Evidence map›Paper›PMID 32695872›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2020

Small vessel disease lesion type and brain atrophy: The role of co-occurring amyloid.

Rutger Heinen, Onno N Groeneveld, Frederik Barkhof, Jeroen de Bresser, Lieza G Exalto, Hugo J Kuijf, Niels D Prins, Philip Scheltens, Wiesje M van der Flier, Geert Jan Biessels and 1 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  7. Cortical microstructural involvement in cerebral small vessel disease.Cerebral circulation - cognition and behavior · 2024
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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

11 authors at 6 institutions in 2 countries.

Rutger HeinenDepartment of Neurology and Neurosurgery UMC Utrecht Brain Center Utrecht University Utrecht the Netherlands.
Onno N GroeneveldDepartment of Neurology and Neurosurgery UMC Utrecht Brain Center Utrecht University Utrecht the Netherlands.
Frederik BarkhofDepartment of Radiology and Nuclear Medicine Amsterdam Neuroscience Vrije Universiteit Amsterdam Amsterdam the Netherlands.
Jeroen de BresserDepartment of Radiology Leiden University Medical Center Leiden the Netherlands.
Lieza G ExaltoDepartment of Neurology and Neurosurgery UMC Utrecht Brain Center Utrecht University Utrecht the Netherlands.
Hugo J KuijfImage Sciences Institute University Medical Center Utrecht Utrecht the Netherlands.
Niels D PrinsAlzheimer Center & Department of Neurology Vrije Universiteit Amsterdam Amsterdam the Netherlands.
Philip ScheltensAlzheimer Center & Department of Neurology Vrije Universiteit Amsterdam Amsterdam the Netherlands.
Wiesje M van der FlierAlzheimer Center & Department of Neurology Vrije Universiteit Amsterdam Amsterdam the Netherlands.
Geert Jan BiesselsDepartment of Neurology and Neurosurgery UMC Utrecht Brain Center Utrecht University Utrecht the Netherlands.
TRACE‐VCI study group
University Medical Center Utrecht · NLUtrecht University · NLVrije Universiteit Amsterdam · NLHersenstichting · NLLeiden University Medical Center · NLUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIt is unknown whether different types of small vessel disease (SVD), differentially relate to brain atrophy and if co-occurring Alzheimer's disease pathology affects this relation.

methodsIn 725 memory clinic patients with SVD (mean age 67 ± 8 years, 48% female) we compared brain volumes of those with moderate/severe white matter hyperintensities (WMHs; n = 326), lacunes (n = 132) and cerebral microbleeds (n = 321) to a reference group with mild WMHs (n = 197), also considering cerebrospinal fluid (CSF) amyloid status in a subset of patients (n = 488).

resultsWMHs and lacunes, but not cerebral microbleeds, were associated with smaller gray matter (GM) volumes. In analyses stratified by CSF amyloid status, WMHs and lacunes were associated with smaller total brain and GM volumes only in amyloid-negative patients. SVD-related atrophy was most evident in frontal (cortical) GM, again predominantly in amyloid-negative patients. DISCUSSION: Amyloid status modifies the differential relation between SVD lesion type and brain atrophy in memory clinic patients.

Indexed as

Alzheimer's diseasebrain atrophycerebral microbleedscerebral small vessel diseaselacunesmagnetic resonance imagingvascular cognitive impairmentwhite matter hyperintensities

Identifiers

PMID32695872
PMCPMC7364862
OpenAlexW3041149594

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.