Evidence map›Paper›PMID 31396662›Full record

ArticleNeuroradiology2019

MRI detection of cerebral microbleeds: size matters.

Sven Haller, Max Scheffler, Rares Salomir, François R Herrmann, Gabriel Gold, Marie-Louise Montandon, Enikö Kövari

Abstract read
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In one paragraph

Article in Neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
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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

7 authors.

Sven HallerFaculty of Medicine, University of Geneva, Geneva, Switzerland. sven.haller@me.com.ORCID http://orcid.org/0000-0001-7433-0203
Max SchefflerDepartment of Radiology, University Hospitals of Geneva, Geneva, Switzerland.
Rares SalomirDepartment of Radiology, University Hospitals of Geneva, Geneva, Switzerland.
François R HerrmannDepartment of Rehabilitation and Geriatrics, University Hospitals of Geneva, Geneva, Switzerland.
Gabriel GoldDepartment of Rehabilitation and Geriatrics, University Hospitals of Geneva, Geneva, Switzerland.
Marie-Louise MontandonDepartment of Rehabilitation and Geriatrics, University Hospitals of Geneva, Geneva, Switzerland.
Enikö KövariDepartment of Psychiatry, University Hospitals of Geneva, Geneva, Switzerland.

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 320030_159990
6 · The paper itself

Abstract

purposeCerebral microbleeds (CMB) play an important role as an imaging biomarker notably in vascular and neurodegenerative diseases. Current clinical brain MRI underestimates the number of CMB with respect to histopathology. It is expected that small CMBs are more likely to be false-negatives, yet this has not been demonstrated and the average size of false-negative and true-positive CMBs have not been established.

methodsThe radiologic-histopathologic correlation study was approved by the local review board and included 42 consecutive cases (mean age at death, 80.7 ± 10.0 years; 23 females and 19 men) between 12 January 2012 and 10 December 2012 having undergone brain autopsy. Postmortem SWI (susceptibility-weighted imaging) images were acquired on a clinical 3T system using parameters similar to clinical routine. The detection of CMB on postmortem MRI was compared with corresponding histopathological slices.

resultsPostmortem MRI detected 23 true-positive CMB. Histopathology additionally detected 68 CMBs (false-negative MRI CMBs). The average size true-positive MRI CMBs had on histopathology was 3.6 ± 7.1 mm

conclusionSize matters. As expected, the average size of true-positive MRI CMB was around 10 times larger as compared with false-negative MRI CMB. Evidently, in addition to size, other factors will influence the detectability of CMB, including iron content, ratio of Fe2+/Fe3+, spatial configuration, and location, yet this remains to be elucidated in future studies.

Indexed as

AgedAged, 80 and overBiomarkersCerebral HemorrhageFalse Negative ReactionsFemaleHumansImaging, Three-DimensionalMagnetic Resonance ImagingMaleBiomarkersDementiaMicrobleedsMRIPathology

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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.