Evidence map›Paper›PMID 32423329›Full record

Trial reportJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2020

Collateral status contributes to differences between observed and predicted 24-h infarct volumes in DEFUSE 3.

Vaishnavi L Rao, Michael Mlynash, Søren Christensen, Amarnath Yennu, Stephanie Kemp, Greg Zaharchuk, Jeremy J Heit, Michael P Marks, Maarten G Lansberg, Gregory W Albers

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 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

57 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Collateral Circulation andJournal of the American Heart Association · 2025
    Trial
  5. Trial
  6. Predicting severe disability or death in endovascular thrombectomy with large computed tomography perfusion core infarction and limited penumbra.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Real-world functional outcomes and predictors of futile recanalization in patients meeting criteria for SELECT2.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  12. Review
  13. Article
  14. Long-term functional outcomes for elderly patients treated with endovascular thrombectomy.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  15. Article
  16. Validation of the Charlotte large artery occlusion endovascular therapy outcome score using Viz.ai-derived cerebral blood volume index.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Observational
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

10 authors.

Vaishnavi L RaoDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0002-0822-0222
Michael MlynashDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Søren ChristensenDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Amarnath YennuDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Stephanie KempDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Greg ZaharchukDepartment of Radiology, Stanford University School of Medicine, Stanford, CA, USA.
Jeremy J HeitDepartment of Radiology, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0003-1055-8000
Michael P MarksDepartment of Radiology, Stanford University School of Medicine, Stanford, CA, USA.
Maarten G LansbergDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Gregory W AlbersDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.

Funding

DEFUSE 3: EnDovascular ThErapy Following Imaging EvalUation for ISchemic StrokE 3U01NS092076 · NINDS · STANFORD UNIVERSITY · PI ALBERS, GREGORY W · 2015 to 2016
$5.3M
Stanford University Regional Coordinating Stroke Center for the NIH Stroke Trials NetworkU24NS107220 · NINDS · STANFORD UNIVERSITY · PI MAARTEN G LANSBERG · 2018 to 2026
$2.8M
Stanford University Regional Coordinating Stroke Center for the NINDS Stroke TriaU10NS086487 · NINDS · STANFORD UNIVERSITY · PI ALBERS, GREGORY W · 2013 to 2017
$1.9M
NINDS NIH HHS U01 NS092076NINDS NIH HHS U10 NS086487NINDS NIH HHS U24 NS107220
6 · The paper itself

Abstract

We previously demonstrated that in the DEFUSE 3 trial, the union of the baseline core and the 24-h Tmax > 6 s perfusion lesion predicts the infarct volume at 24 h. Presently, we assessed if collateral robustness measured by the hypoperfusion intensity ratio (HIR) and cerebral blood volume (CBV) index accounts for the variance in these predictions. DEFUSE 3 patients underwent MRI/CT perfusion imaging at baseline and 24 h post-randomization. We compared baseline and follow-up HIR and CBV index across subgroups stratified by differences between predicted and observed 24-h infarct volumes. Of 123 eligible patients, 34 with 24-h infarcts larger than predicted had less favorable collaterals at baseline (HIR 0.43 vs. 0.32,

Indexed as

Collateral CirculationAgedAged, 80 and overAgingBlood VolumeCerebral InfarctionCerebrovascular CirculationDiffusion Magnetic Resonance ImagingEndovascular ProceduresFemaleHumansIschemic StrokeMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingbrain imagingbrain ischemiacollateralsdiffusion-weighted MRIperfusion-weighted MRIreperfusionStrokethrombectomy

Identifiers

PMID32423329
PMCPMC7786839

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.