Evidence map›Paper›PMID 31848374›Full record

Trial reportScientific reports2019

Spatial Distribution of Intracranial Vessel Wall Enhancement in Hypertension and Primary Angiitis of the CNS.

Jae W Song, Haochang Shou, Emmanuel C Obusez, Scott B Raymond, Samuel D Rafla, G Abbas Kharal, Pamela W Schaefer, Javier M Romero

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Multimodal imaging approach for the diagnosis of intracranial atherosclerotic disease (ICAD): Basic principles, current and future perspectives.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Review
  7. Article
  8. Article
  9. Review
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 1 country.

Jae W SongDepartment of Radiology, Division of Neuroradiology, Hospital of the University of Pennsylvania, Philadelphia, USA. Jae.Song@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-3127-6427
Haochang ShouDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.
Emmanuel C ObusezDivision of Neuroradiology, Massachusetts General Hospital, Harvard Medical School, Massachusetts, USA.
Scott B RaymondDivision of Neuroradiology, Massachusetts General Hospital, Harvard Medical School, Massachusetts, USA.
Samuel D RaflaDivision of Neuroradiology, Massachusetts General Hospital, Harvard Medical School, Massachusetts, USA.
G Abbas KharalDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Massachusetts, USA.
Pamela W SchaeferDivision of Neuroradiology, Massachusetts General Hospital, Harvard Medical School, Massachusetts, USA.
Javier M RomeroDivision of Neuroradiology, Massachusetts General Hospital, Harvard Medical School, Massachusetts, USA.
Harvard University · USCleveland Clinic · USHospital of the University of Pennsylvania · USUniversity of Pennsylvania · USUniversity of Vermont · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We hypothesized a difference in the spatial distribution of intracranial vessel wall enhancement between CNS vasculitis and risk factors for intracranial atherosclerotic disease (ICAD). Fifty-five vessel wall MR imaging (VWI) exams were included in this retrospective observational study. Intracranial arteries were evaluated for vessel wall enhancement by branching pattern (e.g., primary, secondary, and tertiary segments). Demographic and laboratory data as well as ICAD risk factors, including a diagnosis of hypertension, were collected. A diagnosis of primary angiitis of the CNS (PACNS) was confirmed by biopsy or clinical assessment by a stroke neurologist. Univariate and multivariate Poisson regression models were fit for the outcomes. In multivariate analyses, hypertension showed significant associations with primary (β = 1.31, 95% CI 0.78-1.88, p < 0.0001) and secondary (β = 1.15, 95% CI 0.29-2.18, p = 0.05) segments, contrasting with PACNS which showed a distal spatial distribution with significant associations with secondary (β = 0.77, 95% CI 0.14-1.39, p = 0.05) and tertiary (β = 1.34, 95% CI 0.68-2.01, p < 0.0001) segments. Our results suggest the spatial distribution of vessel wall enhancement is an important consideration when interpreting VWI exams, particularly in patients with a comorbid diagnosis of hypertension. Given the global prevalence of hypertension, these results are impactful and may improve image interpretation of VWI in stroke patients.

Indexed as

Cerebral AngiographyHypertensionMagnetic Resonance AngiographyVasculitis, Central Nervous SystemAdultAgedAged, 80 and overBiopsyFemaleHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID31848374
PMCPMC6917817
OpenAlexW2995297487

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.