Evidence map›Paper›PMID 31262337›Full record

Observational studyJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2019

Size of carotid artery intraplaque hemorrhage and acute ischemic stroke: a cardiovascular magnetic resonance Chinese atherosclerosis risk evaluation study.

Yang Liu, Maoxue Wang, Bing Zhang, Wei Wang, Yun Xu, Yongjun Han, Chun Yuan, Xihai Zhao

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02017756 (A Phase II Study of Chinese Atherosclerosis Risk Evaluation), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.5field-weighted citation impact, top 5% 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.

NCT02017756 unknown statusnot on this map

A Phase II Study of Chinese Atherosclerosis Risk Evaluation: Investigation of Carotid Atherosclerotic Disease in Patients With Ischemic Cerebrovascular Events

TypeobservationalSponsorTsinghua UniversityRan2012 to 2014Enrolled1,000ConditionsIschemic Stroke, Transient Ischemic Attack, Carotid Atherosclerotic Disease
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 44 citations in OpenAlex.

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  18. Plaque imaging volume analysis: technique and application.Cardiovascular diagnosis and therapy · 2020
    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

8 authors at 5 institutions in 2 countries.

Yang LiuDepartment of Radiology, The Affiliated Hospital of Yangzhou University, Yangzhou, China.
Maoxue WangDepartment of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Bing ZhangDepartment of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China. zhangbing_nanjing@vip.163.com.
Wei WangDepartment of Radiology, The Affiliated Hospital of Yangzhou University, Yangzhou, China.
Yun XuDepartment of Neurology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Yongjun HanCenter for Brain Disorders Research, Capital Medical University and Beijing Institute for Brain Disorders, Beijing, China.
Chun YuanDepartment of Radiology, University of Washington, Seattle, USA.
Xihai ZhaoDepartment of Biomedical Engineering, Center for Biomedical Imaging Research, Tsinghua University School of Medicine, Beijing, China. xihaizhao@tsinghua.edu.cn.ORCID 0000-0001-8953-0566
Nanjing Drum Tower Hospital · CNYangzhou University · CNCapital Medical University · CNTsinghua University · CNUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo determine the usefulness of the size of carotid artery intraplaque hemorrhage (IPH) in discriminating the risk of acute ischemic stroke using cardiovascular magnetic resonance (CMR) vessel wall imaging.

methodsSymptomatic patients with carotid atherosclerotic plaque who participated in a cross-sectional, multicenter study of CARE-II (NCT02017756) were included. All patients underwent carotid and brain CMR imaging. Carotid plaque burden and the size of plaque compositions including calcification, lipid-rich necrotic core (LRNC), and IPH were measured. Presence of acute cerebral infarct (ACI) in ipsilateral hemisphere of carotid plaque was determined. The relationship between carotid plaque features and presence of ipsilateral ACI was then analyzed.

resultsOf 687 recruited patients (62.7 ± 10.1 years; 69.4% males) with carotid plaque, 28.5% had ACI in ipsilateral hemispheres. Logistic regression revealed that carotid plaque burden was significantly associated with the presence of ACI before and after adjusted for clinical confounding factors. The volume of LRNC, %LRNC volume, volume of IPH, and %IPH volume were significantly associated with ACI before (volume of LRNC: OR = 1.297, p = 0.005; %LRNC volume: OR = 1.119, p = 0.018; volume of IPH: OR = 2.514, p = 0.003; %IPH volume: OR = 2.202, p = 0.003) and after (volume of LRNC: OR = 1.312, p = 0.006; %LRNC volume: OR = 1.90, p = 0.034; volume of IPH: OR = 2.907, p = 0.007; % IPH volume: OR = 2.374, p = 0.004) adjusted for clinical confounding factors. The association between volume of IPH and ACI remained statistically significant after further adjusted for plaque volume (OR = 2.813, p = 0.016) or both plaque volume and volume of LRNC (OR = 4.044, p = 0.024).

conclusionsIn symptomatic patients with carotid atherosclerotic plaques, the size of IPH is independently associated with ipsilateral ACI, suggesting the size of IPH might be a useful indicator for the risk of ACI.

trial registrationClinical Trial Registration-URL: http://www.clinicaltrials.gov . Unique Identifier: NCT02017756.

Indexed as

Magnetic Resonance ImagingPlaque, AtheroscleroticAgedBrain IschemiaCarotid Artery DiseasesChinaCross-Sectional StudiesFemaleHemorrhageHumansMaleMiddle AgedPredictive Value of TestsRisk AssessmentRisk FactorsStrokeAcute cerebral infarctAtherosclerosisCardiovascular magnetic resonance imagingCarotid arteryIntraplaque hemorrhage

Identifiers

PMID31262337
PMCPMC6604180
OpenAlexW2954106462

What OpenQuestion holds

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LicenceCC BY
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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.