Hospital Brno and Masaryk University, Brno, Czech Republic.
Andrea Šprláková-PukováDepartment of Radiology and Nuclear Medicine, The University Hospital Brno and Masaryk University, Brno, Czech Republic.
Marek MechlDepartment of Radiology and Nuclear Medicine, The University Hospital Brno and Masaryk University, Brno, Czech Republic.

Funding

Agentura Pro Zdravotnický Výzkum České Republiky AZV-15-32133ALékařská fakulta, Masarykova univerzita Funds to junior researcher
6 · The paper itself

Abstract

objectivesAlthough white matter hyperintensities (WMHs) are quite commonly found incidentally, their aetiology, structural characteristics, and functional consequences are not entirely known. The purpose of this study was to quantify WMHs in a sample of young, neurologically asymptomatic adults and evaluate the structural and functional correlations of lesion load with changes in brain volume, diffusivity, and functional connectivity.

methodsMRI brain scan using multimodal protocol was performed in 60 neurologically asymptomatic volunteers (21 men, 39 women, mean age 34.5 years). WMHs were manually segmented in 3D FLAIR images and counted automatically. The number and volume of WMHs were correlated with brain volume, resting-state functional MRI (rs-fMRI), and diffusion tensor imaging (DTI) data. Diffusion parameters measured within WMHs and normally appearing white matter (NAWM) were compared.

resultsAt least 1 lesion was found in 40 (67%) subjects, median incidence was 1 lesion (interquartile range [IQR] = 4.5), and median volume was 86.82 (IQR = 227.23) mm

conclusionsWMHs are commonly found even in young, neurologically asymptomatic adults. Their presence is not associated with brain atrophy or global changes of diffusivity, but the increasing number and volume of these lesions correlate with changes of brain connectivity, and especially that of the cerebellum. KEY POINTS: • White matter hyperintensities (WMHs) are commonly found in young, neurologically asymptomatic adults. • The presence of WMHs is not associated with brain atrophy or global changes of white matter diffusivity. • The increasing number and volume of WMHs correlate with changes of brain connectivity, and especially with that of the cerebellum.

Indexed as

AdultAsymptomatic DiseasesDiffusion Magnetic Resonance ImagingFemaleGray MatterHumansLeukoaraiosisMaleMiddle AgedWhite MatterYoung AdultDiffusion tensor imagingFunctional magnetic resonance imagingHealthy volunteersWhite matter

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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.