Evidence map›Paper›PMID 31694821›Full record

ArticleAJNR. American journal of neuroradiology2019

Comparison of CBF Measured with Combined Velocity-Selective Arterial Spin-Labeling and Pulsed Arterial Spin-Labeling to Blood Flow Patterns Assessed by Conventional Angiography in Pediatric Moyamoya.

D S Bolar, B Gagoski, D B Orbach, E Smith, E Adalsteinsson, B R Rosen, P E Grant, R L Robertson

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.2field-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.

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

28 citing papers in PubMed, 44 citations in OpenAlex.

  1. Characterizing pre- and post-operative cerebral blood flow and transit time in pediatric moyamoya patients using multi-delay ASL and DSC MRI.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025
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  12. Advanced pediatric neuroimaging.Pediatric radiology · 2023
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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 7 institutions in 3 countries.

D S BolarFrom the Department of Radiology (D.S.B.) dbolar@ucsd.edu.ORCID 0000-0002-5968-2304
B GagoskiFetal Neonatal Neuroimaging and Developmental Science Center (B.G., P.E.G.).ORCID 0000-0003-3777-2621
D B OrbachDepartment of Radiology (B.G., D.B.O., P.E.G., R.L.R.).ORCID 0000-0002-1793-3398
E SmithDepartment of Neurosurgery (E.S.).ORCID 0000-0002-6317-8450
E AdalsteinssonDepartment of Electrical Engineering & Computer Science (E.A.), Massachusetts Institute of Technology, Cambridge, Massachusetts.ORCID 0000-0002-7637-2914
B R RosenMGH/HST Athinoula A. Martinos Center for Biomedical Imaging (E.A., B.R.R.), Charlestown, Massachusetts.ORCID 0000-0002-8576-0839
P E GrantFetal Neonatal Neuroimaging and Developmental Science Center (B.G., P.E.G.).ORCID 0000-0003-1005-4013
R L RobertsonDepartment of Radiology (B.G., D.B.O., P.E.G., R.L.R.).ORCID 0000-0001-8811-4405
Athinoula A. Martinos Center for Biomedical Imaging · USBoston Children's Hospital · USCognitive Neuroimaging Lab · FRS.P.E.C.I.E.S. · USUnited States Army Reserve · USUniversity of Cambodia · KHUniversity Radiology · US

Funding

Project 4P41EB015896 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI ROSEN, BRUCE R · 2012 to 2018
$9.8M
Advanced Fetal ImagingR01EB017337 · NIBIB · BOSTON CHILDREN'S HOSPITAL · PI ADALSTEINSSON, ELFAR, GRANT, PATRICIA ELLEN · 2014 to 2018
$6.2M
Noninvasive Realtime Assessment of Placental Structure and Function with Novel MR Imaging MethodsU01HD087211 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI GRANT, PATRICIA ELLEN, WALD, LAWRENCE L · 2015 to 2015
$4.9M
NIBIB NIH HHS P41 EB015896NIBIB NIH HHS R01 EB017337NICHD NIH HHS U01 HD087211
6 · The paper itself

Abstract

background and purposeImaging CBF is important for managing pediatric moyamoya. Traditional arterial spin-labeling MR imaging detects delayed transit thorough diseased arteries but is inaccurate for measuring perfusion because of these delays. Velocity-selective arterial spin-labeling is insensitive to transit delay and well-suited for imaging Moyamoya perfusion. This study assesses the accuracy of a combined velocity-selective arterial spin-labeling and traditional pulsed arterial spin-labeling CBF approach in pediatric moyamoya, with comparison to blood flow patterns on conventional angiography. MATERIALS AND

methodsTwenty-two neurologically stable pediatric patients with moyamoya and 5 asymptomatic siblings without frank moyamoya were imaged with velocity-selective arterial spin-labeling, pulsed arterial spin-labeling, and DSA (patients). Qualitative comparison was performed, followed by a systematic comparison using ASPECTS-based scoring. Quantitative pulsed arterial spin-labeling CBF and velocity-selective arterial spin-labeling CBF for the middle cerebral artery, anterior cerebral artery, and posterior cerebral artery territories were also compared.

resultsQualitatively, velocity-selective arterial spin-labeling perfusion maps reflect the DSA parenchymal phase, regardless of postinjection timing. Conversely, pulsed arterial spin-labeling maps reflect the DSA appearance at postinjection times closer to the arterial spin-labeling postlabeling delay, regardless of vascular phase. ASPECTS comparison showed excellent agreement (88%, κ = 0.77,

conclusionsVelocity-selective arterial spin-labeling offers a powerful approach to image perfusion in pediatric moyamoya due to transit delay insensitivity. Coupled with pulsed arterial spin-labeling for transit delay information, a volumetric MR imaging approach capturing key DSA information is introduced.

Indexed as

AdolescentCerebral AngiographyCerebrovascular CirculationChildChild, PreschoolFemaleHumansMagnetic Resonance AngiographyMaleMiddle Cerebral ArteryMoyamoya DiseaseNeuroimagingPerfusion ImagingRadiographic Image EnhancementSpin LabelsSubtraction TechniqueSpin Labels

Identifiers

PMID31694821
PMCPMC6975103
OpenAlexW2987957927

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.