Evidence map›Paper›PMID 31486211›Full record

ArticleJournal of magnetic resonance imaging : JMRI2020

Spectral Diffusion Analysis of Intravoxel Incoherent Motion MRI in Cerebral Small Vessel Disease.

Sau May Wong, Walter H Backes, Gerhard S Drenthen, C Eleana Zhang, Paulien H M Voorter, Julie Staals, Robert J van Oostenbrugge, Jacobus F A Jansen

Abstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  10. The glymphatic system in Huntington's disease.Journal of Huntington's disease · 2025
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  12. Diffusion Tensor Imaging in Neurofluids.Neuroimaging clinics of North America · 2025
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  13. Imaging brain fluid dynamics and waste clearance involving perivascular spaces in cerebral small vessel disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  14. Review
  15. 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

8 authors.

Sau May WongDepartment of Radiology & Nuclear Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.
Walter H BackesDepartment of Radiology & Nuclear Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.
Gerhard S DrenthenDepartment of Radiology & Nuclear Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.
C Eleana ZhangDepartment of Neurology, Maastricht University Medical Centre, Maastricht, the Netherlands.
Paulien H M VoorterDepartment of Radiology & Nuclear Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.
Julie StaalsDepartment of Neurology, Maastricht University Medical Centre, Maastricht, the Netherlands.
Robert J van OostenbruggeDepartment of Neurology, Maastricht University Medical Centre, Maastricht, the Netherlands.
Jacobus F A JansenDepartment of Radiology & Nuclear Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands.ORCID 0000-0002-5271-8060

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebral intravoxel incoherent motion (IVIM) imaging assumes two components. However, more compartments are likely present in pathologic tissue. We hypothesized that spectral analysis using a nonnegative least-squares (NNLS) approach can detect an additional, intermediate diffusion component, distinct from the parenchymal and microvascular components, in lesion-prone regions. PURPOSE: To investigate the presence of this intermediate diffusion component and its relation with cerebral small vessel disease (cSVD)-related lesions. STUDY TYPE: Prospective cross-sectional study. POPULATION: Patients with cSVD (n = 69, median age 69.8) and controls (n = 39, median age 68.9). FIELD STRENGTH/SEQUENCE: Whole-brain inversion recovery IVIM acquisition at 3.0T. ASSESSMENT: Enlarged perivascular spaces (PVS) were rated by three raters. White matter hyperintensities (WMH) were identified on a fluid attenuated inversion recovery (FLAIR) image using a semiautomated algorithm. STATISTICAL TESTS: Relations between IVIM measures and cSVD-related lesions were studied using the Spearman's rank order correlation.

resultsNNLS yielded diffusion spectra from which the intermediate volume fraction f DATA

conclusionWe revealed the presence of an intermediate diffusion component in lesion-prone regions of cSVD and demonstrated its relation with enlarged PVS and WMHs. In tissue with these lesions, tissue degeneration or perivascular edema can lead to more freely diffusing interstitial fluid contributing to f LEVEL OF EVIDENCE: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2020;51:1170-1180.

Indexed as

Cerebral Small Vessel DiseasesAgedCross-Sectional StudiesDiffusion Magnetic Resonance ImagingHumansMagnetic Resonance ImagingMotionProspective Studiescerebral small vessel diseasediffusion magnetic resonance imagingglymphatic systemMRI

Identifiers

PMID31486211
PMCPMC7078988

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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.